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My mother needs care due to illness, what can she do?

My mother is being discharged from Doctor's Hospital, where she contracted the illness, for the 7th time since last year due to a serious bacterial illness. She can't walk and lives with my disabled brother. She needs a full time nurse, at least during the day. She has both Medicare and Medicaid and lives on Social Security, so she would need to claim hardship. She needs rehab to try and get her on her feet again. She is 86 years old. Please help.
Status: Open    Feb 16, 2017 - 07:32 AM


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Expert Answers

Feb 24, 2017 - 06:58 AM

Since she has already been discharged, she will need to work with her primary care physician to order physical therapy. If she is admitted again, stays the required amount of time to be released to a rehab facility to recover, upon discharge from the skilled nursing facility, her primary care physician could order her home health care. At this time, I would suggest she reach out to her case worker and see what services she may be eligible for.

Feb 27, 2017 - 10:27 AM

If your mother is already on Medicaid, she probably has a counselor assigned to her, who can provide you options for her care. Besides contacting the Medicaid counselor, you might want to see what discharge planning has taken place at the hospital. Depending upon how much rehab, your mother needs, she may be sent to a rehab hospital or skilled nursing facility, until she is stronger. As long as there is a skilled need for nursing and/or therapy, Medicare will pay for some of the first 100 days at the rehab or skilled nursing facility. Medicaid pays for the remainder of the care for individuals covered by Medicaid.

If she is not sent to a care facility, a home health agency can be ordered by her doctor, who can provide rehab at home for a limited period of time. Medicare pays for home health care as long as there is a skilled need. Medicaid will pay for any unskilled needs, such as activities of daily living.
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