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I'd like to transfer him to a nursing home in Louisiana. He has Medicaid, Medicare, and other insurance. I am not able to drive myself.

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There are medical transport services, similar to ambulances, that do long distance transfers. No idea of cost
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Mysteryshopper Apr 2020
I'm familiar with a family where husband collapsed while on vacation and was stabilized at a local hospital. I think hosp was trying to discharge him to NH and the family agreed with this assessment, but they wanted him closer to where they actually lived. His home was several states away and he was not medically clear to go by car. They also found that medical transportation was not covered - especially for such a distance. I believe family pooled their money and paid for the transport, but it ran into many thousands of dollars. I'd say OP needs to find out if the transfer is even financially possible before too much time is spent on what will happen after the transfer happens.
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Realistically I think this would be beyond difficult right now.

Why? well he will need to become legal resident of State of Louisiana in order to become fully eligible for LA Medicaid. Right now he’s a resident of GA & on GA LTC Medicaid program. Medicaid, as Cali posted, is not portable . At some point, you as his DPOA will need to fill out the LA LTC Medicaid application & that will require eventually documents showing LA residency, financial status & US citizenship. To establish LA residency could mean getting state issued ID, banking w/Louisiana address on statements, move his SS $ & any other direct deposit retirement or pensions into LA bank account. He or you as DPOA will need to go onto CMS and move his federal nationwide MediCARE to new LA address. If he hasn’t yet filed taxes, he might could do with tax filing as his new LA address. All these are all about establishing a legit legal presence in the state. If he’s not already LA resident, state will want something showing that he is citizen, like birth certificate, US passport or naturalization document.

Doing this in normal times not easy but can be done imo if they are relatively competent and cognitive and/or DPOA has been very proactive on their behalf & involved in their life & financial so they are dpoa already & are signatories on bank accounts &/or have set up stuff on-line that you have user name & PW on. Issue is this is not at all normal times....

Yesterday at LA Gov. JBL daily presser, he announced stay at home to continue statewide till April 30 with understanding that date could move into May. For NOLA, Mayor Cantrell has it till May 16. All nonessential govt offices are closed statewide. Those open have reduced staff. Last mo. I got emails & follow up letters from banks I use that all lobby’s were closing in 2 days till further notice and if you need to do something requiring “wet” signature, to contact your banker to set up. I just don’t see opening right now a new bank acct for someone with out of state ID if they cannot easily communicate with a bank officer over the phone or in person at a prearranged meeting time.

Then there’s the logistics of moving him & finding a place that can meet his needs that Cali described.

imo only way into LA facility this mo or next will be if they have at least 50/60k: 3-4 mos of private pay @ $9-12k mo, 5-8k for specialized medical transport as he’s paralyzed, 1-2 mos of private pay nurse or aide (5-12k) at new place as he’s going to be quarantined & for “transitioning” and LA elder law atty as he will need all new legal done. LA law is French based so DPOA, wills, care agreement, etc from others states (English law based) won’t be quite right so have to be redone.

Another harsh reality, if he’s really paralyzed so requires total help in transitioning (like from bed to wheelchair or to potty), if you’re in the coastal parishes, imo gonna be really hard to find him a bed. Residents like this pose huge logistics & risk for hurricane evacuation. And this before current Covid concerns. If a place can easily fill a bed with someone still ambulatory that’s whose moving in.

if stuff falls thru, can you have home move into your home? & care for him? If not, please please think abt leaving him where he is.
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It won’t be easy. Especially right now. And his Medicaid will not cross state lines so he can’t use his Georgia Medicaid in Louisiana. Neither Medicare or Medicaid will pay for the transport either. You’ll have to apply for Louisiana Medicaid and find a nursing home that has a Medicaid bed available. You will have to pay hire a private ambulance or rent an RV & get a friend or family member to drive you or find a medical transport company. You could start by contacting the social worker or discharge planner at the current nursing home & see if they can help you coordinate the move. But again you’ll have to get the person set up with Medicaid in Louisiana.
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