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My mom is going into a Nursing Home. I am in the process of applying for Medicaid for her.  She has dementia.

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They can if you sign off on her admissions paperwork to be financially responsible for her should her Medicaid application get denied.

Please pls pls get a copy of all the paperwork AND also do your “signature” as Jane Smith Jones as DPOA for Anna Maria Smith. Ya need to already be her POA to do this. If the POA has not even been done, then get mom to somehow sign off on her paperwork. Even if it takes the better part of an hour to do. Do not let the admissions personnel rush any of this.

So I’ve got to ask….. what is your worry on mom being ineligible for LTC Medicaid??? Is it that she may not meet the medically at need criteria for care in a skilled nursing care facility?
OR
is it that you know or have a pretty good idea that mom has gifted or transferred some assets of hers between now and back to Summer of 2017?
They r very very different problems to deal with.
SO…
Do you anticipate issues with her application?

Also mom is expected to do a copay to the NH of basically almost all her mo income - like her Social Security check- to the NH. Her first month it will be prorated to the date of entry / date of filing of Medicaid application. Even if she is technically “Medicaid Pending” she is till expected to do the copay. Some states cannot require the copay till after they are fully determined t be eligible but that monthly copay will still be due. If your state runs it this way, do NOT spend any of her income….. it will be expected to be paid to the NH in full eventually even if it’s 4 months from now.

In theory a LTC application should take 3 mos for processing.
My moms took 5.5 months a lot was due to her having a medical “at need” getting resolved first and then her financials got reviewed. If there is a financial issue, like a car or auto or land gifting transfer, those get found out very quickly and they get ineligible quickly. So, again, do you anticipate having an eligibility problem for your mom?

if mom entered the NH as a post hospitalization discharge for rehab, then Medicare is paying till she’s off rehab benefits. If this is her situation, do whatever you can to reinforce to her that she needs to do whatever to be participating in her rehab as it gives her /pmore time to have Medicare coverage and you more time to gather together & evaluate her financials for Medicaid.
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You want to make sure that she is admitted into the nursing home "Medicaid Pending".

Do not sign anything with your own name.

Is mom being transferred to a NH after hospitalization or is she going directly from home?

Do you have Power of Attorney for her?
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They can't come after you for payment as long as you didn't sign paperwork at the NH stating YOU would be financially responsible for her. The other possibility is if mom is denied Medicaid or penalized due to gifting of assets to you. Depending on the state you live in, it is possible the NH can sue the giftee to recover the costs incurred while mom was Medicaid pending. As far as kicking her out, they can't force you personally to take her and they can't dump her to the curb. They would need to discharge her to a safe environment. Often this is to the hospital for some minor illness, and then refusal to take her back (bed is taken). They would likely contact state APS which would work on finding a safe solution for mom.
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