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My mom is in sub-acute and going into the nursing home wing.

She has about $10,000 in old credit card debt that my sister has been paying for her (mom paid the mortgage of the bi-level home they live in.)

Now that we have to spend down money before applying for Medicaid, can sis pay off mom's credit card balance from mom's checking account?

Worried that since sis has been paying the credit cards for years, Medicaid will have something to say about her now paying these from mom's checking account since mom went to nursing home.

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What jumps out for me is that your Mom was paying your sister's mortgage.... is that correct? Or is the house Mom's? If the house belongs to your sister, then Medicaid might view that as a "gift".
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Medicaid will want to see all the credit card statements for the last five years. They are not so concerned with sis paying the bill, but they will question whether sis benefitted from the purchases.
It is very important to know whose name is on the title of the house. If it was only sis, there is a big problem there, Medicaid would call that a gift and impose a penalty. Get all the check images for the last 5 years.
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Both mom and sis are on the mortgage. The hard thing with the credit cards is since they lived under the same roof, sometimes sis would charge things on the credit card and give mom cash back when she got paid; sometimes mom bought things on the credit card for my niece, etc; sometimes sis would charge something on mom's credit card and pay another bill for mom, etc. Finances were all mixed up. Should sis go through statements now and just try to address some things that she remembered or submit the application and wait to be asked? Thanks
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Retain the services of an expert elder law attorney who is well versed on Medicaid. They will go over EVERYTHING with a fine tooth comb. This attorney will be expensive but worth every penny in my opinion.
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