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Yes, my mom is on Medicaid. The new facility has been trying for four months and have reached out to me for assistance.
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Does Mom have a Medicaid worker? I would reach out to Medicaid to resolve this issue.
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I'm going to assume that your mom only gets SS and her SS was going direct to old NH to deal with her co-pay or SOC (share of cost) required by Medicaid. My answer is based on this....... It sounds like mom did the SSA paperwork to make NH #1 her "representative payee", somoms check gets durect depsit electronically to NH #1 & will remain that till mom does the paperwork with SSA to change it to a new RP. The new RP can be the new NH #2 or you or whomever is her DPOA.

I'd bet this is what's happening & the old NH can't just stop getting the $ as SSA requires the beneficiary to do this. $ is likely sitting in an escrow like account at the corprate HQ of this NH chain. NH are required to have some sort of "general holding account" to deal with the $ of the deceased, overpayments, etc. Think of it as an escrow like account that gets done when you buy/sell a house.

Now one sticky with SSA is that they don't recognize DPOA or MPOA, so mom will have to request this on her own from SSA; OR you file to become moms new RP. sSA has a pretty clear info on thier website on how RP are done. But I will say it is not simple as SSA can seem to really over-reach on how an RP has be set up to guard against fraud. Like its not easy or feasible for an elder with Dementia, not mobile in a NH to get down to an SSA office to do this.....

I'm not sure if SSA can just do a clawback of the 4 mos incorrectly paid & then the $ is paid to mom or her new RP; ....OR if it needs to be a check to mom from the old NH. it's a ? to ask sSA. But maybe first, I'd see of new NH has a document tthat enables them to become representative payee & "mom" submits this to SSA & all this done by certified mail.

As an aside on this, when I was looking at places for my mom, all the NH I toured all went into some blather that they needed to become the new direct deposit for my moms income (SS, a pension & an annual life insurance dividend)...that it made all easier, less worry, everybody better off. Total BS. The NH cannot require a resident to do this. I'm pretty OCD bossy bad b%$^ch so not happening but the Nh will heavily imply that it "just needs" to be done with the NH as the direct deposit. Not so. Your mom can continue to keep her old checking account which gets her monthly income and she / you / her DPOA writes a check each month to the NH to the exact penny required as her copay or SOC (share of cost). If you want, some $ can be put into a on site at the NH personal trust account in moms name with you as a signature; & this $ is used to pay for moms beauty shop, incidentals (candy, magazine, hair barrettes, etc) at the NH.

Btw if mom was on Medicaid, and the NH got her income, there was a monthly personal needs allowance diverted from her SS to go into her PNA (& into the on site personal trust account at the NH) each month. PNA varies by state, like TX is $ 60 a mo. So if your mom was in TX that PNA should have had $ 240 diverted to it (60 x 4). Now some NH have automatic items deducted from the PNA. Like phone or cable & those miraculously are the exact amount of the PNA or very close to it. Again the whole blather on its all easier for family; again total BS as a NH cannot require a resident to have a phone or pay for cable.

Good luck in getting thorough this. & if you would can you post an update on what happens. A ? Similar to yours as asked earlier this week too....so this is a common problem families find themselves in. Thanks!
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Also if mom had another source of monthly income (like a pension or annuity) besides her SS, & those also were direct deposit to old NH, they too will need to be changed.
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Is you mom on Medicaid? Is the new facility asking you to solve this problem? Is would seem to me that it's the two business offices that need to work this out.
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Wow....sounds intense but very informative . Thank you!!!!!
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