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She has Alzheimer's /Dementia . She now has a hospice nurse see her once a week and an aid 2 to 3 times a week to help out with her needs. My question is should my wife be put in a Hospice facility and who pays for that ? Do I have to start the Medicaid application process? I am in New York.


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Good doctors order necessary consults and evaluations. Palliative care is an ICD-10 code like any other consult e.g. neurology, nephrology, etc. I suspect your wife exhibits signs/symptoms of pain. Is she contracted? What is her prognosis? What were her wishes for her end-of-life care?
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I shouldn't uproot your wife from her memory care unit unless her doctor or the unit's managers advise you to.

Your wife's doctor ought really to have discussed these care options with you, and the facility should be able to explain any steps you need to take and how her care can be funded. Do you find it difficult to get hold of these people when you need to talk to them?
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She should be fine in her assisted living facility assuming they have no trouble accommodating her under hospice care. How are you paying for her care now? Hospice funding is covered by Medicare.
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