I am trying to get help placing my mother with the help of Adult Protective Services. (after Corona Virus is over) She has to be on MediCal. She refuses but she has LBD.
What I am trying to find out is can my sister that has POA file for her? Sister lives in FL. When she called MediCal they say they will not accept a copy being sent with application. Could use some advice. TIA
We have a very knowledgeable California member who may be able to answer this.
each person she talks to.
- already in a NH in order to file
or
- if a new admission into the NH it’s they are coming in a post hospitalization stay. So they are in the facility as a rehab patient / post hospitalization care, with stay paid as a Medicare benefit and then once MediCARE coverage ends then can file for LTC Medi-Cal to remain there as a LTC resident.
That they can’t just enter a NH directly on their own and apply for LTC Medi-Cal on Day 1. They need the records from hospital to NH and for rehab so there’s fat health chart from the hospital and rehab to clearly establish “at need” medically. Or have been at the NH for a while and again there’s a fat health chart from the NH to show their “at need”.
Couple of posts in the past read that they couldn’t just move mom out of her house and into a NH directly for CA medi-cal anymore. That the needs assessment required hospital chart or facility chart to be used to establish need along with the on site assessment. And the on site assessment could be waived if hospital records were there - so less time & costs for the state. Done so totally cuts down on having elders kinda grey area for needing skilled not to be able to be pass eligibility and then facility has to deal with getting them moved out.
NH would like this as they are getting 20/21 rehab days paid at Medicare higher rate too, instead of starting out with Medicaid pending period and that uncertainty.
Insight?