Originally Posted by donothing
Any tips/tricks/advise for dealing with nursing homes, medicaid, etc. Medicaid rep is going to talk to me tomorrow about getting set up for a parent that is about to go into a nursing home. She has a paid for house worth about 100k and stocks worth about 75k. The thing is, these assets are not "cash" that the nursing home needs. Does medicaid put a lien on the assets for anything they pay out? Or will they just say to sell the house and stocks before medicaid will kick in. Maybe someone has gone through a similar experience recently. Thanks
Like Donothing says, talk to an eldercare attorney. Medicaid is a federal program but it's administered by the individual states, and they're all very different. You need expert help, and it's worth paying $275 an hour for a few hours of advice.
Your parent should start selling the stocks to afford the "private pay" bills while you and the lawyer and the Medicaid rep start the filing process. It can take 6-12 months. Generally, once you're in a nursing home on private pay, you're not discharged unless there's a protracted hospital stay or a behavioral issue.
I'm not sure what the state does about the home, except perhaps to either allow the parent to retain it (under Medicaid rules) or possibly to eventually file a lien on it. I believe that if your parent is receiving Social Security, then most of that will start going to the care facility and/or Medicaid.
But again every state has different rules.
My Dad is probably not going to outlive his assets, but the care facility's Medicaid rep calls me every few months just to see if I've made a horrible mistake in my financial calculations. They really need that 6-12 months heads up.