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Hi, this forum has helped a lot. Please forgive me if my question is a bit redundant. My head is all over the place right now.
My moms rehab accumulated a 50k balance and they are pressuring me for payment. Mom has dementia so can I help her pay the bill from her bank account?
I am considering getting an elderly law attorney but not sure how to finance that or it is worth pursuing. Perhaps an accountant can handle her finances?
The idea is to hold on to her home as long as possible before having the state take control. Thanks again

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I have no idea what you mean by can you pay your mother's bills for her.
Are you her POA? Are you on her checking account?
The answer to your question is no, you almost certainly cannot touch your mother's accounts in any way to do any thing without POA and property steps in registration as her signee.

Why is your mother in rehab private pay?
This isn't sustainable.
First of all, stop worrying about bills that come for your mother overall. They are her bills. If she doesn't have money she can't pay them. Eventually such as with this HUGE bill, the company will go to court for judgement and the home will have a lien. Too many liens and the house is GONE with the winds. And they cannot touch your mother's Social Security (but can get everything else). They cannot touch your money; see to it you do not personally sign as responsible party for anything.

If you mother is in long term care it cannot be rehab. She needs extended care facility placement if this is long term. And right now. SURELY some social workers there have contacted you or her POA????

Are you your mother's POA? If not, who is?
Because if so there is a whole lot you need to know and I think that you DO in that case need an Elder Law Attorney to learn how to set it up and function as a POA. If you are not, and bills are being racked up to this extent, there will shortly be nothing left of that home at all to try to save. Everyone out there will be collecting off it when mom passes.
Moreover, be certain NEVER to use your own money which you will badly need for your own care quicker than you can imagine (I am 82 and here to tell you).

Time to consider the basics.
1. Is your mother competent.
2. If your mother is not competent who is her POA or her Guardian responsible for placement and bills.

I would contact APS if your mother is newly needing placement. She may require guardianship of the state to manage all of this through a court appointed Fiduciary if you feel not up to doing this. It takes, quite honestly, a whole education in elder care to manage the finances and placement of another person. If no one in the family is up to these decisions of placement, when and where; of sale of home: when, where, how and why--then you need real qualified help.

50K is a lot. And it will become 100K in the snap of a finger. When the government medicare stops paying for rehab it is not sustainable for an individual to stay there and I am absolutely FLUMMOXED that a bunch of social workers are not already at you with information. Contact the rehabs Social Workers TODAY and let them know where you and your mom, her finances and needs stand.
And yes, if a Social worker cannot help and guide you you must have at least an hour of time from an Elder Law Attorney to get options, information, guidance.
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Reply to AlvaDeer
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They can pressure all they want but they do not have a legal claim. If you are rich and can afford it the do it but let the fight be with the facility and the insurance companies.
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Reply to Sample
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Why isn't your mom's stay being covered by Medicare or Medicaid. Was she hospitalized prior to her stay?
Sorry, but your mom's house needs to be sold and the funds go towards her care. Why hold on to the house? This is a dilemma for who? Your mom needs to live in assisted living. That is all out of pocket unfortunately. I had my mom hospitalized and became her guardian. The judge declared her incapacitated and I sold her house to pay for a personal care home. Not sure why you weren't notified about her stay in skilled nursing no longer being covered.
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Reply to Onlychild2024
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not helping in this case, but a reminder for people to get POA and get on parents checking account

In my area, there are elderly law lawyers that offers say a free forty minute consultation. We met with her once and she not only gave us good information, but said there is probably not more we would need from her.

Dont know if that type of thing is available everywhere.
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Reply to Karsten
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Are you on Moms account? If so, ask the bank if you are a signer. If so, you should be able to write a check. If you are planning on Mom entering LTC, paying this bill fully or partially will spend down her money for Medicaid. Actually, if she has no assets, Medicaid may have paid this bill.

"I guess she may need a nursing home but I am not in the rehabs planning loop." I so hope you are in this loop unless you want the State to take over her care. If the State assigns a guardian, then you will have no control over what happens to Mom. Keeping her house would mean someone paying the bills because once she is on Medicaid, her Social Security and any pension go to the NH to offset the cost of her care. If her house is sold, the proceeds go towards Moms care.
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kenmtb Nov 19, 2024
Hello,
I am not on her account. The rehab she is has only one line in and everything goes to voicemail. Sometimes they respond days later if at all. They will call randomly while I am at work to inquire about when payments will be made.

If they did not declare her incompetent then they would already have their money. As a last ditch effort I am seeing if I can physically assist mom with using her account to pay her bill. It should not be this hard. I can not afford an attorney and local so called legal aid has been a slow acting joke.

Also I was told to look at asking if her bank or tax prepare may be able to help take over some of her financial issues. It seems like there should be a simple solution that does not start of by feeding a layer $400 for an hour chat. Sorry for the whine.

I am beginning to think they want the state to take over and hand them everything.
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A "facility" (rehab) doesn't declare one incompetent, a doctor or lawyer does. Your Mom has to meet the legal definition of incapacity, which is determined by a lawyer because one has to be able to comprehend what they are doing and in my experience the attorney privately interviews the person to determine this. The bar for having capacity is low, and one can have very mild memory impairment and very mild dementia and still have legal capacity.

This is where you need the elder law attorney. Because the facility's determination of her incapacity might not meed the legal one. If she is indeed legally incapacitated them she can no longer assign a PoA or fiduciary herself. You would now need to pursue guardianship through the courts. And this is expensive. Or, a judge will assign her a 3rd party guardian.

"Medicaid will allow her to move to a better place"... no.

If she currently has funds this can be used to get her into a good facility on private pay that has Medicaid beds. Once she has spent down almost all her cash assets (and this varies by state) then if she is assessed as needing LTC (which is what Medicaid will pay for) then she must also qualify financially. If she does, her SS income will pay for her custodial care and she can stay in that good facility. The worst case scenario is she is not in a facility when she qualifies for Medicaid. Then she may only be able to get into county run facilities and they are usually not very good ones.
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Reply to Geaton777
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What state is she in and where are you? It sounds to me like you need to fly out there for a week, meet with the rehab, meet with an elder care lawyer, and get a handle on what your options are asap. The daily rate for rehab is astronomical. If you are a family member you may be able to get more done for her than just a friend. Elder care professionals usually at least give you a free, short consultation and then would require you to gather certain information before meeting so your time is used efficiently. This is complicated. It will be money well spent.
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Reply to ShirleyDot
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Sooner or later, rehab will petition probate for have a judge appoint someone who will do the work for you. The appointee us usually a law office who will spend down and even sell property all while collecting any professional fees. Then someone will apply for Medicade and she will go to a SNF somewhere in the state. It might be too late to get her in a really good facility but at least she will be safely placed. Next time you get a call, you might just want to tell them that they will have to petition probate as you are not assigned to do anything for her.
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Reply to MACinCT
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Sorry for the delay.
She has no POA that is the main issue. Her bills are on autopay.
The dilemma is, legal consultations cost $300-500. I don't have that cash on hand and she has a pretty good savings but I need a way to pay for the lawyer.
The local Action for Older Persons is a joke. You have to be below the poverty level to get help. I am thinking about getting her permission to pay a lawyer and helping her with the transaction so we can get some direction.
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Reply to kenmtb
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AlvaDeer Nov 26, 2024
You pay the attorney through the funds of your mother. Please read your document. It will (SHOULD )_ say that you have a right to expert advice, and you do.
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Is your Mom on Medicare? I'm assuming she's over 65... so she should be? I'm just wondering how she accumulated a $50K rehab tab.
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kenmtb Nov 19, 2024
She is on Medicare, that ran out. I think she can not go home without professional care there which would take some effort if it is possible. I have gotten little info on what the rehab has been doing. It would be great to pay them off, hopefully Medicaid will allow her to move to a better place.
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