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Before they get a Medicaid bed? My mom is 100, I would hope it would be a shorter private pay period (as the Medicaid bed period would not go on for as long as younger patients). Thanks in advance.

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FloridaDD Dec 2019
Yes, I realize that many nursing homes require a period of private pay first.   That thread does not answer the question as to how long the period is.  That is my question
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Two years is common.
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FloridaDD Dec 2019
Thank you so much, glad.  Do you know if they adjust based on expected life of patient?
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We found the better nursing homes would like to see assets that would cover between two and three years of care. I believe, technically, they aren't allowed to require that but the fact is that their Medicaid beds will go first to current residents who have been private pay and have run out of resources- and that is a two to three year wait.

In the area we were looking, it also seemed that many better nursing homes were attached to independent and assisted living facilities and gave preferential admission to the residents of those facilities.

I'd be interested to know if you find out that they also consider life expectancy when deciding on an admission.
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No, I wouldn't think so. We all wish there was a crystal ball, but, unfortunately there is not. Every case is different. Some thrive and improve tremendously when moved to a facility.
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Not to my knowledge. She is 100, I doubt that this will be a long term thing. When I was touring homes for my family I asked each one "What is the average span of a non memory care person to live in AL"...the response 2.7-3.0 years.
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FloridaDD Dec 2019
Yes, but the memory people can live longer.  A memory patient in their 80s would seem to present the biggest risk of a lengthy Medicaid residency.
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I'm a bit confused by some of the responses, as I thought that people have to exhaust their assets before Medicaid will start to pay, and that could be a lot more than 2-3 years if the person has a home, IRA, etc. I can understand a place taking private pay patients only if the person has enough assets and income to pay for the minimum number of years (2 or 3) before going on Medicaid, but I'm sure the place would be more than happy to have people on private pay as long as possible.
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FloridaDD Dec 2019
Of course, the nursing homes prefer private pay.   Many people transfer out assets 5 years before they need  a nursing home, or during the penalty period.  At that point, the family decides what to kick in
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In my area 2-3 years is common and I never heard of the patient's age impacting the number although you may want to see if they would negotiate. My father's MC required 3 years private pay which I assumed was related to the average time elders spend in nursing homes - 34 months. If most residents will die within your private pay time frame, you won't have all that many Medicaid residents.
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LTC/NHs don't require a resident to private pay for any certain time before getting Medicaid. It helps to private pay if u can, makes it easier to get in.

An Assisted living (in my state) requires at least 2 yrs private pay before applying to Medicaid and that depends if there is a Medicaid room.

Not familiar with MC. The one AL we have does have a lock down unit. Maybe that is considered as MC. So the 2 yr rule is in place.
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I recently tried to get my 102 year old mother into a LTC facility. Her assets are in a split trust and she only had enough cash to pay out about five months of rent at $13000 a month. Then she had half the house. I got the no room answer almost immediately.
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My Mama's current M.C. just now changed to where they will accept their current residents on Medicade. They ask that we be able to pay at the very least 2 years private pay. This is a very small group of for profit M.C.'s. Before this it has been an all private pay place since it was built 7 years ago. I hope this helps.
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You should ask the specific facility what their rules are.

You will find that all of them give preference to existing residents, as it should be.
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