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Re - the land and the trailer in your moms name...

I'm going to have to try to take you at their word when you say "they have a deed".If that is truly correct, that would likely have been signed by your mom and notarized at a much earlier date, prior to her dementia. Sale or transfer of real property, as in real estate, always has to be verified by a notary. If this deed does exist, I believe it would be just a matter of recording it and you would have proof that your brother and his wife were the owners many months or years ago. The fact that it wasn't filed only means that your mother is still the owner of record. If the signature and the dates are valid, based on the notarization, I believe that date would prevail and your mother would not have owned the property since that time. That may make a difference to Medicaid.

The way to look back works is if your mom sold the property she would be expected to pay that money for her care for a certain amount of time. You may have to ask your brother to see this (supposed) deed and the date on it. If that turns out to be incorrect, to protect your mom, you may have to force your brother to buy the property so you can use the money for her nursing home care in lieu of getting Medicaid.

Also, you mentioned being guardian of person and representative payee. Somewhere in there are you also guardian of financial? If not, and you have to get a lump sum payment from brother (he would probably have to refinance a property, but that's HIS responsibility if they didn't take care of business), you will probably have to request to be a guardian of financial to receive other money on your moms behalf. That's how it is in California, not sure about NC.
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Medicaid I would file an appeal (if you can refile, then appeal if you get denied again). Also, I learned that when my local Medicaid office gave me grieve (or just flat out confused me!) I called the state office. I don't live in NC but it worked wonders for me. I tried to be super polite and explained my situation. It drives people crazy sometimes but if I don't understand I will keep asking until I do.
Since you know which NH, set up an appointment with them. They might also help you and/ or give you some other options (for dealing with Medicaid and other funding possibly).

I'm also in love with this website. It's been a godsend!
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Thank you very much for all your help. She only has Medicare. I wasn't told why she didn't receive Medicaid before and will try to get it for her again. Her doctor is a general practitioner who is also the medical director for the nursing home where I would like my mom to go. Her next doctor's appointment is in 3 weeks and I am going to speak with him personally about him writing up orders for her to go into the nursing home. Things are getting difficult at home with her now. Also, thank you for suggesting I contact my state's dept. of Aging and Disability. I will also contact Medicare to see what else I can find out. I love this website. It is so informative and it is wonderful to connect with people who understand my struggles and who provide support, information, and encouragement. It is amazing to see how many people struggle with the same things as myself.
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Did they give you a reason she didn't qualify for Medicaid? Is she on Medicare? Just with the info you have provided I would start with her doctor. Does she see a geriatric doctor? There offices have been a fountain of information for me. Next I would go an online search on NH in your area and go talk to them. They can also help you set up funding. Another option could be calling your state Aging and Disability agency (check the State Dept of Health) they should also be able to give you some advice/ help.
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