Follow
Share

(Medi-Cal, in California) Mom was in the hospital for 6 days, then back to the SNF for a day, then back to the hospital for a week. Will Medi-Cal pay the SNF in full for the month? Do we pay the Share of Cost in full for the month?

Find Care & Housing
No her share of cost will stay as it is. SNF will not be paid while she is in hospital and that has nothing to do with you. If they ask for a fee called a bed hold it holds her bed for 7days. Tell them no thanks. all that means is they will save her bed. Facilities normally hold her bed as its a big job to move and story her things. Don't let them tell you once she is past 7days they dont have to take her back or hold a place for her. then tell them you will contact CDPH licensing as thats called dumping. Mom is on medi-cal so it doesn't matter how long she is out as long as its a hospital stay else where. FYI always pay your share of cost as they will reimburse you if its not necessary. There are a couple of things where snfs dont have to take her back but that is limited to serious medical let cdph tell you if its correct. Sorry for the rant but this happens and it can be devastating if you dont know the right things to say. If for some reason she is gone more than 7 days the snf can store her things and someone else can have her bed. However the next bed available will automatically be hers if shes ready to DC. If they have no open beds the hospital where she is at has to keep her utill a bed is available, Or help you find a different snf if you prefer. FYI under no circumstances take mom home as you will lose your spot and you will be SOL. again sorry for the long just incase info. you would be surprised what happens while she is out of the snf.
Helpful Answer (4)
Reply to LoniG1
Report
DMcD55 Apr 14, 2026
Thank you! Just the details I was looking for.
(0)
Report
I would say, being a Medicaid recipient, that she will owe nothing. She literally has no money and family is not responsible for her debts. If you get a bill, question it.

My Mom went into LTC and paid the first 2 months. I was cleaning up some medical bills and found that I had not gotten statements from doctors she had previously seen. She always had a balance with her suppliment. I called these doctors and was told that because she had entered LTC, they wrote off the balances. I explained she was private pay and hadctge money. I was told thats what they do when patients are in care.
Helpful Answer (0)
Reply to JoAnn29
Report

My mother fell broke an ankle, hospitalized and SNF, ( over a month stay both) some months later she fell and broke a hip ( repeat scenario) third time she suffered an aeortic aneurysm rupture, ( repeat) She had Medicaid/ and a basic advantage plan. While in the first snf, I was prompted to " Upgrade her to a better plan. At leaving the snf they demanded a pymt ( copay) they said. We didnt question it at the time. Her second incident the snf demanded a 3k pymt. I called the insurance and they said " Absolutely Not! You're mother is QMB, qualified Medicare Benefciary. To not drag this out, the second 2 Snf's got nasty, left vm's and mailings, threatened me with " Missappropriation of my mothers funds, I am POA, and for nearly a year I battled the ordeal between 2 snf's. Insurance and various cust service reps ( turnover etc.) helping, wavering, doing nothing for a time, tho the QMB status was something I verified with Medicare as well and how it worked, NO co pays or pymt of any kind thru this medicare/ medicaid status. I FINALLY got a hold of an insurance rep who by the grace of God got thru to the otherwise UNREACHABLE admin people, put us on a 3 way call. The last home administrators had the nerve to tell me she had no idea why we were being harassed.
( her name all-over the mailings mind you) gave me an insincere apology, I expressed a few thoughts told her I HAD NEVER EVER hear from her business AGAIN. No mam, sorry Mam" and that was that. Sorry for the long story. Im not sure if I can use company names but H is who helped us thru this most difficult time.. QMB. Best wishes and Good luck
Helpful Answer (1)
Reply to Littlewing65
Report

I'm not a CA resident but I put your question into ChatGPT* and here is a synopsis:

Does SNF get paid for full month? No
Paid during hospital days?No
Paid when resident returns? Yes
Is Share of Cost still owed for full month? Yes (typically)I
s SOC prorated? No

Summary:
- SNF is paid only for days the resident is there
- Hospital gets paid for hospital days
- The resident still owes the full monthly Share of Cost

*ChatGPT can make mistakes. Check important info.
Helpful Answer (0)
Reply to Geaton777
Report

Ask a Question
Subscribe to
Our Newsletter