I was told by the nursing home that I had to sign my mother's check over to them. Which I have not I've been told by a lawyer that I don't have to that all I have to do is give them the $52 a month allowance and pay for any bills or anything that my mother needs they haven't bothered me about this anymore but it bugs me I don't know who to listen to the nursing home or to a lawyer. And at this point I have been paying them the $52 a month and I've been buying my mother everything she needs and clothing and so forth and so should I turn over her social security check to them or should I listen to the lawyer and just keep paying the $52 a month and pay any bills that come up that has to be paid cuz of what the rest of her money I buy all her clothing all her hygiene products and her Medicare and Medicaid pays for her to stay in the nursing home so I just need to know some information that maybe you can tell me because according to them the nursing home I have to turn it over to them and they just give her $52 a month allowance and they keep the rest of the money to do whatever they want with it which I don't think is right and I have been paying the $52 a month for her to have an allowance and I've been buying her her clothing and everything else she needs and I've been paying any bills ahead comes up and like I said she does have Medicare and Medicaid that pays the facility to keep her there my mother has Alzheimer's and dementia and I know they cannot get her to sign it over because of that and like I said I've had a few. Lawyers tell me I don't have to but then I've had some say that I do so I don't understand it and social security won't give me no help with it because my mother can't give permission to them and I explain to them that she has Alzheimer's and dementia and doesn't remember anything that she's saying even though I am her payee I don't understand why social security can't help me but maybe you guys can please respond back as soon as you can thank you
Here’s why: Your mom is on LTC Medicaid program, and it has a copay or SOC / share of cost requirement. The amount of the copay is determined by the State; and mom or you as POA should have gotten a determination letter from the State on the exact $ amount due to the NH based on your moms monthly income (like her SS $ and other retirements or pension). Copay MUST BE PAID otherwise she will be out of compliance for her Medicaid eligibility. & the NH can notify the Medicaid caseworker on this and your mom gets suspended from Medicaid. This is serious stuff… you do NOT want to go there and have this happen.
the only $ an elder will be able to keep each month will be whatever her State has as it’s PNA / personal needs allowance. Most States has PNA in the $50 - $70 a month range. PNA really is designed to pay for onsite beauty shoppe and minimal clothing and toiletries replacement. If elder needs to pay for cable, in room phone, needs whole new set of clothing, wants iPad or cell phone, or other stuff not included in what Medicaid provides for, that PNA won’t ever be enough $ so family ends up buying these things as needed from their own wallet or purse and WITHOUT expectation of reimbursement. Or elder does without.
I bet that $52 is her PNA. If so it’s being set into its own trust account at the NH to pay for incidentals. It is not her required copay.
She still has to do the copay. let’s say your mom gets $1987.00 a mo SS. And SS is her only source of income. Her States PNA is $52.00 a mo. So $1,935 that must be paid to the NH. 1987 - 52 = 1935 & is required for mom to be compliant for the terms of her participation in LTC Medicaid program. This, I bet, is not happening for your moms monthly income. This is what the NH needs for you to do and pay. If this has been going along for months, the amount due to the Nh will be significant. If you cannot pay it all in full ASAP, speak with billing at the NH to come up with a payment plan. & next month and every other month thereafter, pay the $ due to the Nh.
If you insist on keeping her SS income, the NH will have to notify Medicaid for non compliance and probably will contact APS to come in and evaluate situation so that APS can request a ward of the state action to be done on mom. Ward of the State will remove you entirely from any decision making and any financial oversight on mom. Medicaid can revoke her eligibility. This is serious stuff, you do not want to go there, so do the copay and work with the NH to settle her bill.
If you lived with her and cared for her at least 2 yrs, you can file for a Caregiver Allowance, remain in the home, but you may have to prove you can pay the bills and upkeep.
So if the NH is telling you to pay them Moms SS they are correct. You either write a check for the amount of SS (and any pension) and keep out $52 or let the NH become payee and let them set up a Personal Needs Acct for the $52.
Medicare does not pay for Moms care. It pays for her healthcare. Medicaid pays for her care and the 20% Medicare does not pay. In my State prescriptions, dental and vision are included. I am so sorry but u probably have a large amount due the NH. You really need an Elder Lawyer when dealing with Medicaid.
If you KEEP this money as payee you could easily end up arrested and prosecuted for fraud.
When we are planning our retirement, Medicaid needs to be looked at too so we plan around it. I did not even know the difference between Medicare and Medicaid till I had to deal with it before I was retired.
My boss was making a speech about why the Visiting Nurses needed to stay open to a committee. Main reason, Medicare does not pay for everything. After her speach was over, the one committee man said "Medicare will pay". He was about 50 at the time and is 2 yrs from Medicare now. Hope he is more aware of what Medicare does and doesn't cover.
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