My sister really wants her close to her. The only place on earth my mom wants to be is close to my sister and her family. We are in Ohio, sister is in Virginia. I am learning about this but I have found out that Medicaid doesn't transfer from state to state. So I'm thinking the only way this could happen is through self pay. Mom is nicely hooked up with an assisted living waiver through medicaid. Just getting facts at this point. Thanks for any info. Mom has been in AL since November.
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You also need to find out if there are Medicaid-certified nursing homes with available beds in the town or city to which you wish to move your parent, if there is a waiting list, etc.
She thought that they were stealing from her and poisoning her food.
So, no. I don't think that a big change in location is good.
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Medicaid is managed by the states but under an overall federal guideline. So state laws and administration make a huge difference. So always keep that in mind when you start to say…."but in Ohio"… Mom will have to become a valid resident of the state of VA too with all her banking, etc moved to VA. If she has any real property in OH, those will be non-exempt assets for VA Medicaid - this can be a deal-breaker so I hope mom does not have a car, house or land in OH.
But my first ? for you is just what is mom's needs? Is she really truly not ready for a NH? - like is she just fine for the AL she is in? I ask because by & large Medicaid is done as a program for "skilled nursing needed" situations first & foremost. Now some states have a Medicaid diversion program which will pay for AL for those that qualify for being financially "at-need" for Medicaid but don't yet need skilled nursing in a NH. Other states really do not do a diversion program for AL or the diversion program has a waiting list of applicants and just a few AL even participate in the diversion program. My mom is in TX and really for TX Medicaid it is easier to get them into a NH than to wait to get onto the very limited # of diversion slots in an AL. The AL who even do participate have the list filled with existing residents who have been there private pay so they never take outsiders. In my state (LA), it the same thing in that AL Medicaid beds only get filled from within. AL by & large in most states are private pay and are a profit center.
Please talk with the social worker at the current AL on this and then ask for a "care plan meeting" to discuss what mom's needs are. I'd suggest you take someone with you to take notes and go with ?'s. Then based on this, you & Sissy in VA look to see what facilities are in VA that could provide the level of care that mom needs.