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Your Dad doesn't qualify for medicaid until he spends down what the state requires. In California he can now keep just over 100,000 but that is in total assets. In most states the amount allowed in his accounts would be under 5,000 plus home and plus car. Then all his retirement money would go to his facility (most ALF don't accept Medicaid patients but some few do). As well he would spend down his 200,000 before application to medicaid.
Look up rules for Medicaid in your State.
Go to ALF to check on their rules for admission, on their costs.
I wish you the best in researching this.
But short answer is that Medicare isn't involved in the question at all, only Medicaid,
An Elder Law attorney, if you buy one hour of time from him, can explain the basics of the system for you, or a Licensed Social Worker as well.
Medicaid is what you apply for when you need help with Longer term care. And your Dad has too much money for Medicaid help. I most States he can only have 2k in assets. In my State the income cap for Medicaid is just over $2300 a month. Your Dad already makes too much in Pension. There are ways around that with Medicaid Trusts but again, not all states allow that. Medicaid in for low income people.
Your Dad is going to need to pay for his care until his money is gone. If you could find a nice AL for about 5k a month he would be left about 1200 a month he would need to dip into his savings for. That 200k should last him over 10 yrs if I have calculated correctly. If he has a house, that could be sold to offset the cost of his care. His personal needs should not be that much.
https://www.medicare.gov/Pubs/pdf/10153-Medicare-Skilled-Nursing-Facility-Care.pdf
My mother is in AL, she pays $4,800 a month, net out of her pocket is $2000 a month, she has about the same amount of money as your father, when she has to go into a nursing home, and runs out of money, we will apply for Medicaid.
https://www.helpadvisor.com/medicaid/medicaid-assisted-living-benefits-by-state