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I moved my mom on Medicaid at about month 10 from NH #1 to eons better NH#2. Financially to make it simple, you want to have them selfpaying their Medicaid copay, if old NH is the representative payee for their SS or other income that will need to be changed in advance of the move. What, imo & my experience, you want to do is on the month of the planned move, they - Or you as Dpoa & signature on their checking account - write a check to each facility for the exact amounts due by Medicaid rules for that months copay pr SOC. Medicaid’s required copay must be paid and for the exact # of days to the exact penny. When I moved my mom, I timed it so she moved at the beginning of the month, so she had gotten her SS/pension on the 3rd of the month and there was $$ to pay each NH. Also you must get all their medications as these are usually done in 90/120 day packs & these will have to be signed out to you as dpoa or to your mom. Again you MUST get their meds as Medicaid or Medicare will not pay for duplications. Otherwise you’ll have to private pay for her medications and this could be quite expen$$ive.
If they are on Medicaid, moving out of state is NOT an option. Medicaid coverage is limited to state of legal residency.
If they are private pay, moving them to another facility is pretty much a matter of securing ambulance transport, having MD orders for admission (usually new facility sends out a RN/SW team ahead of move to evaluate them and give clearance that new NH can meet their care plan so the MD medical director of new place signs admissions order) and paying whatever deposit and monthly fees needed.
Moving to another NH is totally feasible. NH cannot keep a resident or their DPOA from doing this. Old NH must be current on Payment. But if the move could be placing the elders health in jeopardy (like they are on a vent or need a Hoyer lift or totally bedfast), the NH can contact APS for oversight to ensure there are no problems & you arrange for speciality transportation. Please keep in mind, transportation costs will not be covered by Medicaid or Medicare as this is a voluntary move. My mom was 100% ambulatory so for us, she was able to walk using her footed cane with no issues.
Facility is indeed for profit and on DH radar.
Yes patient is on waiting list on several other NH . Current facility is in a remote location where choices are limited. Yes have considered even out of state locations.
Horrific situation. In fact there has been multiple deaths that go beyond
any normal statistical possible outcomes. But because patients or elderly 80-100+ their death is considered a norm when it is not
Is your mother the dying patient to whom you referred? Is she in hospice care? You can change companies and facilities. I'm finding that non profit companies provide better care.