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You really don't give much info. If the person in LTC is on Medicaid, there is no SS or pension. It all should be going towards their care. If paying privately then you maybe able to use the SS to do some repairs. But I doubt if you can get any free help if owner is not living in the house. My Aunt, years ago, was able to get a grant for new windows and a heater. Think she got a roof too. The catch was, she needed to live in that house for another 10 years. If she left or died the cost of the repairs would be due.
Why do u need to talk to a case manager? If you plan on selling the home, it has to be at Market Value. Have an accessor come in and look at the house from the studs out. That way u will know what to ask for the house. You sell it "as is" and a little higher than Market Value, you can always go down. I allowed my realtor to access it and all she did was compare. Moms house was in very sad condition and Medicaid honored the price she set. I got a lawyer to negotiate if needed with Medicaid. As the house sat, it deteriated. It did not sell until after her death.
So Cheryl is this it??? if so, the State required copay of the elders monthly income - like their SSA - is a firm and fixed part of the LTC Medicaid custodial care program which pays for room&board costs. The only way around it is IF there is a spouse continuing to live in the home OR the elder had a genuine dependent of theirs living in the home prior to their entering a facility. Otherwise it’s on the elders family to pay all property costs of the home - allowed to remain an exempt asset while alive - that still is in the elders name till beyond their death. It’s beyond their death as the State is required to attempt to recover all cost paid from the now nonexempt asset and that is an after death action and will take time to slog through whether it’s done within probate filing or done by exemption filings or a combo of these. If you as the POA and the family cannot afford the property costs, and afford it for possibly years, it may be best to get the property inspected and appraised and sell it firmly “as is” as close to its appraised value; then the elder uses the $ to private pay for care.
fwiw families getting gobsmacked by the Share of Cost requirements come up fairly often on this site. There is little the caseworker can do as SOC is required. Once on LTC Medicaid all the elder gets to retain from their entire month income is whatever smallish amount your State has as their Personal Needs Allowance. It tends to be $50 - $75 a mom for the majority of States and more designed for paying for the elders in the facility beauty or barber shoppe costs and some clothing replacement.
As to getting your case manager, I can only say "keep trying and feel lucky you actually HAVE ONE; You are going to have to be the squeaky wheel.
So, again: Your options?
1. Get hold of that case manager and see what can be done
2. Plan for long term care that is not in-home; that is, facility care
3. Consider selling the home and downsizing to a less expensive smaller and more accessible place that is something you can have maintained by others.
I can't see many other options.
Hope others have more input for you.