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Sksi you need to converse with as n Elder Law Attorney, if she owns any property
God Bless
You may qualify if you:
are treated in a hospital for at least three consecutive days, not including the day of discharge, and
you enter the skilled nursing facility within 30 days of the hospital discharge.
No day limit as long as the care is medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition.
Pre-authorization is not required, except for:
Active duty service members
Medicare-eligible beneficiaries after the first 100 days
Covered skilled nursing services includes:
A semi-private room
Regular nursing services
Meals (including special diets)
Physical, occupational and speech therapy
Drugs provided by the facility
Medical supplies and appliance
Matilda
Contact Elder Law Attorney for facts and strategies for appropriate placement for all of you.
We have a program here called IRIS that is wonderful. It will give them the funds they need to pay for care givers (including family caregivers) and also provide anything needed to alter the home or special furnishings. They will also help pay for therapies and other activities outside of the home if not covered by their insurance.
Every state has programs like this. It is a far better (and happier) life they would live at home, than in a nursing care facility where they would loose everything they have only to find themselves trapped there with people who neglect and sometimes even abuse them.
You need some help deciding how best to learn about Medicaid. I agree BarbBrooklyn that getting her out of the house might not be possible until she is hospitalized for a fall or for an illness. AT THAT POINT, you must be ready to move her to the Facility that you have already researched, that takes Private Pay but which also takes Medicaid..
google care advisors, get someone local who can cut thru the red tape and help you find suitable placement. You don’t pay them , they are paid by the facility. Local is key , they know the ins and outs, availability and costs.. I used a franchise called care patrol. A period of self pay is optimal as choices go down with less self pay.
From your profile: "I am primary caregiver for my mother in-law."
The "how" answer to your question above is that you stop being her caregiver.
Going into a facility on private pay may help avoid waiting lists for entry. In most states, Medicaid only pays for LTC when someone qualifies for financial aid part. You should consider consulting with a Medicaid Planner for her state right away to know what lay ahead in this process.
Better to find places now rather than having to do it in a crisis. Your MIL and her son do not need to know what you're doing.
This past month my 100-yr old Aunt with advanced dementia fell in her home and broke her hip. We opted out of surgery, which would have been the answer to "fix" it. She was in the rehab facility for maybe 2 weeks before UnitedHealthcare decided they wouldn't pay because she couldn't do PT and wasn't improving. Then I had to work hard and fast to find LTC facilities that had openings. Once UHC gave the "cut" order it was almost immediate (although there is an appeal process but they kept denying the coverage).
Do the legwork now to avoid the stress of doing it under duress. If you get all the ducks in a row and find a good place for her, you then tell MIL a therapeutic fib to get her to move to the facility (the house has an "infestation" and needs to be treated; the house has a gas leak, the house requires the heat/ac/water be turned off for repair) and she will need to stay in an "apartment" until she can go back. Whatever it takes to calmly get her there.
Does your husband have Power of Attorney?
Does she have Medicaid?
If she is resistant to the idea of going into care, you may need to wait until she is hospitalized. Once admitted to the hospital, you talk to the discharge planners about how sending her home would be an "unsafe discharge". They can then get her into a rehab unit that is within a NH; from there she can transition to being a permanent resident.