Dad is in the long term care section of a skilled nursing facility after several falls. He requires a two person assist for everything. He cannot stand or walk. He is incontinent. He gets $1200 per month in SS. That is his only income. At the private pay rate, the monthly fee is going to be $10K a month. He has $2000 in checking. Medicaid says his income is too high. What are we supposed to do? I can't care for him in my home and I don't have $10K a month. I'm the financial POA. Mom has cognitive issues and probably going to memory care assisted living soon. She has a LTC policy. He does not.
Good luck. The application process is NOT fun.
Five years ago I made an appt with a Medicaid caseworker. He filled out the application on the computer. I supplied what info I brought. He gave me a list of other things I had to supply. Mom paid privately for 2 months giving me time to do what Medicaid needed. I sent everything thru email and caseworker confirmed receipt. In June I contacted the caseworker confirming he had all the paperwork needed and Medicaid started July 1st. You need to be on top of the process.
Are Mom and Dad married? If so, its not just Dads income that maybe considered but Moms too. She has to claim Community Spouse and have assets split. Was she considered in the application. You can appeal the findings but you need to find out why Dad was turned down. Were they supplied all info requested? If the NH filled out the application, ask them for a copies of the application and correspondence received from Medicaid. This will show you the Medicaid caseworker. Call them. It maybe be you didn't supply one piece of paper. I learned a long time ago not to depend on someone else to do their job.
My grandson was on short-term disability and was turned down for benefits because they say a form was not returned. I appealed the findings and sent everything that had been sent by them and returned. From then on, I sent everything certified mail. That form was probably sitting on someone's desk to be entered in the system and wasn't done before the cutoff date. And because of that, my grandson was not paid for months.
Are you certain he was denied for having too much income when his entire income is 1,200 and he has no savings?
You need an expert now on applying for medicaid in that case. I think there is something here missing. Perhaps a second home? Perhaps some other income?
See an elder law attorney.
Dad's SS will go entirely to the Nursing Home in all likelihood with a small monthly allowance for personal items.
Do know that medicaid almost certainly won't cover SNF in my opinion for any length of time.
Do get expert advise. Without access to your denial letters we cannot know the reasoning here. It should be stated; and after doing the applications already I know you will understand contact info for them.
Best of luck to you. I wish I knew more about what expert could help you with application, but I think an elder law off ice WOULD know.
Also, make sure you don't sign anything at the facility stating you are the one financially responsible.
my mother was initially denied as well for not having all needed paperwork. You must have every single blessed required item. You can get a list of those needed items. And you must have those items as proof including all those bank statements for past 5 years. Your attorney will walk you through all this.