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Just a comment/request related to Medicaid. I have seen a lot of comments on this site with the helpful suggestion of “get your mother/father/etc.) on Medicaid. It’s not that simple. I’m currently working with an attorney to do just that for my mother. We already got a letter declining eligibility, but I sent it along to the lawyer, their job is to deal with it. Even if you have nothing, you can be declined and have no recourse. Many won’t know how to apply again and fix whatever you did wrong unless you have an attorney helping, and they are EXPENSIVE! So suggestions are welcome, for those that can’t afford legal help.

I think my OP was misunderstood. It was honestly just a request for those that have had a complicated path to receiving aid share their knowledge. It would be wonderful if everyone always got the help they so needed and deserved (and qualified for) but that’s not always the case. How many times has someone’s insurance declined payment for a needed procedure? (Just an example). It’s naive to think everything runs smoothly and govt service are just happy to hand things out, even to those who need it most.

I promise my request was NOT for me, truly NOT asking for advice.

Tip: there is a Medicaid strategy called spousal refusal for those that live in NY, FL or OH. Helps divide assets so that the spouse who needs support gets it. Not my state unfortunately. But good info for someone who lives in that state or is considering a move for retirement.
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Just shoot me, you not "not qualify" because of a home.
That you can keep.
There will be clawback recovery on it when you are gone.
You can also keep a car.
If she has too much monthly income then, given an attorney which you have says cannot be protected with miller trust or other, then she gives ALL HER INCOME to the facility and after that the Medicaid will kick in when it is needed.

I think you have not enough information her, and I wonder at a high-paid attorney who is not providing it. Doesn't sound good to me.

I am very curious why you are giving us these "what ifs". IS THAT THE CASE. There is no "what if" here, there are only the facts in your case. So why not simply tell us why she doesn't qualify.

You says "WHAT IF there's a spouse". Yes, that complicates things in many cases and I most certainly DO recommend an attorney for division of assets then as that spouse should try to keep funds for his/her own care in future.

Medicaid is there to help the indigent. I am getting the feeling here that we are not dealing with the indigent. So I would invite you to tell us exactly the facts.
Otherwise I will just assume that your mom doesn't qualify. Likely isn't qualifying physically or isn't financially. We cannot know which or why.

You say it is complicated system.
You betcha.
This is taxpayer funding of care.
Would you not want/expect, as a taxpayer for there to be a certain expectation here to qualify?

I will also say that this aging stuff is ALL TOUGH STUFF. There's no easy here. I served as POA and Trustee for my brother. The learning curve was pretty incredible. It's a matter of yes, it is tough, and on we go. I think this site is all about that. What can I do, what can I do? Tell us the circumstances and we give what little we can guess might be done.

Sure wish you good luck. By the time you are all done with this you will be an expert. And you will REALLY be needed HERE if that happens.
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”If there is no money and there are no assets then Medicaid is pretty much a given IF YOU QUALIFY”

A lot of people might have just a little more than no money and no assets. And I mean very little but not enough to cover any care. People say sell your house to pay for the nursing home. What if there’s a spouse? Where do they go? It’s tricky and nuanced.
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Hi, more of a PSA. I’m not asking help for myself. We have an attorney, and we have it covered. The point I’m making is that saying just get Medicaid is not simple for all, in all states, or to complete paperwork correctly for the layperson. My MIL has very little but because of a very small pension of $200 a month, she was over the limit of what qualified. My husband, an educated man, completed the paperwork. And she was denied. Until a lawyer helped us out. My mother was declined and the reason, according to the lawyer, was incorrect. Medicaid is a government program, and as with most govt programs, it’s not always clear cut or a given. Just asking people to be mindful that “just do this” isn’t always simple and if you have any tips to share about Medicaid applications and eligibility in your state, please share with others. I know I can’t be the only that found this process difficult.
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I don't know in how many states this in, but in Ohio if you are eligible for Disability, you automatically qualify for Medicaid (as long as you stay eligible for SSI)
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I am so sorry. But people ordinarily don't require an attorney ongoing to qualify for Medicaid. If there is no money and there are no assets then Medicaid is pretty much a given IF YOU QUALIFY.

I think where we are stuck here is that you have said that you got a letter telling you that she doesn't qualify. And that you have sent this on to an attorney to deal with. The sad truth is that she may NOT qualify. Why did the letter tell you she didn't?

Also, if you just toss a letter onto the attorney's desk without checking on things for yourself regarding qualification (and why not qualifying) then that attorney will likely charge you about 700.00 to get an answer you might have got for yourself. Now if you are too busy, and she can afford this, that's one thing. If not, it's another.

It will help us if you fill in your profile. Knowing who YOU are and who the loved one is you are caring for can help with answers. Otherwise we can do little more than wish you the very best of luck. We all know how hard this stuff is, so be certain we DO wish you luck.

I hope that you will
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Not sure what to suggest if you don't tell us why she was declined. Also, Medicaid rules can vary by state. In most states Medicaid will only pay for LTC (long term care). LTC is assessed as medically necessary by a doctor and usually means someone is profoundly unable to do basic things for themselves. Most of the time these candidates are 100% bedridden and can no longer do anything without assistance.

My MIL is in LTC on Medicaid in MN. She is bedridden but can still feed herself, but needs help with hygiene, and is a 2-person assist to get into a wheelchair. She also has mild/mod memory impairment and early dementia.

Yes, my MIL had nothing when I applied for her: less than $2k in the bank; no home, no car, no other assets, lots of debt (a home in foreclosure and 1000s in cc debt), medical bills and about $600-ish a month in SS income.
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