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It is unknown if, & in what amount, unpaid charges may be outstanding, but likely to be an amount still owed at the time of her return home.Once that is paid does Medicaid then "attach" her SS to cover their expenditures?

Cart before the horse here.
You say "if she returns home............".
Is that likely to happen?
Who is the POA?
Is this person competent in her own mind to make a decision, and well in body to not be a danger to self or others if released?

A SNF would do discharge of this person.
The SNF would do discharge planning with this person if competent in mind and body OR with the POA. Home care would be arranged to be certain all was well.

And no, SS would not be paid to an SNF for a person who has been discharged from said SNF. This paperwork would be done at time of discharge by discharge planners or social workers, and coordinated with the client or with her representative (POA, etc).

Wishing you the best.
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cover9339 Aug 22, 2024
That's how it is supposed to work, but sometimes that is not the case. Personal experience, Social Worker was probably pissed he was not able to make a good impression for the facility bigwigs during an issue, so no discharge planning was had.

What he failed to realize (or did not care to see), proper discharge was part of the rules that this facility has. Complaint was made, state investigated found the complaint valid, facility fined, made changes (he lost again).

Facility seems to be "cleaning house" in a sense, since several positions are up to be filled.
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What you would do, and make darn sure you do, is get discharge paperwork, (make copies of the paperwork) With the paper work, go to your local (or any) Social Security Field Office, let them know that the resident is not in the facility anymore, let them know where the resident is staying, with documentation and give them the copy of the discharge paperwork for proof.

If this is not done, SS will "think" the resident is still living in the facility and will continue to only pay the amount as if this was the case,

Went through this, and was only resolved after the SS Rep called to verify I was no longer at the facility.

Make sure you notify them before the 10th of the month after they would leave, or they won't be able to change the payment for that month.
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JoAnn29 Aug 23, 2024
Are you now home?
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Question: once she returns home, how will she pay any medical bills? You say she is currently in a LTC facility on Medicaid, then does this mean she needs to reapply for an in-home waiver program so that Medicaid pays for in-home aids? I'm only asking because I don't know myself. My MIL is on Medicaid in a LTC facility. She would need a lot of aid if someone ever took her into a private home.

I know your question isn't about the in-home caregiving part, but just want to make sure this is carefully considered before moving her.
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cover9339 Aug 23, 2024
If she needs no in home waiver, what maybe will happen is the OPs Dept of Job and Family Services will discontinue LTC Medicaid leaving the client with regular Medicaid.

Personal again, had both LTC and regular Medicaid, when JFS notified of discharge (finally), they discontinued LTC leaving just plain Medicaid. There was no need to reapply .

She should be applying for any in home assistance while in the facility. The Social Worker should be doing this.
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https://www.agingcare.com/questions/does-medicaid-continue-to-provide-long-term-care-benefits-to-someone-who-signs-out-of-skilled-nursin-489493.htm

You asked a similar question before. Why was the SNF given payee status if there was a possibility the resident would be coming home? I don't think there is any law that says this must be done. I was not given that impression when Mom was placedbin LTC. It was approached to me as an option. People on this forum have chosen to send a check to the NH every month from a LOs account taking out the PNA allowed. As long as the NH is being paid on time I see no problem.

Cover gave good advice. You need to take this directly to Social Security. Medicaid has nothing to do with SS payments. What they pay determines how much is paid in SS.
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cover9339 Aug 24, 2024
Thank you, JoAnn29

SS does stress this. Without this information in the timeframe, the monthly payment will reflect still being in the facility. It is imperative to have the discharge paperwork and to head to an SS office ASAP.
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