Why those who have parents or grandparent in nursing home on Medicaid are in for a big shock with this bill!

ataraxia said:

But now maybe Bezos can buy Venice every year to renew his vows. THEN surely we will finally see some trickle down.

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WisconIndependent said:

So the by someone is on Medicaid in a nursing home they have no financial way of paying for their care. If they lose Medicaid, and they have no family able to provide care, what the hell do they do, you tell me?

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WisconIndependent said:

Those who are on Medicaid and living in a nursing home had to meet some rigorous requirements. This starts with your available cash limit and is set by the states but is usually about $1,500.00 before going on Medicaid. The first is the amount of money you are allowed to have after spending down the rest of your assets if you have any when entering the hose. The state will go back a number of years to ensure you did not give the assets away to keep from having to use them for paying for your care. If one of the married couple goes into a nursing home, the other member may stay in a family home. If that member, the one living in the family home dies the home is taken by the state to reimburse the state for money provided by the Medicaid program for the resident's care. The member may also have a small insurance policy and a burial paid for. So the by someone is on Medicaid in a nursing home they have no financial way of paying for their care. If they lose Medicaid, and they have no family able to provide care, what the hell do they do, you tell me?

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WisconIndependent said:

Those who are on Medicaid and living in a nursing home had to meet some rigorous requirements. This starts with your available cash limit and is set by the states but is usually about $1,500.00 before going on Medicaid. The first is the amount of money you are allowed to have after spending down the rest of your assets if you have any when entering the hose. The state will go back a number of years to ensure you did not give the assets away to keep from having to use them for paying for your care. If one of the married couple goes into a nursing home, the other member may stay in a family home. If that member, the one living in the family home dies the home is taken by the state to reimburse the state for money provided by the Medicaid program for the resident's care. The member may also have a small insurance policy and a burial paid for. So the by someone is on Medicaid in a nursing home they have no financial way of paying for their care. If they lose Medicaid, and they have no family able to provide care, what the hell do they do, you tell me?

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Callen said:

Nursing homes here fall under our universal healthcare. The fee for a private room is about $3K a month which includes the room, meals, medical care and activities.. If you have assets you pay all or part of that amount. If you dont' have assets the government pays but they withhold your Old Age Pension and I believe CPP which is like your SS.

Downside is you must "qualify" for this type of care and unless you go on a waiting list you are assigned a home within a certain distance of your home. Once there you can go on waiting lists to transfer to a home you may prefer for one reason or another. Upside is no elderly person is denied extended care in an accredited nursing home no matter their financial situation.

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BirdinHand said:

Well, they are also eliminating mandatory staffing levels in those facilities

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btthegreat said:

what? you have to be joking.

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WisconIndependent said:

Those who are on Medicaid and living in a nursing home had to meet some rigorous requirements. This starts with your available cash limit and is set by the states but is usually about $1,500.00 before going on Medicaid. The first is the amount of money you are allowed to have after spending down the rest of your assets if you have any when entering the hose. The state will go back a number of years to ensure you did not give the assets away to keep from having to use them for paying for your care. If one of the married couple goes into a nursing home, the other member may stay in a family home. If that member, the one living in the family home dies the home is taken by the state to reimburse the state for money provided by the Medicaid program for the resident's care. The member may also have a small insurance policy and a burial paid for. So the by someone is on Medicaid in a nursing home they have no financial way of paying for their care. If they lose Medicaid, and they have no family able to provide care, what the hell do they do, you tell me?

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BirdinHand said:

Nope.

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btthegreat said:

If you are right, both the industry and the residents are all screwed beyond imagination.

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btthegreat said:

If you are right, both the industry and the residents are all screwed beyond imagination.

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Visbek said:

Go ask the people who passed the bill.

To be clear, they aren't doing a straight-up cut of that coverage, it's more subtle and varied than that.

Currently, Medicaid is paid by the state and federal government. States use various taxes on health care to pay for Medicaid, and the OBBB will restrict some of these mechanisms, which are likely to result in less tax dollars for Medicaid, thus lower reimbursements to nursing homes.

States seem to have few options:
• Raise taxes elsewhere to fill the gap
• Kick non-mandatory recipients off of Medicaid, which includes nursing home residents and disabled people
• Reduce or eliminate non-mandatory coverage, such as for prescription drugs or physical therapy

It isn't a given that states will take an axe to nursing home patients, but it is certainly possible. It's also likely that different states will make different cuts.

As noted. seniors in nursing homes who lose Medicaid are basically SOL, as they already need to have almost no assets to qualify. The clawback period, by the way, is 5 years. So it is possible that at least some relatives will have some funds to cover care, but... probably not.

It's just another example of how Republicans are screwing the most vulnerable people in America to pay for tax cuts for the wealthy.

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BirdinHand said:

Directly from the bill:

Moratorium on federal staffing standards (including 24/7 registered nurse (RN) requirements and Hours Per Resident Day mandates) under CMS until September 30, 2034

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BirdinHand said:

Directly from the bill:

Moratorium on federal staffing standards (including 24/7 registered nurse (RN) requirements and Hours Per Resident Day mandates) under CMS until September 30, 2034

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Pyrite said:

EVERYONE who has aging parents and/or spouse should find an attorney knowledgeable about and experienced in end-of-life nursing home Medicaid laws and regs for the relevant state. And do it NOW.

That clawback provision can be and often is strictly enforced.

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BirdinHand said:

What’s going to be interesting is watching how many facilities close, and how many other facilities add extra beds to absorb that $$$ but don’t add extra staff.

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