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Getting care for my father

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Lorikcab
Lorikcab Member Posts: 1 New
edited July 9 in Caring for a Parent
I moved my father into my home in January 2024, due to his progressing dementia. He was living with my step mom, who also, due to a health problem, has since moved in with her own children. I am struggling to understand how long-term Medicaid works. I work full-time and I am not able to quit or retire, but I don't want to put my dad in a nursing home if I don't have to. Can anyone help me understand the long-term Medicaid process, and if there are any other programs to help me with my father's care? We live in Sussex County, Delaware.

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  • Deepsea
    Deepsea Member Posts: 9
    First Comment
    Member

    I’m so sorry you’re going through this. Caring for your dad while working full-time is incredibly tough, and you’re doing something truly loving. If you’d like help looking into Medicaid or local support programs in Sussex County, I’d be happy to help you research or just talk things through. You’re not alone in this. 

  • H1235
    H1235 Member Posts: 983
    250 Likes 500 Comments 100 Insightfuls Reactions 100 Care Reactions
    Member
    edited July 10

    Medicaid varies from state to state. In some states it will cover a nursing home or maybe some limited in home care. In other states it may only partially cover Al with family picking up the remainder or a very run down Al. Qualifications also vary by state. There is an asset limit to qualify. He can’t have more than $x (this number varies by state) amount of assets (home, investment, bank account etc). Spending money til he meets the asset requirements for Medicaid is called spending down. For example hiring a caregiver to come in while you are at work would definitely spend some money. This would eventually allow him to qualify for Medicaid when the time comes for a nursing home. In some states you can do a trust for prepaid funeral expenses. They will also check to make sure that he has not given money or other assets away in the last x number of years. This is the look back period and again I believe it varies by state. There are also medical requirements. He must need a certain level of care. If you are able to leave him home alone while you are at work this may mean he would not meet that requirement. There is nothing easy or simple about it. If he has not seen an elder law attorney, I would recommend you do that asap. In addition to being able to answer questions about Medicaid he should have a will, living will and should appoint a DPOA. Cost for the lawyer would be paid for by your dad. I’m definitely not an expert. Other members here please correct me if anything is incorrect. A google search for Medicaid requirements in your state will probably give you excessive details. You might also call your local commission on aging. They can give you information on various programs in your area that may be helpful.

  • JulietteBee
    JulietteBee Member Posts: 87
    25 Likes 25 Care Reactions 10 Comments 5 Insightfuls Reactions
    Member

    @H1235

    You are 100% correct!

    Medicaid's look back period is 5 years. I believe that timeframe is federally determined. The amount of asset you are allowed to own and the legal ways to spend down assets is determined at the state level.

    In my state, my DM can only have $2700 in her bank account. There are 4 legit ways she can spend down her assets without running afoul of the look back period.

    There are medical criterion to be met which has to do with their inability to perform ADLs (activities of daily living).

    @Lorikcab

    The 5-year look back period simply means, if you tried applying for Medicaid on his behalf, this year, Medicaid is going to do a deep dive of his financials between 2020-2025.

    They do so to ensure he wasn't gifting away his assets or transferring them under another person's name. Those are ILLEGAL ways of spending down his assets.

    Do consider making an appt to see an attorney that specializes in elder law or estate planning. You can find some who will offer a free, initial consultation. All the best!🙏🏼

  • SDianeL
    SDianeL Member Posts: 1,769
    500 Insightfuls Reactions 500 Likes 1000 Comments 500 Care Reactions
    Member

    in some states you can have both Medicare and Medicaid. Medicare does not pay for long term care. Medicaid does. Ditto on seeing an elder care attorney immediately.

Commonly Used Abbreviations


DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
MC = Memory Care
AL = Assisted Living
POA = Power of Attorney
Read more