Who ultimately is responsible for finding a 'Medicaid bed/ placement'?

We visited several facilities, in order to find the one that was the best fit for Mom.

Thanks to all of you for your experience and advice. My father is alone in NJ. He is content at his current facility and we are more or less happy with the facility. Director of facility has already been informed but we realize still no guarantees. Elder Law Attorney stated they will either give your Dad a bed or not want him there. Quota or no quota. If we have to move him then we will move him south nearer to one of his responsible children. Unfortunately not a Medicaid friendly state for ALMC facilities. I am DPOA and ADHC representative and I live in Europe the last 14 years. So I, with help from my sister make the best choices for my father. So far so good as they say. Thanks again. We'll figure it all out.

Sorry, didn't answer your initial question. I am assuming like an AL memorycare is a private company owning it. So, you are responsible in finding a place with a medicaid bed. The MC maybe able to give you information on other places. If a chain, they maybe able to see if one of their other facilities have an opening but ultimately its ur responsibility.
Where I live in NJ, my local hospital helps with placing someone for rehab. In my area, rehabs and NH are one and the same.

Its not so much Memory care having a bed, its whether they have hit the % of residents they are allowed to have as Medicaid patients. In Moms AL, there were 39 residents. The quota for Medicaid was 14% which comes out to 5 residents. If they haven't met that quota, then Dad gets to stay.

I would talk to the person in charge of helping you file for Medicaid now don't wait till the money is gone. I am from NJ and I applied for Medicaid towards the end of March. Gave the AL 30days notice. Mom went into a NH on May 1st. Private paid May and June and Medicaid started July 1st. It was a 90 day process. Mom had to be spent down in that period because you only have that amount of time to do it.

The spend down for Medicaid in NJ is 2k. Dad will get $50 a month for his personal needs (PNA) which in Moms case the NH took care of. This $50 goes towards the 2k spend down so it needs to be spent. In my case, once I paid the NH privately, Mom only had about $500 left.
Figure out how much money Dad will have left after he hits the 2 yr mark. Lets say he has 28k. The MC costs 5k. You have 5 months for Memory care with 3k left. Now you can try and spend down a 1k of that 3k or pay 2k towards Dad care for another month. There is a 60/90 day window from filing to starting to collect Medicaid. If you don't spend down in that time, you have to refile.

I would not wait to discuss this with the MC Social Worker or Administrator. They maybe able to hold a place for Dad knowing what is going on. Just don't file too soon. Talk to Medicaid first so you go in knowing what it is all about.

All of you. Facility, if no Medicaid bed is available should offer you a list, then you visit the facilities to determine what would be best for dad. It, literally, takes all working together for dad's best interests.