Dad is at ALF with Medicaid only. ALF is now saying dad needs memory care. They have memory care, but can’t take him w/ straight medicaid.

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Yolaine163 Asked April 7, 2024

Dad is at ALF with Medicaid only. ALF is now saying dad needs memory care. They have memory care, but can’t take him w/ straight medicaid.

My dad is at in assisted-living. He’s been there for two weeks. They took him straight Medicaid. They of course, assessed him before he joined. But now they’re saying that we have to look for another place that caters more to his needs like memory care because he wanders and sometimes he can’t be redirected. They do have a memory care with available space. But they don’t take residence with straight Medicaid, there has to be a spend down or money out-of-pocket. But I was told by someone that spoke to a lawyer and an executive Director of another facility, and they both said that if the place is saying that he needs memory care and they have a memory care unit, they need to meet his needs and put him in there since they originally took him in the assisted-living part straight Medicaid, supposedly they can get in trouble with the state.

Alzheimer's & Dementia Assisted Living Medicaid Memory Care Paying for Care

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score 0 · Answer 1

Needing clarification if your post says that your father is currently residing inside an Assisted Living apartment, that is being paid (or partially paid) by Medicaid? BUT the same facility doesn't accept Medicaid for their Memory Care section?

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score 0 · Answer 2

Adding onto my earlier post. Medicaid doesn’t pay for assisted living facilities in my state. You’re very fortunate that it is paying for assisted living in your area. Here it only pays for a skilled nursing facility.

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score 1 · Answer 3

It may be. Medicaid may only pay for AL. MC is more expensive and Medicaid may not pay. Or, because its more expensive Medicaid has a minimum and the AL won't except that minimum because it does not cover the additional care needed. You need to talk to Dads caseworker. A lawyer is not able to change the rules of the AL/MC or Medicaid. You may just need to find a nice Long-term facility with Medicaid paying.

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score 0 · Answer 4

Does anyone know if this is true?

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Adding to my post below. Please consult an elder attorney in your area for the best answer to your question.

Wishing you all the best.

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score 1 · Answer 5

Yolaine,

I’m sorry to hear this. I’m sure that this is quite unnerving for you to deal with.

Your dad is in the beginning stages of settling into his facility and now they are saying that he’s got to go.

It doesn’t seem like they are giving him a fair chance to adjust to his environment.

Have you challenged their position by asking them about potential solutions other than asking him to move?

What about trying different medications?

My mom was wondering and trying to escape during the night. Her doctor prescribed Ativan and Seroquel and the wondering ceased.

I would tell his facility that you feel that it’s too soon to determine whether your dad needs to relocate to memory care.

Put the monkey on their back by asking them specifically what other criteria they are basing their decision on.

Make them prove to you that their claim is valid.

Ask them directly if they are seeing any other factors that would indicate that this move is necessary.

Wishing you peace as you navigate through this challenging period in your life.

I certainly hope that you will find a suitable solution for this problem.

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Dad is at ALF with Medicaid only. ALF is now saying dad needs memory care. They have memory care, but can’t take him w/ straight medicaid.

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