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My father lives in a full-time care facility in PA and is on Medicaid. We received a notice today that the rent for his room (paid by us) is being increased by almost $400 a month and that this increase is being retroactively applied to start the first of the year. We have had no notice of an impending increase, just this sudden letter saying that the rate went up and that we owe the extra for the last 6 months. We haven't even been given any justification for the major increase.


My questions are as follows:


A.) Can they do this without notice? Generally, any rent increases if you lease in the regular world require 30-60 days' notice, I would have assumed the same for Aged Care.


B.) Can they just retroactively apply an increase like this? Again, we had no communication and the letter we received makes this seem like they just decided to do this now. There has been no mention in the last 6 months that we have been short on his rent and no indication that this increase had taken effect previously.


If anyone has had to deal with something similar or knows any PA legislation that would be helpful, any advice would be greatly appreciated.

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As to what they "can do" and under "what circumstances" that is in his admission packet that should have been received when he entered care.

I am very concerned that you are paying for his care. To be honest this isn't a good idea at all. If he is now indigent he should be on Medicaid and applications should be done. I think unless you are enormously wealthy it will take you a lifetime to save for your own care in future.

I would see an Elder Law Attorney--whichever of you is POA--to get straight what is happening here. First make an appointment with the administration of Dad's facility to get things straight, and to tell them an elder law attorney is your next stop.
Also request an ombudsman who may help you figure out just what is happening, what they can do, and what they cannot. I suspect they can raise the rates to whatever they wish. I doubt they can do retroactive collection when no notification was attempted.
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Reply to AlvaDeer
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If you want to fight this, I would alert the Office of the Attorney General in your state. As for this person doing something, it will depend on how pro-consumer he/she is, but it's at least worth a phone call. I agree with someone else here, though, and take this measure on their part as an indication that they are not under "proper" fiscal management. It could also mean the place is ready to go under, in which case better sooner than later as to looking for a new residence for your father. Good luck.
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Reply to Christine44
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I would contact the ombudsman, they will be able to help you.

I do not believe that you can increase rent without proper notice, meaning no retroactive increases but, I live in Arizona and we are a lot different then many states.

Personally, I would fight it and move my dad. This place is obviously operating under bad management. What's next?
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Reply to Isthisrealyreal
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Ok, I will admit I know little about Medicaid, thankfully it never came to that for me/us.
But why are YOU paying for dad's stay in the Long Term Care facility?

I am sure others will actually give you and answer to your question and I will be interested in the replies you get.
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Reply to Grandma1954
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funkygrandma59 Jun 20, 2024
I'm with you Grandma1954, if the OP's father is on Medicaid I don't understand why they are paying any part of his care.
His Social Security should be going towards the monthly cost minus whatever $ allowance the state of PA allows for their father($40-$80/month).
Medicaid then pays whatever the difference is, and the family should not have to pay one red penny.
Something here doesn't make sense to me. But like you, I am no Medicaid expert.
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