Bed Hold Policy in Nursing Homes (money, Medicaid, friend, payment)
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Has anyone had experience with this policy? My mother, a nursing home resident, was hospitalized for 9 days. Upon return to her nursing home she was placed in a MEDICARE bed for p.t. and o.t. while her MEDICAID bed stays empty. However, I was informed that the nursing home is charging $200 a day for the 9 days she was hospitalized or she will lose her bed and be placed in another medicaid bed. I must pay $1,800 to the nursing home for bed hold for 9 days. She is considered impoverished as she is on Medicaid.
I have a friend who had her mother here in the hospital for some time. Thsi did not ahppen to her but then its a different stae. Mediaid is different in different states.Check with your stayes sical sevices divisio is my suggestion as they regulate nursing homes that talke medicaid patients.
Has anyone had experience with this policy? My mother, a nursing home resident, was hospitalized for 9 days. Upon return to her nursing home she was placed in a MEDICARE bed for p.t. and o.t. while her MEDICAID bed stays empty. However, I was informed that the nursing home is charging $200 a day for the 9 days she was hospitalized or she will lose her bed and be placed in another medicaid bed. I must pay $1,800 to the nursing home for bed hold for 9 days. She is considered impoverished as she is on Medicaid.
Your mother is now in SNF(Skilled Nursing Facility) designation because she is on physical therapy and occupational therapy--all cost are covered by Medicare under the 100 day limit per illness episode. She can be discharged (that is a change in designation) from SNF, if she no longer meets the rules for SNF care.
Why do you care if she is placed in another Medicaid bed in Long Term Care (LTC)??? I would not pay to hold the bed for the 9 days. Once she is discharged to LTC she is again eligible for Medicaid, she can possible stay in the same physical bed but only the designation will change. Some nursing homes have separate units for SNF and LTC but many nursing homes also just change the designation and keep you in the same physical location. It is not uncommon for LTC patients to go in and out of SNF and stay in the same bed. If she is poor, she cannot be just thrown out on the street, if she is eligible for Medicaid. It is illegal for nursing homes to seek money beforehand to have a bed available, if this is treated as a new admission.
I would seek advice from the appropriate state authority.
[quote=livecontent;12629831]Your mother is now in SNF(Skilled Nursing Facility) designation because she is on physical therapy and occupational therapy--all cost are covered by Medicare under the 100 day limit per illness episode. She can be discharged (that is a change in designation) from SNF, if she no longer meets the rules for SNF care.Why do you care if she is placed in another Medicaid bed in Long Term Care (LTC)??? I would not pay to hold the bed for the 9 days. Once she is discharged to LTC she is again eligible for Medicaid, she can possible stay in the same physical bed but only the designation will change. Some nursing homes have separate units for SNF and LTC but many nursing homes also just change the designation and keep you in the same physical location. It is not uncommon for LTC patients to go in and out of SNF and stay in the same bed. If she is poor, she cannot be just thrown out on the street, if she is eligible for Medicaid. It is illegal for nursing homes to seek money beforehand to have a bed available, if this is treated as a new admission.I would seek advice from the appropriate state authority.
DITTO!
You need to know exactly what her insurance is.
So anyway, did she have medicare or medacaid or both when she was first admitted? How long has she been at the LTC facility? Sounds like she came back to her home with o/t & p/t orders post hospitial which means she will be placed in a designated skilled bed.
When you admitted her to the place (at the beginning), you were given a "hold bed Policy" and asked to read and sign it. Ask to see it, better yet have then make you a copy (are you the POA?). Each house is different about how many days they will hold a bed in these types of situatioins. But if she is medicaid, they can't kick her to the curb. Talk to social services at the home. They should know everything. Someones got their polocies/requlations turned around. Get the name and everything on the one who told you that you would have to pay cash. Somethings not right.
Thank you to all who responded. I was hoping for personal experiences regarding bed hold policies in nursing homes, but I do appreciate your time in posting. In regard to posters' questioning as to why would I care as to what Medicaid bed my mother is placed, I very much care. The elderly in this country are treated with a lack of compassion on all levels, financially, physically and emotionally. How cruel to place an elderly person, especially one suffering from dementia, into another bed, located in a different wing staffed by unfamiliar personnel, and with a different roomate. Now the elderly person with dementia must learn a different path to the dining room and possibly have a different room configuration (used to having a window view/now does not have a window view.) The elderly person experiences more anxiety, more helplessness, and more confusion in trying, once again, to cope in their new surroundings. BTW, the social worker told me I must pay the $1,800 for her bed held hostage. I do plan to call my attorney.
I'd think first because 1800 dollars isn't going to last long on attorneys fees. They often run 500 dollars a hour.Why pay when you can get the information for free is what I say but its your money to waste.likely the one who woulodn't pay to hold is the federal or state government anyway.
If you dont pay the $1,800, will they give the Medicaid bed to someone else and put your mother on a waiting list for another Medicaid bed? That would be my concern, although I agree with you that any change is hard on the elderly.
I'd think first because 1800 dollars isn't going to last long on attorneys fees. They often run 500 dollars a hour.Why pay when you can get the information for free is what I say but its your money to waste.likely the one who woulodn't pay to hold is the federal or state government anyway.
My attorney does not charge me for telephone consultations. You are correct. Medicaid does not pay for bed hold. However, the nursing home is charging me the private pay rate not the Medicaid rate.
Thank you for posting this question. I was looking for the same information. My mom has dementia as well and I am in the same position as you with the nursing home charging the private pay rate for the bed hold! ACK! My question is slightly different though so if any one knows I'd appreciate an answer to whether you can pay the bed hold out of a Miller Trust or Qualified Income Trust? Thanks, Mary
My attorney does not charge me for telephone consultations. You are correct. Medicaid does not pay for bed hold. However, the nursing home is charging me the private pay rate not the Medicaid rate.
That is because medicare can dictate the price they pay. Its like hospital cost are distributed and prvate insuranc epays more to makeup for what medicare doesn't pay. Its call subsidizing the cost of others care basically. It is distributed to make up for lower payment.Basically medicare refuses to pay then you go out of the medicare subsidized program to what others pay and subsidise others.
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