His 100 days of Medicare is expiring for coverage in a skilled nursing facility but his wound has not has not healed requiring more time in a skilled nursing facility. Who is financially responsible for the extended care. Does the hospital or skilled nursing facility have any financially responsibility.
If the wound hasn't healed, the doctor can order an extended rehab stay as a medical necessity & submit it to Medicare. Otherwise, he can go home with home nursing visits, physical therapy, wound care visits, IV antibiotics, etc. Medicare/secondary insurance pays for that. Nurses actually come to the home & administer IV antibiotics for MRSA. I know this because that's what I do.
Extended course of intravenous Vancomycin is generally the antibiotic used for MRSA, not Levaquin. In fact, Levaquin is not recommended at all because they think it contributed to the resistant bacteria that causes MRSA. There is no such thing as "close to MRSA". You either have it or you don't. If Levaquin got rid of the infection, you didn't have MRSA. Levaquin is very rarely given intravenously---it is usually taken as a pill and it is not effective against MRSA.
Good luck,
Carol
As pam says above, you can apply for Medicaid, but there may be another option. You said that the primary reason that he needs extended care is an open wound. Would his doctor agree to sending him home, with a prescription for a visiting nurse to tend to his wound daily for a set amount of time? Say another 6 weeks? Or is this a wound that is so bad that you think sending him home, even with nursing care, would not be a good idea?
Angel