micalost Asked May 2016
Once title 19 kicks in, they send me no bill?
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I was receiving regular monthly bills from the memory care place.
Then, as soon as title 19 was approved - poof! nothing!
The first month I panicked and emailed the finance director that I hadnt received the bill yet and she emailed it to me.
Then the second month I waited and emailed her again saying I hadnt received it yet and got no response so I mailed it in without an invoice.
This month I decided to just mail it in.... no bill yet.
Is this what they do?
To me it's like they want me to forget to pay by not sending me a bill... that or they REALLY want me to turn over her finances ( which they were pushing for)
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Forget the director of finance. Get to know the person who actually processes the bills. Make nice and be friendly, be sure he/she can call you on your cell. We did that and it helped a lot.
Mica - just realize that mom now that she is on Medicaid - aka title 19 - she will need to pay to the NH whatever is the exact amount of her co-pay or SOC (share of cost). The SOC was determined by Medicaid based on her awards letters that stated what would be paid to her for 2016 and is interdependent on whatever mom's monthly income is less a smallish personal needs allowance. The PNA varies by state from $ 35 - $ 105. if mom's income has been going to the NH directly already, then they should have established a NH trust account in her name that her PNA goes into. If that's the case, you should have your name on the account for withdrawals so you can say get $ 100 from it to go to Target to buy toiletries or clothes for mom.
HOWEVER mom does NOT have to have her monthly income go directly to the NH - the NH will press / imply that it needs to be but they cannot require this. Often families do this as it just flat seems easier or they assume it must be done this way.
For my mom, she kept both her SS and retirement going into her bank account and I as her DPOA wrote out a check to the NH for the exact amount of the co-pay each month. Her bank account built by $ 60 each month as that is the PNA for Texas. I did set up a mini-trust account at the NH for mom to use to pay for the beauty shoppe and for candy from the NH canteen and kept it around $ 200 and the NH sent an accounting every 90 days on it to me.
the advantage on this is that it does keep control of finances by family & if mom should move from this NH to another it will be oodles less complicated to do this.
Also if mom's state does an annual renewal for Medicaid, you need to get this and not have it just sitting somewhere at the NH unopened and not dealt with. The renewal (TX) I did for my mom had a 15 day submission requirement.....nothing but fun there and it always was delivered either after due date or the day of....
My moms first NH, well they kept all residents mail unopened at the business office, so residents or their family had to know to go and do this. This NH also was beyond incompetent at the business office, I moved mom within the first year once I got her onto Medicaid and billing corrected. My moms 2nd NH had aides distribute mail to the residents in their room and I signed off to allow all mail to be opened. If you continue to have billing issues and moms care is less than what you think could be done, you can move her from 1 Medicaid NH to another & hopefully mich better & closer NH pretty easily if you get the move date to be right at the beginning of the month...& you have to remember to get all of moms medications from the nurses station the old NH as these get filled in multipacks of 60/90 days and medicaid or Medicare won't pay for duplicates....
It would have been flipping nice if she had told me this and responded to me.