This is for anyone who was in my situation and needs to place a loved one into a nursing facility, like as of yesterday.
First, if you are a caretaker for someone, I know your pain. Really.
There were things I found out, in a hurry and some I just happen to fall into with blind, dumb luck.
Here goes...
1. If you live in Portage, Stark, Summit and Wayne Counties in Ohio, your first step would be is to contact
The Area Agency on Aging.
1550 Corporate Woods Parkway, Uniontown, Ohio 44685
(330) 896-9172 or toll free 1 800 421-7277
Mon-Fri 8am to 5pm www.services4aging.org.
You have to set up an appointment for a nurse to come out (this is if your parent/sibiling is at home) and have them evaluate them. This is called the Level of Care and is a important step, nothing will get going without it. If your parent is in a hospital, some steps are a little easier and the hospital should be able to help with some of the transition.
2. You need to go on line to Job and Family Services and get the two forms needed, print these out and fill them in and get them to your nearest office as soon as possible. If you call, say on Monday and request the forms, if will take until Friday or Saturday to receive them. (no joke) Forms JFS 07200 and JFS 07103.
www.jfs.ohio.gov/ohp
http://www.odjfs.state.oh.us/forms
consumer hotline 1 800 324-8680
search jfs.ohio.gov/ohp and open
go to search (upper right hand corner) and type in "forms".
open ODJFS online info center
scroll down Job and Family Services info center to Form, Reports and Publications.
Scroll down to Forms and the first underlined selection, "Application for Ohio Works first, Disability...."
Click on it and scroll down to Applications and other forms and click on underlined, "Request of Ohio Works First, Disability, ect."
On the forms central, the first line, under PDF click on "fill-in", line JFS 07200 request for cash, food stamps, ect...
and then print out the 6 page document, read it carefully and fill it out.
Then go back to the page Forms Central click on "Search Again".
Click on form number and in "search for" type in 07103.
This take you back to Forms Central.
You need the first selection, JFS 07103 Application for help with..
under PDF click on the underlined "fill-in".
Print this 4 page document, read carefully and fill out. These forms are what you need to take and drop off to your local Job and Family Services. You will receive a call to schedule an appointment with a case worker and bring in the listed required documentation needed at that appointment.
(* In my case, I called on Monday after the nurses evaluation and I went to work, I stated I needed the forms and was told they would be mailed out, I asked if there was no other way. Nope.
I was not satisfied with that answer and on Tuesday while I was searching their website, I called again and asked if the form I was looking at was the same one I needed. Yes and she gave the number of another form as well, both were on line and could be printed out.??? I had printed the forms out and drop them off on my way to work on Wednesday. The one and only lady who worked on those was out until Thursday, but the gentleman wrote ASAP on it. It was processed and I had my pending number on Friday, mom in a nursing facility that Saturday. * PS: I received the forms that Friday/Saturday from Columbus*)
3. You will then be waiting for the very much needed, exclusive pending number from Job and Family Services. This is the golden ticket to much needed help. Now, just because you have the number, hopefully the caseworker isn't lazy, it still needs to be approved and given an actual case number. But with this number, you then need to call back the nurse that evaluated the level of care and the gears will be set in motion.
4. You now can search for a nursing facility (hopefully while all of this has been going on, you have done some online research)that take Medicaid, beds are usually first come, first serve. Facilities will not hold beds, so keep that in mind and if you have time, go check them out. Go on line first, read any reports of violations, most states have them listed for consumers to read and then take a tour of the facility. I did not have that option to tour, but I did do research on local facilities, did end up with a good place. (Medicare.gov nursing home comparisons)
5. Unfortunately that is not the end of the story, you or a selected family member will have to be the "responsible party" and become the person's Power of Attorney both financially and health wise (you can obtain these forms on line with a minimal fee - get the Durable Power of Attorney and Health care Power of Attorney) and if they are collecting Social Security either disability or retirement, you need to sign up to be their Representative Payee through your local Social Security Office. This will require a change to their banking account, by adding your name in care of the person. The bank personnel will be able to assist in doing this.Trust me, life will be easier when you do not have to keep trying to get through red tape and a signature from someone who does not understand what you are doing. Also, if there are other family members involved, this needs to be discussed so there is no friction over anything later. You will be keeping records of all payments and money received from Medicaid.
* I got my forms from www.findforms.com
Durable Power of attorney $15.95 (will require a notary public to stamp and sign)
Healthcare Power of attorney $17.95 (will require a notary public to stamp and sign) - banks have notary public's.
6. Medicaid will require tons of documentation regarding the person, a caseworker for your person should call and go over their situation with you and they will tell you at that time what they will need and send out forms and a list - bank statements of the past three months, birth cerificate, divorce documents or marriage certificate, doctor's statement - regarding diagnosis, check book, if they own their home - documentation - they will send you a huge list of things that they need to see. Because each situation is different, you may need different documentation than what my mother did, ect...
Your best interest is to collect 'everything' listed and placed in the order as listed on the list, do not staple anything (they will be making copies). Because if you do not have what they are asking for by your appointment, you will have to go back at another time to bring it in, thus possibly delaying any payment or help from Medicaid.
7. Regarding Medicaid, they will tell an amount that will be owed by your 'person' let's say $12,040.00. Medicaid gets this amount by what your person recieves and this is what will be paid to the nursing facility ( Let's say your person gets; pension, social security and alimony and it comes to $12,040.00 a month). Medicaid will tell you to 'spend down' what other money the person has, they cannot have any other money but that $12,040.00 in the bank. period. You use the money for the person, keeping the receipts. (*Maybe you sold a car for your person and they are getting money a month for it, I wouldn't tell about it. Don't ask, don't tell and save the money for your person)They will ask of major changes cd's/stocks ect... within the last three months. Also, your person gets $40.00 to keep every month, so the actual amount owed to the nursing facility would be $12,000.00. (this is just an example -not actual cost). You can use the spend down money for purchases for your person; movies, furniture for room, or even funeral expenses ( it is hard to think about, but practical and you don't have to deal with it at the time when needed it is already taken care of.)
8. I have had all kinds of folks say that Medicaid will 'take all of their money' - actually, if you look at the cost of what would be out of pocket and if all you had was insurance (who could cancel at anytime) I say it is worth it. Because you are looking at 24/7 care, doctors, nurses, laboratory and x-ray services, surgery, physical therapy, transportation, medical equipment and supplies, food, bedding, room ( alone,starts around $850.00 a day), medications... we all know healthcare is outrageous, so if Medicaid is covering everything else and the person pays what they already have. I say it is a good thing.
9. Also if your person has a medical insurance, may be a good thing (and Medicaid will ask about it and cost). My mom has Medicare, and supplimental SilverScript insurance and now Medicaid/Medicare pays for the premiums - but the Plan D covers the perscription costs.
10. Once you get your person into a selected nursing facility, please make sure you, family and friends go and visit on a regular basis. I visit my mother twice a week, I know the nurses there, the social worker and I know how my mother is doing both mentally and physically. Do not just hand them over to someone else, take goodies and visit - I try to go on the same days.
I hope this information has helped someone in need, I know I would have appreciated it if it was available when I needed it. I had half assed information and had to just wade through to find what I needed and it was just blind luck that I called the right folks and got stuff going on. Please leave comments to let me know if it has helped or if anything has changed, I will post any changes.