Some attorneys, accountants, bankers, and even life insurance professionals recommend various trusts, transferring money long before someone needs care, converting a countable asset to an exempt asset, joint ownerships, or even getting a divorce. No matter how hard the federal government or the states try to close all the loopholes, someone always will find different ones. While Medicaid Pay the Bills Once someone qualifies as a Medicaid nursing home resident, the worries don't end. All of a sudden, the Medicaid resident, loses his or her ability to choosing a nursing home. Not all nursing homes accept Medicaid residents.
Many facilities are for private pay residents only.
A private pay facility can provide care at a lower cost because the residents there are not subsidizing the expense of providing care to other residents. Not all nursing homes have room for a Medicaid resident. Most facilities allocate a certain number of beds for Medicaid, and private pay residents. In theory, a nursing home administrator may want a private pay bed to remain empty while a waiting list exists for Medicaid residents. If a Medicaid bed is not available at the time someone needs one, there will be a search for a Medicaid available bed.