WHO PAYS THE NURSING HOME BILLS DURING THE APPLICATION PERIOD?
Once you apply for Colorado Medicaid, the nursing home where you are staying may not make you pay the nursing home bill until the application process is complete and you are determined to be eligible to receive Colorado Medicaid. They call this “Medicaid pending.”
If you are approved, the nursing home would then be able to apply to Medicaid for the back charges. If you are denied and then appeal the denial, the nursing home may be able to charge you for the period of the appeal process. If, however, you are ultimately approved for Colorado Medicaid, the nursing home will have to refund your family all of the charges they’ve received from your family during the appeals process.
Since it can be difficult and time-consuming to get the nursing home to refund money you already paid them, you should always hold off on paying them during the initial application process. Remember, you are not responsible for paying the nursing home during your application process. By law, the nursing home just has to wait.
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