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hi this is fred nieman talking to you today about how to get someone into a nursing home when placement is imminent generally theres three ways you get someone into a nursing home one is you write a check every month thats called private paying secondly is hopefully getting someone into a nursing home after a hospitalization for rehabilitation so they can get the necessary services paid for by medicare and third is to get the person in a position where they are about to file for medicaid or have filed a medicaid application and this is known as medicaid pending as a matter of general practice we have found that nursing homes prefer of course private pay too they love to take patients out of a hospital because medicare pays very well and third under certain circumstances generally when theres vacancies in the nursing home they will accept a new resident as long as the medicaid application has been filed and is pending i tell all my clients you can generally negotiate with a nursing h