Can I redirect my sister's Social Security check to her nursing home as her POA? She's on Medicaid & non-mobile
My older sister had a severe stroke last year and is now in a nursing home with Medicaid covering most costs. I have power of attorney for her finances and healthcare. The nursing facility is now requesting that her monthly Social Security check ($1,875) be sent directly to them instead of continuing to go into her personal bank account. They're saying this is required for their Medicaid patients, but I'm confused about how to make this happen. I've tried calling our local SSA office but can't get through to anyone. Would they even allow me to change her direct deposit info using my POA? She physically can't go to an office (completely non-mobile) and can't manage a phone conversation due to her condition. Has anyone dealt with redirecting SS payments to a facility? What documentation will I need? I'm really stressed about getting this resolved quickly since the nursing home is pressuring me about it.
26 comments


Miguel Silva
Yes, the SSA will allow you to redirect your sister's benefits as her POA, but you need to follow specific steps. This is actually common for Medicaid nursing home residents - it's called the "Representative Payee" process. As her POA, you'll need to: 1. Complete form SSA-11 (Request to be Representative Payee) 2. Bring your POA documentation, your ID, and your sister's Social Security card if available 3. Explain that she's unable to manage her benefits due to her condition The nursing home should provide their payment information. They likely need this because Medicaid requires most of her income to go toward her care costs, with only a small personal needs allowance remaining for her.
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StarSailor}
•Thank you for this detailed information! I wasn't aware of the Representative Payee process - the nursing home just kept saying I needed to change the direct deposit. Will I be able to do all this without my sister being present? And is the Rep Payee status different from having POA?
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Zainab Ismail
When my father went into a nursing home last year, I had to do the EXACT same thing. It was a NIGHTMARE getting through to Social Security!!! I spent WEEKS trying to get someone on the phone. The rep payee form isn't difficult but you absolutely HAVE to talk to someone at SSA to process it correctly. The nursing home should be more helpful in explaining this - they deal with it all the time!!!
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Connor O'Neill
•I had the same experience trying to reach SSA after my mom broke her hip. Couldn't get through for days!!
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Yara Nassar
I work with families in similar situations frequently. To clarify some important points: 1. Having Power of Attorney is not the same as being a Representative Payee for Social Security purposes. Even with POA, you still need to apply to be the Rep Payee. 2. For Medicaid nursing home residents, most states require that the resident's income (minus a small personal needs allowance of $30-70 depending on your state) goes to the facility for their cost of care. 3. The Rep Payee application (SSA-11) needs to be submitted in person or through the mail with supporting documentation about your sister's incapacity. Don't wait on this - facilities can discharge residents for non-payment issues, even if they're on Medicaid.
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StarSailor}
•This is really helpful - and concerning! The nursing home never explained the Rep Payee vs POA distinction to me. The personal needs allowance makes sense now. Do you know if there's any way to expedite this process? They're making it sound urgent.
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Keisha Robinson
my mom was in nursing home 4 years n i had same thing... they want the check cuz of the medicad spend down rules. u still can keep small amount for her personal stuff like maybe $50 or somthing. medicad rules not ss rules making this happen
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Yara Nassar
•You're absolutely right about this being related to Medicaid's "post-eligibility treatment of income" rules rather than Social Security rules. The personal needs allowance varies by state but is typically $30-70 per month that the resident gets to keep, while the rest goes toward their cost of care at the facility.
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GalaxyGuardian
When I went through this with my husband, I spent 4 days trying to reach someone at Social Security. After getting disconnected multiple times, I discovered a service called Claimyr that got me connected to an SSA agent in about 15 minutes. Saved me so much frustration! Their website is claimyr.com and they have a video showing how it works: https://youtu.be/Z-BRbJw3puU Once I actually got through to Social Security, the process was straightforward. I submitted the Rep Payee application and provided documentation of my husband's condition. The SSA agent explained that even though I had POA, Social Security requires the separate Rep Payee designation for control of benefits. The nursing home got their direct deposit set up within about 2 weeks.
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StarSailor}
•Thanks for the tip about Claimyr! I'll check it out. Getting through to someone is my biggest hurdle right now. Did you have to bring your husband with you to the SSA office or were they accommodating of his mobility issues?
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Miguel Silva
To answer your follow-up question: Yes, SSA has procedures for handling cases where the beneficiary can't appear in person due to medical reasons. You'll need to explain your sister's condition on the Rep Payee application. Bring medical documentation confirming her inability to manage her benefits or appear in person. And correct, Rep Payee status is entirely different from POA. POA is a legal designation under state law, while Rep Payee is specific to Social Security and gives you authority to receive and manage her benefits on her behalf.
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Paolo Ricci
•Not always true! My local office INSISTED my mother had to be present despite her being bedridden in hospice care! Ended up having to get her doctor to fill out additional forms proving she couldn't come in. Such a hassle when we were already dealing with so much.
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Connor O'Neill
hope you get this sorted out quick! my aunt's nursing home got really pushy about this too
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Zainab Ismail
Wait - has anyone mentioned that if you redirect the check to the nursing home, make absolutely SURE they're providing the personal allowance to your sister!!! My dad's facility was terrible about this and we had to fight to get his personal money for his basic needs! They acted like they were doing us a favor giving him HIS OWN MONEY!!!
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StarSailor}
•Oh no, I hadn't even thought about that aspect. Did you have to set up some kind of separate arrangement to ensure he got his personal allowance?
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Yara Nassar
Regarding ensuring your sister receives her personal needs allowance: The best practice is to have a written agreement with the facility about how they'll provide her personal allowance. Some facilities give residents a monthly check, others maintain an internal resident account where they credit the allowance amount. You should clarify: 1. How and when she'll receive her personal allowance 2. How she'll access those funds for personal items 3. What documentation you'll receive showing the proper allocation As her advocate, you have the right to request monthly statements showing how her Social Security payment was applied.
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StarSailor}
•Thank you - this is extremely helpful. I'll draft up something in writing about the personal allowance arrangement before completing the Rep Payee application. Really appreciate everyone's advice on navigating this complex situation.
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Keisha Robinson
make sure u get everythin in writing!!! nursing homes mess up billing ALL THE TIME trust me
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Emma Garcia
As someone who just went through this process with my grandmother last month, I wanted to add a few practical tips that helped us: 1. When you call SSA, try calling right when they open (8am local time) - much better chance of getting through 2. Have ALL your documents ready before you go: POA paperwork, your sister's SS card, birth certificate, medical records showing her incapacity, and the nursing home's payment details 3. Ask the nursing home for their "Social Security Representative Payee Information Sheet" - most facilities have a standard form with their banking details specifically for this purpose Also, don't let them pressure you into rushing this! Yes, it needs to be done, but you have rights as her advocate. The facility should work with you on timing, especially since Medicaid is still covering her care costs. My grandmother's facility gave us a reasonable timeline once we explained we were actively working on the Rep Payee application. The whole process took about 3 weeks from application to the first redirected payment, so plan accordingly!
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Romeo Barrett
•This is incredibly helpful Emma! I'm definitely going to try calling right at 8am - that's a great tip I hadn't heard before. I really appreciate you mentioning that the facility should work with me on timing rather than just pressuring me. It's been stressful feeling like I'm behind on something I didn't even know I needed to do. Three weeks sounds much more manageable than the urgent timeline they were making it seem like. Did your grandmother's facility provide that Rep Payee info sheet you mentioned, or did you have to request it specifically?
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Evelyn Kelly
I went through this exact situation with my father-in-law two years ago when he had dementia and went into a nursing home. The Representative Payee process is definitely the right path, but I wanted to share a few things that might help speed this up: 1. Call your state's Medicaid office first - they often have liaisons who work specifically with nursing homes and can explain the income rules clearly. This helped me understand WHY the redirect was necessary. 2. If you have trouble reaching SSA by phone, try going to your local office first thing in the morning without an appointment. I had better luck getting face-to-face help than phone support. 3. Ask the nursing home's social worker or financial coordinator to walk you through their specific process. Every facility handles the personal needs allowance differently, and getting clarity upfront saved us headaches later. The nursing home should absolutely be more helpful in explaining this process since they deal with it constantly. Don't feel bad about asking them to slow down and explain everything clearly - you're doing your best in a complicated situation while caring for your sister.
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Luis Johnson
•Thank you Evelyn! I hadn't thought about contacting the state Medicaid office first - that's a brilliant idea to get the bigger picture before diving into the SSA process. The nursing home's social worker has been pretty unhelpful so far, just kept saying "you need to redirect the check" without explaining any of the details, but I'll push them harder for specifics about their process. Your point about going to the local SSA office first thing in the morning is encouraging too - I was dreading the phone runaround but maybe an in-person visit will be more productive. Really appreciate the reminder that I shouldn't feel bad about asking for clear explanations - this is all new to me and I'm just trying to do right by my sister.
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CosmicCrusader
I'm so sorry you're dealing with this stressful situation on top of everything else with your sister's care. I went through something very similar when my mom had her stroke and needed nursing home placement. One thing that really helped me was understanding that this isn't just about Social Security - it's actually about Medicaid's "spend down" requirements. Essentially, Medicaid requires that almost all of your sister's income goes toward her cost of care, except for that small personal needs allowance (usually $30-70/month depending on your state). Here's what worked for me: I called my state's Area Agency on Aging first - they have counselors who specialize in exactly these situations and can walk you through both the Medicaid rules AND the Social Security Representative Payee process. They often know which local SSA offices are most helpful and can sometimes even help you get connected faster. Also, don't let the nursing home make you feel like you're behind or doing something wrong. This is a complex process that many families aren't prepared for, and you're handling it responsibly by seeking information. The fact that Medicaid is covering her care means there's no immediate crisis - you just need to get the payment structure aligned with Medicaid's requirements. Hang in there - once you get through the Rep Payee application, this will all be much more manageable!
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Ava Johnson
•Thank you so much for mentioning the Area Agency on Aging - I had no idea they had counselors who specialize in these exact situations! That sounds like it could be incredibly helpful to have someone walk me through both sides of this process. I really appreciate you taking the time to explain the Medicaid spend down requirements too - it makes so much more sense now why the nursing home is pushing for this redirect. Your reassurance that there's no immediate crisis is exactly what I needed to hear. I've been feeling like I was failing my sister somehow by not knowing about all of this ahead of time. I'll definitely look up our local Area Agency on Aging first thing tomorrow morning. It's comforting to know that other families have navigated this successfully, even when it felt overwhelming at first.
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Yuki Ito
I'm a newcomer to this community but wanted to share what I learned when helping my uncle with a similar situation last year. One thing that really helped us was downloading the SSA-11 form ahead of time from the Social Security website and filling it out completely before going to the office. This saved us a lot of time and the SSA staff seemed to appreciate that we came prepared. Also, I'd suggest asking the nursing home for a written statement explaining exactly how much they expect to receive monthly and how they'll handle the personal needs allowance. Having this documentation helped us when we met with the SSA representative - they wanted to see that we understood the financial arrangement. The whole process felt overwhelming at first, but breaking it down into steps made it manageable: 1) Get all documents together, 2) Fill out the form, 3) Visit SSA office, 4) Coordinate with nursing home. Don't hesitate to ask questions at each step - everyone we worked with was more helpful once they saw we were actively trying to do things correctly.
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Millie Long
•This is such practical advice! I really appreciate you mentioning downloading the SSA-11 form ahead of time - I hadn't thought about preparing everything in advance like that. Your suggestion about getting a written statement from the nursing home about their expectations and personal allowance handling is brilliant too. I can see how having all that documentation would make the SSA visit much smoother and show that I'm taking this seriously. Breaking it down into those four clear steps makes the whole process feel much less overwhelming than it did when I first posted. Thank you for taking the time to share your experience - it's exactly the kind of step-by-step guidance I was hoping to find!
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