> Department of Health and Human Services via the local county and/or the state should be able to provide a social worker (if they haven't already) to get him i

> Department of Health and Human Services via the local county and/or the state should be able to provide a social worker (if they haven't already) to get him into the system. This is good advice, but (speaking to OP here) having gone through this with a family member, I'd council your friend to understand that nobody has the interests of their family member in mind like they do. To get a good outcome she'll need to be pushing the ball forward at every step. Don't wait for the social worker to do anything and don't accept their initial results or recommendations as final. There is a wide range in quality of institutions, even for patients requesting a Medicaid bed (perhaps especially for such people). My family member's first stop was a nightmare. She's in a much better facility now (a change that simply would not have happened without my outside influence). Call places yourself, speak to local doctors, if you can. Call home health services that accept Medicaid and ask if they can give you advice. Cold call nursing homes and ask if they have Medicaid beds. These are all things I did and they all mattered in the end. Push, push, push.