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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
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Medicaid is a needs based entitlement in which your income is a determinant in whether you qualify. Each state administers its Meducaid program uniquely so you need to find out what the monthly income maximum is allowed.
But you also should find out clearly IF your states Medicaid program will cover AL. Medicaid is primarily designed to cover skilled nursing care in a NH. If AL is covered it will be a medicaid waiver program that does this and so more limited # of waivers available & limited in # of vendors who even take a wavier..
Most AL is private pay & run about 3K-4K a mo. SS average $800/1100 a mo & A&A maybe $1500, so between the two covers most of AL cost with your savings or family filling in the gap. Often AL have a very limited # of medicaid waiver beds which are filled via a waiting list that takes 1-3 years of private pay before your names comes up.
Also states seem to be prioritizing waivers towards PACE. I'd suggest you check to see if PACE is the new model for paying for care for your state & in your area cause if so that is what you will be evaluated for placement as the costs are less than individual AL.
Hi Meda -- are you already on Medicaid or are you considering applying? We are looking at this right now for my grandpa, regarding Aid and Attendance. He will need Medicaid soon -- probably needs it now -- but A&A is what is allowing us to keep him at home.
If you are receiving A&A, then you (or the person about whom you are writing) have demonstrated significant need. More than likely you will qualify for Medicaid, but the Medicaid might then affect the VA pension. You are required to notify the VA when you apply for Medicaid or a Medicaid-affiliated benefit like PACE. That is where it gets a little confusing because the VA (at least the person we spoke to) could not tell us up front what the effect would be. But basically, Aid and Attendance is not considered typical “income” the way your Social Security or basic VA pension are so if you are looking at qualifying for certain programs, the A&A should not affect you adversely.
Moving into Assisted Living should not affect A&A, but Igloo is right about Medicaid not typically covering Assisted Living. If you are not on Medicaid yet, and can find availability in someplace like American House which is Senior Living for veterans, they take income into consideration. They will look at SS and your basic VA pension to determine your income (and therefore monthly cost to reside there). You could potentially end up using your A&A to help pay the bill, but they cannot take it from you. They do not work directy with the VA the way nursing homes directly bill Medicaid. Does that make sense?
The VA has two nursing homes for veterans, one in Marquette and the other in Grand Rapids. I do not know what the waiting list is like for those, or whether you or your loved one has family or friends close enough for that to be a reasonable move.
Igloo is right about the trend being toward keeping seniors at home. If your person is not ready to go to a nursing home but has need for care, Michigan has three programs that can help them stay at home: PACE (only in certain areas of Mich -- it is a partnership betw. Medicaid and Medicare and the limits for qualifying are less restrictive than Medicaid alone), the Michigan Choice Waver (you can get information through Area Agency on Aging), or the Veteran-Directed Care program (through the VA). All three of these are new to our state or have changed in the past couple years. It is really hard to get information, and I think part of it is that things keep changing! Best of luck.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
But you also should find out clearly IF your states Medicaid program will cover AL.
Medicaid is primarily designed to cover skilled nursing care in a NH. If AL is covered it will be a medicaid waiver program that does this and so more limited # of waivers available & limited in # of vendors who even take a wavier..
Most AL is private pay & run about 3K-4K a mo. SS average $800/1100 a mo & A&A maybe $1500, so between the two covers most of AL cost with your savings or family filling in the gap. Often AL have a very limited # of medicaid waiver beds which are filled via a waiting list that takes 1-3 years of private pay before your names comes up.
Also states seem to be prioritizing waivers towards PACE. I'd suggest you check to see if PACE is the new model for paying for care for your state & in your area cause if so that is what you will be evaluated for placement as the costs are less than individual AL.
If you are receiving A&A, then you (or the person about whom you are writing) have demonstrated significant need. More than likely you will qualify for Medicaid, but the Medicaid might then affect the VA pension. You are required to notify the VA when you apply for Medicaid or a Medicaid-affiliated benefit like PACE. That is where it gets a little confusing because the VA (at least the person we spoke to) could not tell us up front what the effect would be. But basically, Aid and Attendance is not considered typical “income” the way your Social Security or basic VA pension are so if you are looking at qualifying for certain programs, the A&A should not affect you adversely.
Moving into Assisted Living should not affect A&A, but Igloo is right about Medicaid not typically covering Assisted Living. If you are not on Medicaid yet, and can find availability in someplace like American House which is Senior Living for veterans, they take income into consideration. They will look at SS and your basic VA pension to determine your income (and therefore monthly cost to reside there). You could potentially end up using your A&A to help pay the bill, but they cannot take it from you. They do not work directy with the VA the way nursing homes directly bill Medicaid. Does that make sense?
The VA has two nursing homes for veterans, one in Marquette and the other in Grand Rapids. I do not know what the waiting list is like for those, or whether you or your loved one has family or friends close enough for that to be a reasonable move.
Igloo is right about the trend being toward keeping seniors at home. If your person is not ready to go to a nursing home but has need for care, Michigan has three programs that can help them stay at home: PACE (only in certain areas of Mich -- it is a partnership betw. Medicaid and Medicare and the limits for qualifying are less restrictive than Medicaid alone), the Michigan Choice Waver (you can get information through Area Agency on Aging), or the Veteran-Directed Care program (through the VA). All three of these are new to our state or have changed in the past couple years. It is really hard to get information, and I think part of it is that things keep changing! Best of luck.