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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?
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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.
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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.
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You will need to get expert legal advice from someone who specializes in Missouri LTC Medicaid to see if anything can be done.
I suspect the likely issues are that she doesn't want or qualify for nursing home care or that her husband would like to keep access to more than the spousal minimum.
There may or may not be ways to get access to non-nursing home benefits or to let her husband increase his share of income.
Medicaid for what, a Nursing home, in home care or health insurance?Each has a different criteria.
Nursing home and in home both require you being pretty much poor. In a NH situation if the spouse remains in the home, they are considered the Community Spouse. Assets are split with the spouse needing care split needing to be spent down. I think "in home" care has similar criteria.
So like Jar said, maybe Dad wants to hold on to the assets they have together. Maybe they have enough assets that Medicaid feels that Mom can pay her own way. The house sometimes exempt when it comes to assets own, I think not so if its worth a lot of money.
What you need to find out is why Mom was turned down. Medicaid is slightly different in each state.
Cheria, like Jo Ann posted it’s really important to know just which Medicaid program your mom is trying to get eligibility for. LTC Medicaid in a facility, like a NH, quite different than community based Medicaid. What type of Medicaid are you thinking mom could need? BUT if your ? is actually more about your wanting Medicaid to pay you for in home caregiving for her, that’s way way WAYYY different. Your profile says you moved in with them a year+ ago & are her caregiver.
In home paid by Medicaid will totally be unique for how your state runs its Medicaid programs. Some states - like CA - have well established IHHS programs that train & pay for family living in the home without their own full time job, to be their caregiver. Based on what others have posted on this site, IHHS seems to be abt 12-20/24 hrs max a wk and at slightly above state minimum wage. It’s all legit, with FICA, reporting and the person at need has a copay (paid to the state) based on their income. They get a needs assessment done by the state to determine # of hours too. It will never ever be for full time caregiving. The only exception to this seems to be if you live in a very expensive place - like NYC or Alaska- where in home FT is actually more cost effective than being in a facility. Other states have in-home done first & foremost by whatever MCO (managed care organization) that is the provider for the community based Medicaid for your state or county. Some states don’t have in home programs.
if your ? is abt your needing $. Please realize that Your parents have income each month, like their Social Security $, plus they probably have savings as well, they can do a personal care contract (drawn up by an attorney) with you to pay you from their $ to caregive. Needs to be legit, with taxes, FiCA, etc.
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.
I suspect the likely issues are that she doesn't want or qualify for nursing home care or that her husband would like to keep access to more than the spousal minimum.
There may or may not be ways to get access to non-nursing home benefits or to let her husband increase his share of income.
https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/Waiver-Descript-Factsheet/MO
https://mydss.mo.gov/prevention-of-spousal-impoverishment
I wish you well.
Nursing home and in home both require you being pretty much poor. In a NH situation if the spouse remains in the home, they are considered the Community Spouse. Assets are split with the spouse needing care split needing to be spent down. I think "in home" care has similar criteria.
So like Jar said, maybe Dad wants to hold on to the assets they have together. Maybe they have enough assets that Medicaid feels that Mom can pay her own way. The house sometimes exempt when it comes to assets own, I think not so if its worth a lot of money.
What you need to find out is why Mom was turned down. Medicaid is slightly different in each state.
BUT
if your ? is actually more about your wanting Medicaid to pay you for in home caregiving for her, that’s way way WAYYY different. Your profile says you moved in with them a year+ ago & are her caregiver.
In home paid by Medicaid will totally be unique for how your state runs its Medicaid programs. Some states - like CA - have well established IHHS programs that train & pay for family living in the home without their own full time job, to be their caregiver. Based on what others have posted on this site, IHHS seems to be abt 12-20/24 hrs max a wk and at slightly above state minimum wage. It’s all legit, with FICA, reporting and the person at need has a copay (paid to the state) based on their income. They get a needs assessment done by the state to determine # of hours too. It will never ever be for full time caregiving. The only exception to this seems to be if you live in a very expensive place - like NYC or Alaska- where in home FT is actually more cost effective than being in a facility.
Other states have in-home done first & foremost by whatever MCO (managed care organization) that is the provider for the community based Medicaid for your state or county.
Some states don’t have in home programs.
if your ? is abt your needing $. Please realize that Your parents have income each month, like their Social Security $, plus they probably have savings as well, they can do a personal care contract (drawn up by an attorney) with you to pay you from their $ to caregive. Needs to be legit, with taxes, FiCA, etc.