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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.
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We have been told by the administrator that they have only had one Medicaid recipient in recent years. Seems odd. I have searched the Internet high and low for official statistics. Must be somewhere! Would help to be informed in preparation for upcoming negotiations. I'll try the toll-free number again, though my last foray ended with my leaving a call-back number with--you guessed it--no call back.
Some facilities put "quotas" on Medicaid residents. That is, they will not accept more than x% Medicaid, or they need y% self-pay to make a profit at their price structures. Sometimes they have policies that allow a self-pay to become a Medicaid payer if they have been self-paying for a certain period of time. So it can be very fluid. Suddenly several residents run out of money and qualify for Medicaid and now they are way over the quota they have built-in. They may try to accept only self-pay for a while. So what they did last year may not be indicative of what they are doing now.
If this place accepts Medicaid and only has accepted one in recent years, I'd say they are long overdue! Or else they shouldn't indicate they accept Medicaid.
And, if it isn't self-evident, the reason the ratio of Medicaid to self-pay is an issue at all is because Medicaid pays a predetermined amount that is almost always less than the going rate in a given market. Sometimes considerably less.
A facility might think it is their civic duty to accept Medicaid residents. Or they may realize that if they don't they'll not be able to fill their rooms. But they need to somehow figure out how much income they can count on (more or less) per month or per year so they know what they can afford to pay out.
Say that for the level of staffing and type of food and activities offered, (plus profit if they are for-profit) etc. etc. they determine they need an occupancy rate ot 88% and an average of $135 per day per room. Medicaid pays $85 per day. (THESE ARE TOTALLY MADE UP NUMBERS, just as an example.) If half the rooms are being paid for by Medicaid, that would mean they would need to charge $185 for the self-pay rooms to make their average work out.
This is a crude example and I'm sure it is more complex than this! But obviously the number of people a center accepts at less than the market rate has a big impact on the price to others, on the amenities the center can offer, on staffing, on profit, and on just about all aspects of the business.
I would not want to be the business manager of care centers for all the tea in my favorite tea source plus a huge salary!
Here is a thought: What if Medicaid rates were based on real life costs? What a concept, huh? :)
Still would just like to know the number of recipients, and also what Medicaid has negotiated with my relative's facility as the funded monthly fee. More time on hold is in my future! Seems like this info ought to be public information...
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.
If this place accepts Medicaid and only has accepted one in recent years, I'd say they are long overdue! Or else they shouldn't indicate they accept Medicaid.
A facility might think it is their civic duty to accept Medicaid residents. Or they may realize that if they don't they'll not be able to fill their rooms. But they need to somehow figure out how much income they can count on (more or less) per month or per year so they know what they can afford to pay out.
Say that for the level of staffing and type of food and activities offered, (plus profit if they are for-profit) etc. etc. they determine they need an occupancy rate ot 88% and an average of $135 per day per room. Medicaid pays $85 per day. (THESE ARE TOTALLY MADE UP NUMBERS, just as an example.) If half the rooms are being paid for by Medicaid, that would mean they would need to charge $185 for the self-pay rooms to make their average work out.
This is a crude example and I'm sure it is more complex than this! But obviously the number of people a center accepts at less than the market rate has a big impact on the price to others, on the amenities the center can offer, on staffing, on profit, and on just about all aspects of the business.
I would not want to be the business manager of care centers for all the tea in my favorite tea source plus a huge salary!
Here is a thought: What if Medicaid rates were based on real life costs? What a concept, huh? :)
Still would just like to know the number of recipients, and also what Medicaid has negotiated with my relative's facility as the funded monthly fee. More time on hold is in my future! Seems like this info ought to be public information...