Are you sure you want to exit? Your progress will be lost.
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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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.
Share a few details and we will match you to trusted home care in your area:
You can go online to your county's Health and Human Services website and download the form. Or call and request one be mailed. If your husband (and you) do not have complicated finances, the form shouldn't be difficult for you to fill out. You will need to provide printed copies of bank statements (several months), investments, etc. You will need to know and provide his SSN, birth date, etc. Once you start the app, finish it as quickly as possible and mail it right away because the county wants the most current financial info.
FYI there is a 5 year "look back" period for this application. This means they will look into any transferring of monies, assets and property within the past 5 years. They won't leave the spouse broke, and will not take the house or car until both people are out/gone. But if there were any shifting around of funds or assets during the last 5 years, it may disqualify or delay his qualifying. Make a copy of everything before you send it in. Depending on which state you reside in, the wait time for an answer can be 3 months or more. If, after you mail in the application, you receive a letter from that department please open it immediately as they may be requesting newer or different info, AND there is a deadline to submit it, which is usually very fast, like within a week. Otherwise you may be required to fill out a whole new form.
One suggestion about getting him on Medicaid before getting him into a nursing home: NHs only reserve a few rooms for their Medicaid residents. The people who are already living in the NH get first priority for those rooms. Often there are waiting lists for non-residents and the waits can be long. We got my MIL into a good facility right before she ran out of money. Once she ran out, then she applied. The facility cannot kick her out if she is already a resident. But it will mean your husband will always have a shared room. Other than that he will get the same care as everyone else. When you do search for a place for him, I strongly recommend that it have a continuum of care (from AL to LTC to MC to hospice) -- AND make sure that they do accept Medicaid (not every facility does). Good luck!
Mojomama, doesn't say where you live, but lookback in California is only 2 years. So bonus if you are here (but cost of living out of sight of course).
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.
FYI there is a 5 year "look back" period for this application. This means they will look into any transferring of monies, assets and property within the past 5 years. They won't leave the spouse broke, and will not take the house or car until both people are out/gone. But if there were any shifting around of funds or assets during the last 5 years, it may disqualify or delay his qualifying. Make a copy of everything before you send it in. Depending on which state you reside in, the wait time for an answer can be 3 months or more. If, after you mail in the application, you receive a letter from that department please open it immediately as they may be requesting newer or different info, AND there is a deadline to submit it, which is usually very fast, like within a week. Otherwise you may be required to fill out a whole new form.
One suggestion about getting him on Medicaid before getting him into a nursing home: NHs only reserve a few rooms for their Medicaid residents. The people who are already living in the NH get first priority for those rooms. Often there are waiting lists for non-residents and the waits can be long. We got my MIL into a good facility right before she ran out of money. Once she ran out, then she applied. The facility cannot kick her out if she is already a resident. But it will mean your husband will always have a shared room. Other than that he will get the same care as everyone else. When you do search for a place for him, I strongly recommend that it have a continuum of care (from AL to LTC to MC to hospice) -- AND make sure that they do accept Medicaid (not every facility does). Good luck!