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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.
Share a few details and we will match you to trusted home care in your area:
Where & more importantly how is she currently living?
You say you have guardianship. Did you do a legal guardianship or conservatorship done before a judge for this or a quick guardianship granted because she had a mental breakdown or police called episode where she got admitted to a facility? I'm not an attorney but they seem to be different and what you can do depends on which type.
Do you have DPOA & MPOA for her? If so, you can contact her MD to have her admitted for psyc evaluation. Medicare will pay for some of this and some of the secondary insurer's also. She may need to be seen by a pyschiatrist before admission so the guardianship is good as you can make her go.
You need to read her policies and find a hospital that takes her insurance. BCBS does a book for each state with listings of their network providers. The doctors office will also have a short list of places. Having her admitted would be good as it gives you some time to find a long term care facility or LTC psyc facility for her.
Medicaid is different for each state, in general the ceiling is Two Thousand Dollars a month in assets. Some state are $ 2,020 some 2,050. Your state's website will have the info.
What are her assets? If she has 2K or less each month then she can apply for Medicaid. Her home (if it is still her primary residence with homestead exemption) and a car are NOT included in her monthly assets. If she has say 10K in savings you need to spend down on her care to get to the 2K. A month in psch ward and a new hearing aid will easily take care of spending 10 K down. Whatever her assets, they need to spend down for her direct care or owned asset (like paying property taxes or repair to her homestead) to qualify.
If she is one of those who have over the medicaid ceiling in monthly - say 1,000 in social security and 1,800 in retirement - then there are things you can do to have her qualify. This all depends on your state and must be done by a qualified elder care attorney to do it right so that you do not find that she is disqualified for several months due to asset transfer not related to her care.
The Medicaid application has specific items needed in order to qualify. It seems like alot but it is completely do-able, but you need to get organized to get it done. Remember the look back can be up to 5 years.
If you have anything co-mingled, this should be one of the first things changed to separate accounts. Like if your mom's SS is going into a joint account with you that your paycheck goes into. That needs to change asap.
Also if you are DPOA, you want to sign whatever paperwork "Mary Jones Smith as DPOA for Mary A. Jones", so that it eliminates them coming to you for payment for her stay or other not covered by insurance expenses. This is VERY important to do.
Guardianship doesn't mean you have no help from outside. Guardianship makes it your responsibility to keep her and others safe, so get the assistance you need to do so.
if she has any assets (even if you are guardian of the assets), the state will decide what is "your fair share of money. I looked into this in New Mexico, and after ALL of the assets are gone, they might consider her social security as sufficient. I have been where you are and no one will tell you the truth about money. See and elder attorney (get referred from the local bar association) and pay the $200 for accurate legal advice.
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.
Where & more importantly how is she currently living?
You say you have guardianship. Did you do a legal guardianship or conservatorship done before a judge for this or a quick guardianship granted because she had a mental breakdown or police called episode where she got admitted to a facility? I'm not an attorney but they seem to be different and what you can do depends on which type.
Do you have DPOA & MPOA for her? If so, you can contact her MD to have her admitted for psyc evaluation. Medicare will pay for some of this and some of the secondary insurer's also. She may need to be seen by a pyschiatrist before admission so the guardianship is good as you can make her go.
You need to read her policies and find a hospital that takes her insurance. BCBS does a book for each state with listings of their network providers. The doctors office will also have a short list of places. Having her admitted would be good as it gives you some time to find a long term care facility or LTC psyc facility for her.
Medicaid is different for each state, in general the ceiling is
Two Thousand Dollars a month in assets. Some state are $ 2,020 some 2,050. Your state's website will have the info.
What are her assets? If she has 2K or less each month then she can apply for Medicaid. Her home (if it is still her primary residence with homestead exemption) and a car are NOT included in her monthly assets. If she has say 10K in savings you need to spend down on her care to get to the 2K. A month in psch ward and a new hearing aid will easily take care of spending 10 K down. Whatever her assets, they need to spend down for her direct care or owned asset (like paying property taxes or repair to her homestead) to qualify.
If she is one of those who have over the medicaid ceiling in monthly - say 1,000 in social security and 1,800 in retirement -
then there are things you can do to have her qualify. This all depends on your state and must be done by a qualified elder care attorney to do it right so that you do not find that she is disqualified for several months due to asset transfer not related to her care.
The Medicaid application has specific items needed in order to qualify. It seems like alot but it is completely do-able, but you need to get organized to get it done. Remember the look back can be up to 5 years.
If you have anything co-mingled, this should be one of the first things changed to separate accounts. Like if your mom's
SS is going into a joint account with you that your paycheck goes into. That needs to change asap.
Also if you are DPOA, you want to sign whatever paperwork
"Mary Jones Smith as DPOA for Mary A. Jones", so that it eliminates them coming to you for payment for her stay or other not covered by insurance expenses.
This is VERY important to do.
Good luck.
I looked into this in New Mexico, and after ALL of the assets are gone, they might consider her social security as sufficient.
I have been where you are and no one will tell you the truth about money.
See and elder attorney (get referred from the local bar association) and pay the $200 for accurate legal advice.