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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.
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.
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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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OP, your profile says that your mother is ‘79, living in AL with age-related decline, incontinence, mobility problems, and UTI’. The UTI should be cured. The other issues are fairly normal, and wouldn’t normally justify 24 hour nursing in a NH. Perhaps that’s why Medicaid was refused.
OP, your profile also says that you ‘take care of everyone in the family who needs it now’. Perhaps you could reconsider all the needs of ‘everyone’, and prioritise your time. You can’t do ‘everyone’ or ‘everything’.
I had to apply for Medicaid for my BIL at least 3 times before he got it. They kept denying him because all the paperwork wasn't sent in correctly.
On the form letter saying it has been denied did it tell you why because they have to do that. I just received a letter stating my BIL is canceled from Medicaid as of Dec 2023. There is a worker's name on that letter that I called and she told me that the review wasn't sent in and that we had time to send it in so that he stays on Medicaid. I don't handle his Medicaid anymore the nursing home does now because they are rep payee but until the nursing home sends in that letter stating they are his legal rep payee I will still get that paperwork.
Call the person on that letter to see why they can't get it. If its spending down their finances until they are under a certain amount for Medicaid. Which we had to do for my BIL because he was already in the nursing home I had to spend down his finances that meant to pay the nursing home what he had in savings then the Medicaid took him on.
My father worked with an elder attorney to file the Meidicaid application on behalf of my mother, and she was accepted the first time. It is a ton of work, but they know exactly what to do to get approval. It cost him 15 grand and I know that’s exorbitant, but there was a ton of time put into it and it’s important to do it. Otherwise, you’ll probably keep getting denied because the application is not being filled out in such a way that you’ll get approval. Please go to an elder law attorney with plenty of experience doing nursing home Medicaid applications.
For context, my mother went in as a private pay individual and I think she paid the first month private and then Medicaid kicked in. But the attorney can guide you around the strategy for this as well. Don’t mess around, you don’t have time.
We had to apply for Medicaid 4 times before being accepted. My mom needed 24/7 care, she had no money left, no assets of any kind etc. The good news, as soon as she was approved, medicaid covered the months for me that we were billed from the nursing home, while we were applying for her.
It would be time for some expert help. I would attend an elder law attorney. When you call the office be certain that you want to spend an hour discussing Medicare eligibility option for your state. They should have it at their fingertips. Take with you the POA and all documents about assets.
Each State is Different. Sometimes things can be done that help. When expert medical input is needed you go off to the doctor, and here, as Igloo who is so SO smart on all this medicare and medicaid stuff says, this often isn't a DIY project.
Wish you good luck going forward. Hope you will update us.
* Confer with Elder Law Attorney They can often review Medicaid Application and help with it or have other significant input to consider
* Request a Geriatric Case Mgr or Licensed Social Worker be assigned to case. . They can help with care options and, assist with communication to PCP , and help with Medication application etc
* You can always call APS , report PT as " unsafe" in home . APS makes home visit and assess the situation and go from there... ( This may be last resort but sometimes it takes a drastic step like this)
If patient is a Veteran or spouse of a Veteran, speak ASAP with VA Services in area . There are sometimes significant veterans' benefits for veterans and or their spouse
Mom needs to be 24/7 care for Medicaid to pay. What you have listed on ur profile does not seem to be 24/7 care. Is the AL asking your to transfer her because they no longer can care for her? Does she have Dementia? Why was she turned down?
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.
OP, your profile also says that you ‘take care of everyone in the family who needs it now’. Perhaps you could reconsider all the needs of ‘everyone’, and prioritise your time. You can’t do ‘everyone’ or ‘everything’.
On the form letter saying it has been denied did it tell you why because they have to do that. I just received a letter stating my BIL is canceled from Medicaid as of Dec 2023. There is a worker's name on that letter that I called and she told me that the review wasn't sent in and that we had time to send it in so that he stays on Medicaid. I don't handle his Medicaid anymore the nursing home does now because they are rep payee but until the nursing home sends in that letter stating they are his legal rep payee I will still get that paperwork.
Call the person on that letter to see why they can't get it. If its spending down their finances until they are under a certain amount for Medicaid. Which we had to do for my BIL because he was already in the nursing home I had to spend down his finances that meant to pay the nursing home what he had in savings then the Medicaid took him on.
Prayers
For context, my mother went in as a private pay individual and I think she paid the first month private and then Medicaid kicked in. But the attorney can guide you around the strategy for this as well. Don’t mess around, you don’t have time.
The good news, as soon as she was approved, medicaid covered the months for me that we were billed from the nursing home, while we were applying for her.
Each State is Different. Sometimes things can be done that help. When expert medical input is needed you go off to the doctor, and here, as Igloo who is so SO smart on all this medicare and medicaid stuff says, this often isn't a DIY project.
Wish you good luck going forward. Hope you will update us.
They can often review Medicaid Application and help with it or have other significant input to consider
* Request a Geriatric Case Mgr or Licensed Social Worker be assigned to case. . They can help with care options and, assist with communication to PCP , and help with Medication application etc
* You can always call APS , report PT as " unsafe" in home . APS makes home visit and assess the situation and go from there... ( This may be last resort but sometimes it takes a drastic step like this)
If patient is a Veteran or spouse of a Veteran, speak ASAP with VA Services in area . There are sometimes significant veterans' benefits for veterans and or their spouse
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