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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.
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Look at state Medicaid site to see just what the waiting period is. I bet 60 days. FL is pretty user friendly for elders as so many move there or are snowbirds. BUT She will need to do whatever to become a legal resident of the state of FL. Like get FL driver’s license or state ID; get her mailing address switched from CA to FL.... eg get everything from CMS / MediCARE & her banking & SSA info to her new FL address.
in theory she could apply for Medicaid upon entering FL, but it’s going to ime cause constant hiccups with FL Medicaid unless she definitively does this. As her “legal” address is in CA so inevitably paperwork is going to go to CA. & that snowballs into missing deadline, yada, yada.
if she right now is with a bank that has a presence in FL lucky her.
As an aside on all this, try to do a realistic take on what your moms “needs” are and what you thinking that FL Medicaid could provide AND cross that with what your mom’s financial are. Medicaid is a huge program..... like everything from kids dental care under CHIP to loaning breast pumps via WIC to long term care in a NH. And each state runs its Medicaid program uniquely within an overall federal guidelines. AND for every program there will be a “needs determination” to see if she meets criteria BOTH medically and financially for the specific Medicaid program. SO If your hope is that she goes into a NH, she’s going to have to have a nice fat medical chart that clearly & overwhelmingly shows her need for skilled nursing care in a facility and she’s sufficiently impoverished for LTC Medicaid. That’s a whole different situation that if she’s going onto community based Medicaid and enrolling into a PACE / day program for her medical care & daily activities or getting into an IHHS / in home health services do have outside contractor with FL Medicaid that comes to see her 2-3 maybe 4 days at week for a few hours in your home as she lives with you.
You may find that having mom get a needs assessment done will be something to do ahead of ever applying for Medicaid as this way you can have her apply just for programs she will 4sure meet the medical criteria for. And then in tandem have her do whatever legit spend down needed to meet the Medicaid financial criteria for as well.
Look at her MediCARE as well. If she has switched to a Medicare Advantage plan those just do not cross state lines. So she will need to find a new Medicare Advantage plan for FL. BUT If she’s on original Medicare and has a gap / supplemental for 2ndary, she needs to see if that underwriter does polices in FL that she can do a transfer into. Some of the bigger ones - like United - will have gap plans in FL that will be similar or identical to her old CA based supplemental. It may have a premium different but at least it flows over.
Also please please do get mom to do fresh legal (will, DPOA, advance directives) by a FL attorney. Yeah it will be overwhelming to deal with, get a couple of binders going so you stay organized so less stress. Good luck.
Also if it’s looking like she’s going into FL “Medically Needy Medicaid” community based program there was someone on this site (mantwins) few days ago dealing with this. It seems quite sticky. If it’s this, your mom is going to have to enroll into a MCO that is a participating partner for FL community based Medicaid. It’s something to know about as it can determine which insurance to enroll into.
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.
BUT
She will need to do whatever to become a legal resident of the state of FL. Like get FL driver’s license or state ID; get her mailing address switched from CA to FL.... eg get everything from CMS / MediCARE & her banking & SSA info to her new FL address.
in theory she could apply for Medicaid upon entering FL, but it’s going to ime cause constant hiccups with FL Medicaid unless she definitively does this. As her “legal” address is in CA so inevitably paperwork is going to go to CA. & that snowballs into missing deadline, yada, yada.
if she right now is with a bank that has a presence in FL lucky her.
As an aside on all this, try to do a realistic take on what your moms “needs” are and what you thinking that FL Medicaid could provide AND cross that with what your mom’s financial are. Medicaid is a huge program..... like everything from kids dental care under CHIP to loaning breast pumps via WIC to long term care in a NH. And each state runs its Medicaid program uniquely within an overall federal guidelines. AND for every program there will be a “needs determination” to see if she meets criteria BOTH medically and financially for the specific Medicaid program.
SO
If your hope is that she goes into a NH, she’s going to have to have a nice fat medical chart that clearly & overwhelmingly shows her need for skilled nursing care in a facility and she’s sufficiently impoverished for LTC Medicaid. That’s a whole different situation that if she’s going onto community based Medicaid and enrolling into a PACE / day program for her medical care & daily activities or getting into an IHHS / in home health services do have outside contractor with FL Medicaid that comes to see her 2-3 maybe 4 days at week for a few hours in your home as she lives with you.
You may find that having mom get a needs assessment done will be something to do ahead of ever applying for Medicaid as this way you can have her apply just for programs she will 4sure meet the medical criteria for. And then in tandem have her do whatever legit spend down needed to meet the Medicaid financial criteria for as well.
Look at her MediCARE as well. If she has switched to a Medicare Advantage plan those just do not cross state lines. So she will need to find a new Medicare Advantage plan for FL.
BUT
If she’s on original Medicare and has a gap / supplemental for 2ndary, she needs to see if that underwriter does polices in FL that she can do a transfer into. Some of the bigger ones - like United - will have gap plans in FL that will be similar or identical to her old CA based supplemental. It may have a premium different but at least it flows over.
Also please please do get mom to do fresh legal (will, DPOA, advance directives) by a FL attorney. Yeah it will be overwhelming to deal with, get a couple of binders going so you stay organized so less stress. Good luck.