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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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Each month you have to pay your mom's cost of care to the nursing home (if she is on LTC Medicaid) or you pay the facility for a month's stay. You may be paying for insurances and personal needs items as well. A few days overlap shouldn't make a difference. If she is on Medicaid, her balance should not be over the $2000.00 for her annual review. Contact your local Area Agency on Aging or Bureau of Senior Services, they have staff that will be able to answer your questions; you can also ask to speak with the long term care ombudsman who will be glad to answer any questions you have about long term care.
If your state does an annual Medicaid renewal, you probably need to find something to spend like $ 500.00 soon so that there is each month bank statements clearly showing she is under 2K in beginning and ending balance for Medicaid compliance. For my mom's renewal, they ask for 4 months of bank statements and if the balance had been over 2K she would have gotten an ineligibility inquiry letter. Just a total PIA to deal with so you want to avoid this sort of issue at all costs (pun intended).
See if the beauty shop at the NH will let you prepay for 6 months of hair salon. Maybe buy her a couple of new pair of eyeglasses or a new hearing aid or a tricked out walker; maybe a few multiyear large print magazine subscriptions. Just whatever to take the balance down to slightly under the "overage".
On retrospect, I would have done part of mom's spend-down with buying mom a dz pairs of those hideous but comfy SAS shoes that she loved as they just flew out of her room MIA. Easily $ 500.
You only have to get her to $2000, not 0. A few days overlap should not make any difference, unless it falls at the renewal date. Discuss this with her caseworker. He or she can advise you how to deal with it around renewal time.
I know from experience that it can be a tedious process to get in touch with a caseworker but it is a reasonable and helpful thing to do. Just don't wait until 3 days before the renewal papers are due! Telephone tag can last that long. Start the process when there is no pressure for an immediate answer. If Mom has both a social worker and a financial worker, try the financial worker first.
BTW, you don't have to maintain her account at the maximum allowed. Don't be afraid to make needed significant purchases. With the seasons about to change, for example, consider whether she has some wardrobe needs. If she spends a lot of time in bed, is it time for a new set of nice sheets? I know it is nice to have that $2000 cushion, and I'm not suggesting spending frivolously, but if the account is always on the edge of being over, consider if there are some things she needs and would take pleasure in.
Pam, why? And often this situation arises before someone is in a nursing home. We dealt with this for our mother for several years while she lived at home.
Cyoung, where is your mother living at this point?
I think this post is a good example of why filling out the profile and/or providing more information in the initial post is very helpful. I answered thinking about a recipient living in the community, and Pam's perspective was of the recipient living in a nursing home. It helps if we know the situation!
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.
See if the beauty shop at the NH will let you prepay for 6 months of hair salon. Maybe buy her a couple of new pair of eyeglasses or a new hearing aid or a tricked out walker; maybe a few multiyear large print magazine subscriptions. Just whatever to take the balance down to slightly under the "overage".
On retrospect, I would have done part of mom's spend-down with buying mom a dz pairs of those hideous but comfy SAS shoes that she loved as they just flew out of her room MIA. Easily $ 500.
I know from experience that it can be a tedious process to get in touch with a caseworker but it is a reasonable and helpful thing to do. Just don't wait until 3 days before the renewal papers are due! Telephone tag can last that long. Start the process when there is no pressure for an immediate answer. If Mom has both a social worker and a financial worker, try the financial worker first.
Cyoung, where is your mother living at this point?
I think this post is a good example of why filling out the profile and/or providing more information in the initial post is very helpful. I answered thinking about a recipient living in the community, and Pam's perspective was of the recipient living in a nursing home. It helps if we know the situation!