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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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Yes, I too wonder how the Medicaid application was done. You should be the Community Spouse and as such get enough of his SS to pay your living expenses or even all of it. Your assets should have been split.
Yes to your question. If he comes home then his SS should come with him. But, it will be up to him, if of sound mind, to contact SS or you. Don't leave it up to the NH to make the call.
Could there be an issue with how his Medicaid application was done? Medicaid does not require you as the community spouse to also become impoverished, only your hubs needs to. You are allowed to keep a certain amount of your own assets - most states have this at about 127K - and your income does not factor into his income up to a certain threshold (I think it’s @ 3k a mo for most states). But you have to file documents to Medicaid to substantiate that you need $ beyond your own resources to get some of his monthly income - like his SS$- waived so that it can be diverted to you & not all paid to the NH as the copay. Its called CSRA or MMNA... Community Spouse Resource Allowance / Monthly Maintenance Needs Assessment/ Allowance.
When your hubs did his Medicaid application, did you include your expenses related to your being a “community spouse”? It would be your living costs, like mortgage / rent, taxes, insurance etc. If you have extraordinary health costs or prescription drug costs, you’d include those costs as well. It’s all about documentation as to what you need financially to continue to stay living in the “community” and that you need some of his $ in order to do this, should the figures show this is the case. Think of it as kinda like alimony.
So did anything like this happen within his application? Doing a LTC Medicaid application can be pretty daunting for most of us doing it for our parents. For a spouse, it would be quite overwhelming. If it’s that he really needs to continue to stay in a NH for his health and safety, I’d suggest that you speak with his Medicaid caseworker to go over his application to review it for appropriately taking into consideration your possible CSRA needs.
Yes, I believe his SSI will be restored if he's no longer living in the nursing home. But you need to think long & hard about taking your spouse home again............it's a HUGE job to care for someone alone and replace an entire staff of people working 24/7 who were doing it at the SNF! According to your profile, your DH suffers from Alzheimer's/dementia which makes the job of caring for him 100x harder, even!
Before you do anything, consult with an elder care attorney and also read a lot on this forum about people who are SO overwhelmed caring for a loved one with dementia at home that they're beside themselves. Educate yourself BEFORE you pull him out of there!
He was discharged from hospital to skilled nursing after spending a week due to a Horrible Bactrim reaction. I always wanted to bring him home. Because of Covid I could not go in the nursing home to see him. I saw him for 30 min a day,outside, 6'apart, both wearing masks. The nurses, therapists,etc. all told me I could NOT take care of him. So I got a job at the facility so I could see him The first day, I knew I could not leave him there and have actually brought him home. We have hospice but no sitters and He is doing GREAT!! I had an elder lawyer prepare his Medicaid application. Medicaid is still pending. Of course, Medicare paid the 1st 100 days. He was there for 120 days total.
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.
Yes to your question. If he comes home then his SS should come with him. But, it will be up to him, if of sound mind, to contact SS or you. Don't leave it up to the NH to make the call.
When your hubs did his Medicaid application, did you include your expenses related to your being a “community spouse”? It would be your living costs, like mortgage / rent, taxes, insurance etc. If you have extraordinary health costs or prescription drug costs, you’d include those costs as well. It’s all about documentation as to what you need financially to continue to stay living in the “community” and that you need some of his $ in order to do this, should the figures show this is the case. Think of it as kinda like alimony.
So did anything like this happen within his application?
Doing a LTC Medicaid application can be pretty daunting for most of us doing it for our parents. For a spouse, it would be quite overwhelming. If it’s that he really needs to continue to stay in a NH for his health and safety, I’d suggest that you speak with his Medicaid caseworker to go over his application to review it for appropriately taking into consideration your possible CSRA needs.
Before you do anything, consult with an elder care attorney and also read a lot on this forum about people who are SO overwhelmed caring for a loved one with dementia at home that they're beside themselves. Educate yourself BEFORE you pull him out of there!
All the best
Why do you want his social security?