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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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I acknowledge and authorize
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I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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:
It's important that you understand the difference between MediCARE & MedicAID.
Medicare is a general entitlement program run by the feds. By & large Medicare is for hospitalization, doc & health professional bills, med's and will pay for short term "rehab" stay at a NH/rehab facility after 3+ hospital stay. Medicare is for short term limited situations. Everybody (almost) qualifies for Medicare as we pay into it via FICA when we are working or from our SS once retired. You sign up once 65.
MedicAID is a "needs-based" entitlement program. It is MedicAID which will pay for long term care needs - could be @ a NH or could be a community based program which provides for some type of at home services. Medicaid is run by each state with it's own rules but under an overall federal umbrella. For Medicaid you have to provide documentation of "need" - both financial need & medical need. By & large that means they cannot have nonexempt assets over 2K and a monthly income of over 2K and they also must qualify to be medically "needing" the care they are applying for. For Medicaid for NH, they have to be able to show the need for "skilled nursing services" and that usually requires doctors orders for admission if they are coming from living @ home along with a fat medical file to support the need for skilled nursing in a facility. Most NH admissions come from a hospital discharge, so the need for skilled nursing is established.
So what could be keeping her from qualifying for Medicaid?
You personally don't have to be able to afford private-pay. Your mother does. And if she has too much income/assets to qualify for Medicaid, that money should be used for private pay, as long as it lasts. Then she will be qualified for Medicaid.
How do you know that she has too much income/assets? Have you spoken to someone knowledgeable?
Another way to use up her "excess" money is to buy things for her care. Would she benefit from a special wheel chair? Does she need a new wardrobe? Once she is on Medicaid she will have a fairly small allowance for personal needs. Get a few paid of shoes now, several sweaters, etc. She can spend that money on nearly anything for herself, but she cannot give it away.
Can you give us more particulars about how you know she doesn't qualify?
Get her into a facility. Medicare will pay up to a point and during that time you apply for Medicaid on your mom's behalf (you'll have to have POA). Once your mom is approved for Medicaid (which can take several months, maybe longer) Medicaid foots the bill for the nursing home.
My dad's Medicare lapsed while he was in the NH but because I was in the middle of getting him approved for Medicaid he was able to stay.
It is a lot easier to do if your mom has to be hospitalized first. At the hospital you have access to social workers and people who can steer you in the right directions. They will also find a facility for your mom (you can ask about a preferred facility) and get her placed. It's a lot easier having someone do all of this footwork for you but not necessary. Do some research and find several facilities that you like. Talk to each one in person and make a decision and then let them help you fine-tune all the finances and details.
If your mom needs around-the-clock care and you can't afford in-home care around the clock a facility is your only option.
You find a facility that will take her as a private pay patient. You talk to their intake people, they will figure out how much she has in the way of assets and how long she will be private pay. they will assist you with applying for Medicaid. Post back! This is such hard sutff! Easier if she's in the hospital or rehab, but not impossible if she's at home.
She spends her money until she does qualify for Medicaid. You are actually better off to go in on private pay for two years. If she gave money to family, they need to pay it back.
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.
Medicare is a general entitlement program run by the feds. By & large Medicare is for hospitalization, doc & health professional bills, med's and will pay for short term "rehab" stay at a NH/rehab facility after 3+ hospital stay. Medicare is for short term limited situations. Everybody (almost) qualifies for Medicare as we pay into it via FICA when we are working or from our SS once retired. You sign up once 65.
MedicAID is a "needs-based" entitlement program. It is MedicAID which will pay for long term care needs - could be @ a NH or could be a community based program which provides for some type of at home services. Medicaid is run by each state with it's own rules but under an overall federal umbrella. For Medicaid you have to provide documentation of "need" - both financial need & medical need. By & large that means they cannot have nonexempt assets over 2K and a monthly income of over 2K and they also must qualify to be medically "needing" the care they are applying for. For Medicaid for NH, they have to be able to show the need for "skilled nursing services" and that usually requires doctors orders for admission if they are coming from living @ home along with a fat medical file to support the need for skilled nursing in a facility. Most NH admissions come from a hospital discharge, so the need for skilled nursing is established.
So what could be keeping her from qualifying for Medicaid?
How do you know that she has too much income/assets? Have you spoken to someone knowledgeable?
Another way to use up her "excess" money is to buy things for her care. Would she benefit from a special wheel chair? Does she need a new wardrobe? Once she is on Medicaid she will have a fairly small allowance for personal needs. Get a few paid of shoes now, several sweaters, etc. She can spend that money on nearly anything for herself, but she cannot give it away.
Can you give us more particulars about how you know she doesn't qualify?
My dad's Medicare lapsed while he was in the NH but because I was in the middle of getting him approved for Medicaid he was able to stay.
It is a lot easier to do if your mom has to be hospitalized first. At the hospital you have access to social workers and people who can steer you in the right directions. They will also find a facility for your mom (you can ask about a preferred facility) and get her placed. It's a lot easier having someone do all of this footwork for you but not necessary. Do some research and find several facilities that you like. Talk to each one in person and make a decision and then let them help you fine-tune all the finances and details.
If your mom needs around-the-clock care and you can't afford in-home care around the clock a facility is your only option.