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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.
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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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Igloo - I agree with you, absolutely. The first time we asked one of my mother's doctors about it she responded "Well, you got here, didn't you?" Meaning she was clearly not disabled enough to require nursing home care - not even housebound, even though someone else (me) had to driver her to the doc, help her in and out of the car and building, etc.
My point in responding to the OP was that it takes more than poverty to qualify for a Medicaid nursing home. It takes a very extreme level of disability, as your experience bears out.
Carla - medically being "at need" for Medicaid when they are still living at home or in IL is quite the challenge. Most (like 80%) go into a NH via post hospitalization for"rehab" & they don't progress so stay. They have the nice fat file to pass review. But for those at home... No fat file.
Short of tossing taking them skydiving to break a hip, its going to require work and months of md vists to show "need" in a health chart. I moved my mom from IL to a Nh and totally bypassed the AL phase. For her the key was having a gerontologist who also was the medical director of a NH as they know what needs to be in the chart. My moms gerontology group were directors at several NH. It took about 5 mos of every 3 -5 week visits with labs & testing done. The visit mom had a 10% weight loss and bad H&H lab report he wrote the orders for skilled nursing care needed. Also some other changes, like goingfrom Exelon pill to Exelon patch as it requires more skill to apply (plus for us, my mom had rotor cuff repair so couldn't do it), changing another med to be one needed to be compounded daily. Documenting co-mobidities that might not always be written up - like heart disease monitoring or peripheral vision tests - also helped fill out chart to show "need". I've found that most family practice docs or internists try to keep the chart and IDC -10 codes at a minimum, which is just what you don't want if they need to show "need". It's going to take a more creative approach in my experience.
kiki47, I am just curious how does your Mom maintain the utilities, property taxes, homeowner's insurance, and other expenses for her house with less than $2k in cash on hand? Or does her Social Security pay for same, groceries, etc.?
It depends on monthly income as well as assets. But most importantly, it depends on her degree of disability. Medicaid has to determine that she requires a nursing home level of care - that depends on being unable to manage certain "activities of daily living" such as toileting, bathing, feeding oneself, etc. Basically, the state will perform a medical evaluation to determine if your mother requires a nursing home level of care.
I don't know the details because I know my own mother wouldn't qualify. She can do all the activities of daily living for herself at this point - her needs have more to do with housekeeping, home maintenance, transportation, shopping and errands, etc. These are considered "instrumental" activities of daily living and are not enough for a Medicaid determination.
You can have your mother evaluated for Medicaid if you think she may be eligible based on her disabilities. You can google how to get a Medicaid evaluation in Florida and you should come up with it.
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.
My point in responding to the OP was that it takes more than poverty to qualify for a Medicaid nursing home. It takes a very extreme level of disability, as your experience bears out.
Short of tossing taking them skydiving to break a hip, its going to require work and months of md vists to show "need" in a health chart. I moved my mom from IL to a Nh and totally bypassed the AL phase. For her the key was having a gerontologist who also was the medical director of a NH as they know what needs to be in the chart. My moms gerontology group were directors at several NH. It took about 5 mos of every 3 -5 week visits with labs & testing done. The visit mom had a 10% weight loss and bad H&H lab report he wrote the orders for skilled nursing care needed. Also some other changes, like goingfrom Exelon pill to Exelon patch as it requires more skill to apply (plus for us, my mom had rotor cuff repair so couldn't do it), changing another med to be one needed to be compounded daily. Documenting co-mobidities that might not always be written up - like heart disease monitoring or peripheral vision tests - also helped fill out chart to show "need". I've found that most family practice docs or internists try to keep the chart and IDC -10 codes at a minimum, which is just what you don't want if they need to show "need". It's going to take a more creative approach in my experience.
I don't know the details because I know my own mother wouldn't qualify. She can do all the activities of daily living for herself at this point - her needs have more to do with housekeeping, home maintenance, transportation, shopping and errands, etc. These are considered "instrumental" activities of daily living and are not enough for a Medicaid determination.
You can have your mother evaluated for Medicaid if you think she may be eligible based on her disabilities. You can google how to get a Medicaid evaluation in Florida and you should come up with it.