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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.
Share a few details and we will match you to trusted home care in your area:
Most covered Medicare services of all types -- not just coverage for skilled nursing -- is time limited. It does not cover custodial care in a nursing home for any length of time. Medicare is a national program and the rules are mostly the same throughout the United States.
Medicaid does not "take over" from Medicare. Medicaid is a different program for the poor in every state so hard to tell what your particular rules are. Check with a local senior center. Almost every senior center in the US has a volunteer that will help answer your questions.
The rules of Medicare are that it continues to only 90 - 100 days, I believe. And that is only if the person is improving. If they stop improving - Medicare ends. This happened to my mother and I had to do the paperwork, etc. for Medicaid. First, I paid the NH privately until funds ran out and my mother was allowed to stay at NH until Medicaid was approved.
The social worker at the NH was truly wonderful and helpful. This makes all the difference. And also as previously mentioned, the local Elder Care Services are a wealth of knowledge and support. Take care.
You have to go to your local Medicaid office and apply for Medicaid on the person's behalf. As long as you're in the process of applying for Medicaid nursing home's usually let the person stay until the person has been approved by Medicaid.
When someone goes into a nursing home on Medicare the clock starts ticking that first day. Eventually Medicare ends and this is where the Medicaid will pick up as long as you're applying for it.
Most in a NH are there from being discharged from a hospital stay (hospitalization is a MediCARE benefit) to a rehabilitation facility for rehab. Usually this is in a NH with rehab ability. Rehab is paid for by MediCARE with the first 21 days fully covered by Medicare. Then after that point it will depend on their "progressing" in their rehab and could go for up to 100 days with a pretty substantial co-pay for those days. For most elderly they just flat cannot do the rehab really needed to benefit from it, so they become ineligible for the benefit. Then family either has to spend-down the elder's assets to private pay so they can apply for MedicAID; or family private pays or they have long term care insurance which pays.
Medicaid is state run and will have specific income & asset limits to be eligible. Most states have it at 2K in non-exempt assets & 2K in monthly income as that it the benchmark for being "at-need" or impoverished. If dad has a home, he can keep it as a exempt asset. But he will not have any income to pay for anything on the house as medicaid requires him to do a co-pay or an "SOC" share of cost in Medicaid-speak of all his monthly income to the NH less a small personal needs allowance (varies by state from $ 35 - 90 a month). For most, having the home is just not feasible and home gets sold with funds used in spend-down. Renting the home will have all sorts of problems as it could make them ineligible for Medicaid as it could make the home a non-exempt asset as it is income producing. If your state's program allows for rental, the rent would be a part of his months income steam and have to be used in his co-pay. imho the only way keeping their home works is if family has the financial resources to pay for everything on the home for the possible years & years of the rest of their elder's life and then either has a specialized deed situation or other exclusions to estate recovery so that Medicaid cannot place a claim or a lien on the property after their death (done by MERP and required to be done if they are on Medicaid). So really think hard about the long view on all this. None of this is simple or easy, good luck.
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.
Medicaid does not "take over" from Medicare. Medicaid is a different program for the poor in every state so hard to tell what your particular rules are. Check with a local senior center. Almost every senior center in the US has a volunteer that will help answer your questions.
The social worker at the NH was truly wonderful and helpful. This makes all the difference. And also as previously mentioned, the local Elder Care Services are a wealth of knowledge and support. Take care.
When someone goes into a nursing home on Medicare the clock starts ticking that first day. Eventually Medicare ends and this is where the Medicaid will pick up as long as you're applying for it.
Medicaid is state run and will have specific income & asset limits to be eligible.
Most states have it at 2K in non-exempt assets & 2K in monthly income as that it the benchmark for being "at-need" or impoverished. If dad has a home, he can keep it as a exempt asset. But he will not have any income to pay for anything on the house as medicaid requires him to do a co-pay or an "SOC" share of cost in Medicaid-speak of all his monthly income to the NH less a small personal needs allowance (varies by state from $ 35 - 90 a month). For most, having the home is just not feasible and home gets sold with funds used in spend-down. Renting the home will have all sorts of problems as it could make them ineligible for Medicaid as it could make the home a non-exempt asset as it is income producing. If your state's program allows for rental, the rent would be a part of his months income steam and have to be used in his co-pay. imho the only way keeping their home works is if family has the financial resources to pay for everything on the home for the possible years & years of the rest of their elder's life and then either has a specialized deed situation or other exclusions to estate recovery so that Medicaid cannot place a claim or a lien on the property after their death (done by MERP and required to be done if they are on Medicaid). So really think hard about the long view on all this. None of this is simple or easy, good luck.