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Who are you caring for?
Which best describes their mobility?
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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?
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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.
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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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Occasionally, doctors don't take Medicaid, but in many cases the doctors who take Medicare also take Medicaid. As with many of these issues, much depends on the state where the person lives. Carol
Yes as MoE said, the "2 M's" all are run under each states specific rules. Medicare and Medicaid co-exist and cover different things.
NH have their own medical director who sees the residents and if needed puts in a consult request to other MD's, like a nephrologist, psych, etc. If the NH takes Medicare and Medicaid, the medical director takes them as payment.
The medical directors and other MD visits in the NH are being billed to Medicaid and Medicare Part B and also through any secondary insurance (Blue Cross) if the NH resident has that.
If you want to take them to another doctor, you can do that. BUT keep in mind that you will need to be the one actually doing that and paying for whatever their insurance doesn't pay. The NH staff won't do it because they have an MD on staff.
My mom, on Medicaid & in a NH, still see's her preNH opthalmologist. I take her for the 2 part visit every year. He does not take Medicaid or do any out-of-office calls (like to a AL or NH). He bills her Medicare and her Blue Cross. He does not see any patients who only have just Medicare. Patients have to have another billable policy/Medicare supplement policy in order to get an appointment. This seems to be really common among specialists. The reinbursement and paperwork is so that it isn't viable for most MD's to take just Medicare.
You should have a care plan meeting scheduled @ the NH so that your concerns regarding the doctors is discussed and explained. Most NH/LTC facilities have care plan meeting every 90 days for each resident but you can request one at any time.
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.
Carol
NH have their own medical director who sees the residents and if needed puts in a consult request to other MD's, like a nephrologist, psych, etc. If the NH takes Medicare and Medicaid, the medical director takes them as payment.
The medical directors and other MD visits in the NH are being billed to Medicaid and Medicare Part B and also through any secondary insurance (Blue Cross) if the NH resident has that.
If you want to take them to another doctor, you can do that. BUT keep in mind that you will need to be the one actually doing that and paying for whatever their insurance doesn't pay. The NH staff won't do it because they have an MD on staff.
My mom, on Medicaid & in a NH, still see's her preNH opthalmologist. I take her for the 2 part visit every year. He does not take Medicaid or do any out-of-office calls (like to a AL or NH). He bills her Medicare and her Blue Cross. He does not see any patients who only have just Medicare. Patients have to have another billable policy/Medicare supplement policy in order to get an appointment. This seems to be really common among specialists. The reinbursement and paperwork is so that it isn't viable for most MD's to take just Medicare.
You should have a care plan meeting scheduled @ the NH so that your concerns regarding the doctors is discussed and explained. Most NH/LTC facilities have care plan meeting every 90 days for each resident but you can request one at any time.