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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:
If your mom is eligible for home health services through Medicare, not Medicaid, it would be under one of two circumstances. One circumstance, she has been in the hospital or rehab and a doctor orders home health until her wound heals or she recovers from the illness that caused her to seek treatment. That is covered under Part A of Medicare. This care consists of an RN to assess the care needed, Usually an LVN once a week, a CNA to provide personal care a few times a week for a bath and Physical or Occupational Therapist as ordered. All of these providers have multiple patients. They only spend 20 or 30 minutes per visit. Sometimes more, sometimes less. So even if you worked for them, you would have multiple patients and would need certification/license as your state dictates as an RN, LVN, CNA, etc. The CNA is the one requiring least training and the one spending the most time with each patient as a rule. So if you were a CNA and worked for a home health company you would be paid by the company, not Medicare and you would spend a short amount of time with your mom each visit, usually two or three times a week. Then you would be off to see your other patients.
Medicare also pays for patients who are considered home bound. This is covered by Part B. Both my mom and my DH aunt had home bound coverage for years. This doesn’t mean they are bed bound, just that they can’t easily leave home, usually have mobility issues, use a cane, walker etc., My mom didn’t use either when she began using home health. The doctor has to order it and a nurse from the home health will do an assessment and determine what care is needed that they provide. Then every 6 weeks or so the RN will do a recertification to continue the care if appropriate.
Now all this I have described is under original Medicare not a Medicare Advantage plan. The Medicare Advantage plans called Part C, offer home health but the ones I have had any dealings with are totally different from original Medicare. Each Medicare Advantage Plan is different depending on geography and what the private insurer provides. My friends sister has an advantage plan and the nurses just made a phone call after an initial visit and provided no cna. But that could be totally different in your area. You have to check with your moms insurer if she has an advantage plan.
I just looked at the link JoAnn and MG provided and it appears to be the same that I am familiar with.
Ask your mom’s doctor to order home health for your mom. The services they provided were very helpful for my LOs and me as a long distance caregiver. If she has seen the doctor recently, you should be able to call and request over the phone.
If your click on the link provided on the site recommended, you can find the way to access the home health companies in your moms zip code. Call a few of them to discuss your mom’s situation and see what you learn. The company I worked with would fax the orders they needed to have signed to the doctor for approval. The patient has to have seen the doctor or plans to see the doctor w/n a certain time frame to initiate coverage. I used Telemed visits and virtual visits to keep my LOs coverage going for years.
Medicare does not pay for full-time aides. The one time they do pay is if a Dr orders "in home" care. That is usually for Physical Therapy, treating a wound, etc. Its temporary and an aide only comes out a couple times a week to bathe the client.
An independent aide cannot get Medicare certified, it doesn't work that way. Its usually a provider, like a doctor, hospital or clinic that applies. This way they can bill Medicare. It works the same for Medicaid. Where I live, our EMTs and ambulance squad can bill Medicare. But they use a billing company.
"A doctor or other health care provider (like a nurse practitioner) must assess you face-to-face before certifying that you need home health services. A doctor or other health care provider must order your care, and a Medicare-certified home health agency must provide 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.
If your mom is eligible for home health services through Medicare, not Medicaid, it would be under one of two circumstances. One circumstance, she has been in the hospital or rehab and a doctor orders home health until her wound heals or she recovers from the illness that caused her to seek treatment. That is covered under Part A of Medicare. This care consists of an RN to assess the care needed, Usually an LVN once a week, a CNA to provide personal care a few times a week for a bath and Physical or Occupational Therapist as ordered. All of these providers have multiple patients. They only spend 20 or 30 minutes per visit. Sometimes more, sometimes less. So even if you worked for them, you would have multiple patients and would need certification/license as your state dictates as an RN, LVN, CNA, etc. The CNA is the one requiring least training and the one spending the most time with each patient as a rule. So if you were a CNA and worked for a home health company you would be paid by the company, not Medicare and you would spend a short amount of time with your mom each visit, usually two or three times a week. Then you would be off to see your other patients.
Medicare also pays for patients who are considered home bound. This is covered by Part B. Both my mom and my DH aunt had home bound coverage for years. This doesn’t mean they are bed bound, just that they can’t easily leave home, usually have mobility issues, use a cane, walker etc., My mom didn’t use either when she began using home health.
The doctor has to order it and a nurse from the home health will do an assessment and determine what care is needed that they provide. Then every 6 weeks or so the RN will do a recertification to continue the care if appropriate.
Now all this I have described is under original Medicare not a Medicare Advantage plan. The Medicare Advantage plans called Part C, offer home health but the ones I have had any dealings with are totally different from original Medicare. Each Medicare Advantage Plan is different depending on geography and what the private insurer provides. My friends sister has an advantage plan and the nurses just made a phone call after an initial visit and provided no cna. But that could be totally different in your area. You have to check with your moms insurer if she has an advantage plan.
I just looked at the link JoAnn and MG provided and it appears to be the same that I am familiar with.
Ask your mom’s doctor to order home health for your mom. The services they provided were very helpful for my LOs and me as a long distance caregiver. If she has seen the doctor recently, you should be able to call and request over the phone.
If your click on the link provided on the site recommended, you can find the way to access the home health companies in your moms zip code. Call a few of them to discuss your mom’s situation and see what you learn. The company I worked with would fax the orders they needed to have signed to the doctor for approval.
The patient has to have seen the doctor or plans to see the doctor w/n a certain time frame to initiate coverage. I used Telemed visits and virtual visits to keep my LOs coverage going for years.
An independent aide cannot get Medicare certified, it doesn't work that way. Its usually a provider, like a doctor, hospital or clinic that applies. This way they can bill Medicare. It works the same for Medicaid. Where I live, our EMTs and ambulance squad can bill Medicare. But they use a billing company.
Here is what Medicare will do.
https://www.medicare.gov/coverage/home-health-services
"A doctor or other health care provider (like a nurse practitioner) must assess you face-to-face before certifying that you need home health services. A doctor or other health care provider must order your care, and a Medicare-certified home health agency must provide it."
This lists all of the specifics:
https://www.medicare.gov/coverage/home-health-services