Are you sure you want to exit? Your progress will be lost.
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.*
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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:
Medicaid may not “take over”. What can happen depends on your eligibility.
Rehab is paid by health insurance. For most over 65, they are using Medicare as their primary and then have a secondary or supplemental or gap health insurance to go with their Medicare. For most, the Medicare Part A premium is free and their Part B is taken from their SS income. The secondary will be something like BCBS, Humana, United.
Only if they are low income or a specific disease can they apply to have Medicaid as their secondary health insurance. You need to go onto your States Medicaid as health insurance site to see what is needed for you to be eligible for Medicaid as health insurance. If you do both Medicare and Medicaid as health insurance., you are considered a “dual” for health insurance billing . In theory if you are a dual, all costs covered for things billable to health insurance as long as your providers take both Medicare and Medicaid.
Now if they left Original Medicare to go onto a Medicare Advantage Plan, how they pay and deal with cost totally depends on the Plan. There are Advantage Plans set up for “duals”.
Neither MediCARE or MedicAID as health insurance will cover custodial and residential costs. This is done by the LTC Medicaid program as it is a separate program that will cover and pay the room&board residential cost for a facility like a NH. This is a different program, application and eligibility than Medicaid as health insurance. It is not automatic eligibility if you are on Medicaid for health insurance coverage to also be eligible for LTC Medicaid.
LTC Medicaid has both financial AND medical “at need” requirements. Eligibility is pretty narrow. For most States, income under $2901 a mo. and no more than 2K in nonexempt assets. The application has a lot of documentation required. If $ or assets gifted there will be penalties. If you are over in assets, you have to spend down till you are basically impoverished if you are an individual unmarried / or widowed applicant.
If you are a “dual” in rehab, and about to be discharged but cannot return home due to your care plan, so are now medically “at need” and also are financially “at need”, then you would apply for LTC Medicaid. It is not automatically done. Admissions at the NH should be able to help you with your application.
If rehab is finished and you want mom to stay in the long term care section of the facility, you then have to apply for Medicaid to pay the cost. Medicare pays for only the rehab portion.
Rehab is covered, almost always, by Medicare. The number of days is limited per protocols that are spelled out in the Medicare sites. Medicaid will come to the fore if there is more therapy needed as an outpatient, or if it deemed and diagnosed as something that would be helpful.
Each case is different. You don't here give us any information, which limits our ability to help you. So I will tell you that if you have a loved one currently getting rehab as this question and all others of the Social Workers and Discharge Planners involved. If you are MPOA this will be expedited. If you are otherwise the nearest next of kin this will be expedited. You will be included in care plans and discharge plans FROM THE BEGINNING of the rehab situation.
I wish you the best. If you want more specific answers from us then the situation should be explained to us in some detail, but your best answers will come from the current medical team involved.
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.
Rehab is paid by health insurance. For most over 65, they are using Medicare as their primary and then have a secondary or supplemental or gap health insurance to go with their Medicare. For most, the Medicare Part A premium is free and their Part B is taken from their SS income. The secondary will be something like BCBS, Humana, United.
Only if they are low income or a specific disease can they apply to have Medicaid as their secondary health insurance. You need to go onto your States Medicaid as health insurance site to see what is needed for you to be eligible for Medicaid as health insurance. If you do both Medicare and Medicaid as health insurance., you are considered a “dual” for health insurance billing . In theory if you are a dual, all costs covered for things billable to health insurance as long as your providers take both Medicare and Medicaid.
Now if they left Original Medicare to go onto a Medicare Advantage Plan, how they pay and deal with cost totally depends on the Plan. There are Advantage Plans set up for “duals”.
Neither MediCARE or MedicAID as health insurance will cover custodial and residential costs. This is done by the LTC Medicaid program as it is a separate program that will cover and pay the room&board residential cost for a facility like a NH. This is a different program, application and eligibility than Medicaid as health insurance. It is not automatic eligibility if you are on Medicaid for health insurance coverage to also be eligible for LTC Medicaid.
LTC Medicaid has both financial AND medical “at need” requirements. Eligibility is pretty narrow. For most States, income under $2901 a mo. and no more than 2K in nonexempt assets. The application has a lot of documentation required. If $ or assets gifted there will be penalties. If you are over in assets, you have to spend down till you are basically impoverished if you are an individual unmarried / or widowed applicant.
If you are a “dual” in rehab, and about to be discharged but cannot return home due to your care plan, so are now medically “at need” and also are financially “at need”, then you would apply for LTC Medicaid. It is not automatically done. Admissions at the NH should be able to help you with your application.
Each case is different.
You don't here give us any information, which limits our ability to help you.
So I will tell you that if you have a loved one currently getting rehab as this question and all others of the Social Workers and Discharge Planners involved. If you are MPOA this will be expedited. If you are otherwise the nearest next of kin this will be expedited. You will be included in care plans and discharge plans FROM THE BEGINNING of the rehab situation.
I wish you the best.
If you want more specific answers from us then the situation should be explained to us in some detail, but your best answers will come from the current medical team involved.