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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:
My sister has dementia & we need to find out if she qualifies for Medicaid to get help with long term care. Either home health assistance or assisted living facilities.
Medicaid is an “at need” program so she will have to be both medically and financially at need for the type of Medicaid program. And the administration of & type of programs available is dependent on your state as they manage Medicaid although the $ is joint federal & state funding. You need to google your states Medicaid site to see how exacting the “at need” requirements are for the program your thinking about for her.
Most states Medicaid do NOT pay for AL. AL - like IL - is only private pay. Unless Sissy can qualify for Section 8 type of IL housing for seniors. All states Medicaid have to pay for Skilled nursing care- aka a NH - as that is dedicated (required) funding by the feds but the states can determine eligibility within overall federal guidelines. Financially you have to be low or lower income for community based programs (like in home services/IHHS, or community day centers/PACE) or impoverished (under 2k in nonexempt assets for a widow or widower) for in facility LTC care. States can require up to 5 years of financials to determine eligibility.
Often community based programs require them to be “duals” (on both Medicare and Medicaid) as between the M&Ms all billing is done.
Finances are what most folks fret about but the medical at need is equally important and can pose more hurdles. Some states allow a wide latitude for being at need medically. Others not so. Based on what others have posted on this site, CA is now only finding medically “at need” to be those hospitalized (Medicare) then discharged to a NH for post hospitalization rehab (a Medicare benefit) and then found “at need” to stay in the NH to be ok for LTC facility Medicaid (From a policy & planning viewpoint this makes total sense to do imo). If CA does this other states will do it as well. While other states allow for them to move from their home or IL into a NH as Medicaid Pending without being in AL or hospital prior (this is the situation I dealt with for my mom as she did the jump to hyperspace from IL to a NH bypassing the AL phase) if they can document need in their medical chart.
Having some dementia and needing help with ADLs will not be enough in my experience to be eligible for Medicaid in a NH LTC facility. It can be enough for community based type of programs if your state funds those. So.... What does her health chart look like? What does her finances look like? And has she done the legal needed - DPOA, MPOA, HIPPA, signature on her banking - to allow you -her sister- access to her finances and medical? Does she have kids & if so where are they in all this and ok on your involvement?
Thank you so much for sharing your knowledge it is much appreciated. We live in IL and her 2 adult children and I are trying to help her. She no longer owns a home.
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.
Most states Medicaid do NOT pay for AL. AL - like IL - is only private pay.
Unless Sissy can qualify for Section 8 type of IL housing for seniors.
All states Medicaid have to pay for Skilled nursing care- aka a NH - as that is dedicated (required) funding by the feds but the states can determine eligibility within overall federal guidelines. Financially you have to be low or lower income for community based programs (like in home services/IHHS, or community day centers/PACE) or impoverished (under 2k in nonexempt assets for a widow or widower) for in facility LTC care. States can require up to 5 years of financials to determine eligibility.
Often community based programs require them to be “duals” (on both Medicare and Medicaid) as between the M&Ms all billing is done.
Finances are what most folks fret about but the medical at need is equally important and can pose more hurdles. Some states allow a wide latitude for being at need medically. Others not so. Based on what others have posted on this site, CA is now only finding medically “at need” to be those hospitalized (Medicare) then discharged to a NH for post hospitalization rehab (a Medicare benefit) and then found “at need” to stay in the NH to be ok for LTC facility Medicaid (From a policy & planning viewpoint this makes total sense to do imo). If CA does this other states will do it as well. While other states allow for them to move from their home or IL into a NH as Medicaid Pending without being in AL or hospital prior (this is the situation I dealt with for my mom as she did the jump to hyperspace from IL to a NH bypassing the AL phase) if they can document need in their medical chart.
Having some dementia and needing help with ADLs will not be enough in my experience to be eligible for Medicaid in a NH LTC facility. It can be enough for community based type of programs if your state funds those. So....
What does her health chart look like?
What does her finances look like?
And has she done the legal needed - DPOA, MPOA, HIPPA, signature on her banking - to allow you -her sister- access to her finances and medical?
Does she have kids & if so where are they in all this and ok on your involvement?