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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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I agree with Barb. To my understanding Medicaid does not provide dental coverage. All I know is that when you go to a dentist’s office be prepared to pay out of pocket if need be. Often the dentist won’t proceed unless they know one way or another that they will get paid. Is there a university with a dental program near you? Sometimes the dental students run a program that provides care for reduced rate or free. They do basic dentistry ie extractions, teeth cleaning. That may be an option.
My husband's dental work was covered completely by Medicaid. So were his hearing aids. Not every dentist office accepts Medicaid in payment. We found a very nice practice that did.
We too got into a spot where Medicaid lapsed. I think I had not gotten the renewal app in on time. I think I had to reapply. The renewals are really easy (unlike the original application).
Discuss with the AL business office how renewals will be handled going forward, and also how the current lapse is being handled.
With ALs in my area, you have to pay private for 2 years, and if they have a room available, will take Medicaid. I would think a financial staff member can help you file but a lot of information is needed that will be your responsibility to provide. Once on Medicaid for AL care, the Medical is automatic. Medicaid provides the supplimental and prescription plans. Assuming the person is on Medicare. Mom was in a NH on Medicaid and I did not once see a bill for the doctors who saw her.
"Dental health is an important part of people's overall health. States are required to provide dental benefits to children covered by Medicaid and the Children's Health Insurance Program (CHIP), but states choose whether to provide dental benefits for adults."
Well, it does sound like the ball was dropped. Are you Mom's DPOA? Since dealing with the AL financial office isn't getting results, I'd contact Mom's Medicaid financial case worker directly. Ask about the status of her coverage, and if it has lapsed, why? How can it be remedied? Then you'll need to work out with AL who does what to get it reinstated. (If you have met the Medicaid social work case manager, you could call them, and they could investigate the financial side.)
There is an appeal process.
I'm sorry you are dealing with this kind of administrative snafu. You thought with Mom in an AL things would get easier. Let's hope that starts to happen soon!
Thank you all for replying. In IL they do offer dental. That's the thing. Poor mom was 100 percent approved for her procedures 2 weeks ago. We get there and this happened. She was so disappointed. The person who handles this where mom lives is not the friendliest person to talk with. Never any solid answers. Always I'll look into it..Dont worry. How can elderly people not worry. Do you think it sounds like she dropped the ball?
BTW, the private-pay for a certain number of months or years for AL coverage is a policy of the facility, not of Medicaid. They can say "Yes, we will accept Medicaid payments, but only for our own residents who have been with us at least X years." Or they can say, "No, we do not accept Medicaid payments at all." Or, "Yes, we'll accept Medicaid payments from day one." Totally up to the facility, so it pays to ask that when searching for an ALF. Just because one says no doesn't mean there aren't any in the area that will say Yes.
In New Jersey dental is covered. Mom should have a card proving it. Ask the admitting office if they have the card on file. If so, ask to have it since Mom uses her own doctors. I Didn't need Moms because the dentist came to the facility. Be aware, not all doctors except Medicaid.
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.
All I know is that when you go to a dentist’s office be prepared to pay out of pocket if need be. Often the dentist won’t proceed unless they know one way or another that they will get paid.
Is there a university with a dental program near you? Sometimes the dental students run a program that provides care for reduced rate or free. They do basic dentistry ie extractions, teeth cleaning. That may be an option.
We too got into a spot where Medicaid lapsed. I think I had not gotten the renewal app in on time. I think I had to reapply. The renewals are really easy (unlike the original application).
Discuss with the AL business office how renewals will be handled going forward, and also how the current lapse is being handled.
Can you elaborate on your question? Do you mean "dealing" with the medical part of Medicaid?
Does Medicaid ever cover dental care on your state? I don't think they do in mine.
Did you talk to the business office at the AL?
There is an appeal process.
I'm sorry you are dealing with this kind of administrative snafu. You thought with Mom in an AL things would get easier. Let's hope that starts to happen soon!
The person who handles this where mom lives is not the friendliest person to talk with. Never any solid answers. Always I'll look into it..Dont worry. How can elderly people not worry. Do you think it sounds like she dropped the ball?
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