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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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I consent to the collection of my consumer health data.*
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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:
We just did LTC Medicaid application for my husband's sibling. Sibling signed a form at the time allowing my husband to act on his behalf in dealing with the state dhhs. Hubby had to send copy of poa with the packet of financial information that was requested for the financial eligibility portion of the application. I would suspect other states' Medicaid systems have something similar
AnnReid, I agree with your tact . In my experience some social workers are so busy they don't have time for personal interaction, especially during the virus lockdown. And I think it also depends on if the senior lives in a very populous county where the social workers are overloaded or not. We were lucky, my MIL lived just outside the suburban ring so she got good personal interaction BUT the Medicaid people were extremely hard to talk to live (sometimes I'd get calls from them at 6:30pm and other weird hours) and it was very cut and dry — sort of like dealing with the IRS. Them "getting to know" applicants or hearing applicants' "personal stories" has absolutely no bearing on someone's qualifying or how fast an app is processed — they cannot release much other info to applicants and are bound by their internal rules as to what they can do for you. It was a shock to go from the friendliness and helpfulness of our assigned social case worker to dealing with the Medicaid office. Completely different experiences, so have tempered expectations.
I've gotten by with simply explaining to my MIL's contact people that I am "advocating" (use that word specifically) for someone, plus when asked, providing the PoA. FYI some institutions will only accept meeting actual named PoA in person with the original paperwork in hand (such as banks and some investment entities) and other times I've had to mail in my original and it was returned. It depends on your county, state, and organization you are interacting with.
A general comment, but it has worked VERY WELL for me.
If you are able, and conveniently do so, contacts made person to person have worked much better for me than anything I ever did on line or mailed in.
I have a 2 paragraph statement written by a geriatric psychiatrist that states that my dependent relative is incapable of managing her own affairs, and that I am responsible for her.
The combination of that statement and my POA has opened every door and made every connection that I’ve needed to make in the past 2 1/2 years.
If you NEED to provide a POA, make a copy of it and send that. In my state I have the only copy of the POA that has the legal stamp on it.
When I filled out the Medicaid app (that they send you or you can download) for my MIL there is an area where the applicant can designate a representative to provide the applicant's information. They never asked us for PoA proof on the form I filled out in 2016.
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.
I've gotten by with simply explaining to my MIL's contact people that I am "advocating" (use that word specifically) for someone, plus when asked, providing the PoA. FYI some institutions will only accept meeting actual named PoA in person with the original paperwork in hand (such as banks and some investment entities) and other times I've had to mail in my original and it was returned. It depends on your county, state, and organization you are interacting with.
If you are able, and conveniently do so, contacts made person to person have worked much better for me than anything I ever did on line or mailed in.
I have a 2 paragraph statement written by a geriatric psychiatrist that states that my dependent relative is incapable of managing her own affairs, and that I am responsible for her.
The combination of that statement and my POA has opened every door and made every connection that I’ve needed to make in the past 2 1/2 years.
If you NEED to provide a POA, make a copy of it and send that. In my state I have the only copy of the POA that has the legal stamp on it.