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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.
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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.
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Urostomy Care is taught to the family to do on their own, as you said your mom was taught to do. Medicare nor the VA will consider this “skilled nursing”. If your mother can demonstrate to a nurse that she can do the change (which is not very difficult) then she is considered not to need the help.
Is he seeing a doctor at the VA that has ordered the dressing change? Have you called a Patient Advocate? You can ask about Home Based Primary Care if it is difficult for him to get to the VA or the CBOC (Community Based Outpatient Clinic) for visits. If he still needs dressing changes after a period of time that is normal there may be a problem that needs to be addressed other than just dressing changes. And are the dressing changes something that you could do yourself?
Hi i live on the East coast and he is in AZ, so I cannot help. He has a urostomy which requires twice weekly changes. I said dressing to make it easier. So his bag and apparatus that it attaches to on his abdomen need to be changed/replaced. My mother has been doing this for almost 20yrs but her Alzheimer’s is getting to where she can’t do it well enough anymore. Home care has been seeing him 2x week for almost 2 months but are concerned that Medicare won’t cover an extension. My Edas goes to the community clinic at VA for his eye exams. I read that the VA also will send home care. Just wondering how to apply.
Why won't Medicare pay anymore? I know you can't have Medicare and VA aid at same time. However, at age 90 the Veteran is supposed to be fast tracked thru the system. They are only supposed to have a certain amount of time to answer (6 months), but with his age, skip your local and go straight to the VA admin office.
You can have Medicare and the VA at the same time. My dad has both. Medicare only covers intermittent home care, it’s not a long term benefit they provide.
How do get an advocate at the VA for my father? Do I go thru his local VA or is it centralized somewhere? He’s 98 yrs old. Living in his own home with my mother. She has Alzheimer’s. They can do their own self care.
Changing an ostomy bag; especially as this is not recent development, is probably not considered skilled care. It is not a sterile dressing. The fact that your mother used to be able to do it but not any more, is likely not their concerned. If they did cover it, what is the reason for the denial. You may have to arrange a home care visit and pay out of pocket for this.
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.
Have you called a Patient Advocate?
You can ask about Home Based Primary Care if it is difficult for him to get to the VA or the CBOC (Community Based Outpatient Clinic) for visits.
If he still needs dressing changes after a period of time that is normal there may be a problem that needs to be addressed other than just dressing changes.
And are the dressing changes something that you could do yourself?
i live on the East coast and he is in AZ, so I cannot help. He has a urostomy which requires twice weekly changes. I said dressing to make it easier. So his bag and apparatus that it attaches to on his abdomen need to be changed/replaced. My mother has been doing this for almost 20yrs but her Alzheimer’s is getting to where she can’t do it well enough anymore. Home care has been seeing him 2x week for almost 2 months but are concerned that Medicare won’t cover an extension. My Edas goes to the community clinic at VA for his eye exams. I read that the VA also will send home care. Just wondering how to apply.
Check out these websites:
https://www.forbes.com/sites/nextavenue/2017/11/10/the-long-term-care-benefit-many-veterans-are-missing-out-on/#1fb932be6c23
And here too:
https://www.veteranaid.org/about.php
I hope this helps.