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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.
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Have you asked the current Hospice agency? The details for these things vary between states, and probably between agencies even in the same state. Hospice will know their own rules and should be able to recommend an agency in the new state and work out the paperwork transfer details with them.
If you want to know how the move will be done physically, you may need to arrange that yourselves, but ask the current agency before you get too far into it. Clearly the physical transfer arrangement of your 'elderly person' will depend on how far it is between the old and the new. NY to LA is a very different matter from 'just over the border' for neighboring states.
Assuming this is an in-home hospice AND they are able physically move to the new State (they are ambulatory enough to travel safely), you could have them enroll with a hospice group that is in both States. & Medicare is being billed for hospice. VITAS is the biggest hospice provider in the US. If ViTAS has service area in both places, that’s who I’d go with. This way you get a “continuity of care” done within VITAS as all the info on the patient is within the bigger VITAS database.
Medicare is a federal so crosses State lines for billing. Hospice is a Medicare Part A benefit. So it is “self directed” which means you as the person enrolled on MediCARE can choose the vendor to provide the service. This tends to be really downplayed by hospice……. families end up going with whomever is the main hospice group the hospital or the physician or the NH knows of and refers to. But you can switch hospice providers. And it’s on both hospice companies to do the paperwork needed once you tell them there will be a change.
What you could use for the rationale for the move, is that by being in the new State enables many more family members be able to be in the home for oversight & care for the hospice individual for the period of time when hospice staff is not present. which is a requirement.
BUT if the elder is in a facility, like in a SNF/NH, and is on hospice and is not totally ambulatory, that is a totally different situation. That is way waaaaaaay complicated. Personally I don’t see this happening unless there is a ton of $$$$ both the individual on hospice has and/ or their family has.
The question is why would they want to move? Or does someone else want them moved?
If on hospice, it seems better for their loved ones to visit them where they are rather than move them. A dying person should be left in peace to come to terms with leaving this plane, not expected to uproot themselves. Moving is a hassle for anyone, much less for someone in a weakened condition. I'd veto this idea for all the above reasons.
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.
If you want to know how the move will be done physically, you may need to arrange that yourselves, but ask the current agency before you get too far into it. Clearly the physical transfer arrangement of your 'elderly person' will depend on how far it is between the old and the new. NY to LA is a very different matter from 'just over the border' for neighboring states.
Details will help us here. Tell us all about the plan and the need for a move.
Medicare is a federal so crosses State lines for billing. Hospice is a Medicare Part A benefit. So it is “self directed” which means you as the person enrolled on MediCARE can choose the vendor to provide the service. This tends to be really downplayed by hospice……. families end up going with whomever is the main hospice group the hospital or the physician or the NH knows of and refers to. But you can switch hospice providers. And it’s on both hospice companies to do the paperwork needed once you tell them there will be a change.
What you could use for the rationale for the move, is that by being in the new State enables many more family members be able to be in the home for oversight & care for the hospice individual for the period of time when hospice staff is not present. which is a requirement.
BUT if the elder is in a facility, like in a SNF/NH, and is on hospice and is not totally ambulatory, that is a totally different situation. That is way waaaaaaay complicated. Personally I don’t see this happening unless there is a ton of $$$$ both the individual on hospice has and/ or their family has.
If on hospice, it seems better for their loved ones to visit them where they are rather than move them. A dying person should be left in peace to come to terms with leaving this plane, not expected to uproot themselves. Moving is a hassle for anyone, much less for someone in a weakened condition. I'd veto this idea for all the above reasons.