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Who are you caring for?
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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?
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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.
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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.
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The facility has no obligation to do out of state paperwork. Medicaid is run state by state. They have no obligation to arrange transport, because it is all at your personal expense. When you get to the new state, you start from square one on a new Medicaid application, with different rules at the new state. You dig up five years of financials and the other papers the new state wants. You can expect a waiting period of several months or even a complete denial. The patient does have a right to refuse the move. Sorry.
That is not what I am asking. The facility she is leaving refuses to do the paperwork in a timely matter or at all. So we cannot get her moved because they will not comply with what the state needs that she is going to. They are preventing her from transferring. They work to talk her out of it leaving, and they won't get the paperwork signed they won't return calls. They send only part of the paperwork so everything has to be updated again so the transfer can never happen
Also NH are regulated by the states. So NH in state A doesn't necessarily have to do or provide what NH in state B does. Medicaid is funded jointly feds & state, but administered uniquely by each state. So programs state A does may not be available in state B. It's somewhere that 60 -70% of NH stays are paid by state Medicaid. It's a real budget issue foratats, so taking in out of state residents is an issue. Medicare is federal so is portable from state to state IF the facility or provider takes Medicare. Medicare is more about hospitalization & medical provider costs. LTC costs like room & board is not a benefit of Medicare.
This site has really good articles on the M & M's btw.
Whitfield - what is going to be central in this is how the NH is going to be paid and their medical chart forwarded to new facility.
If they are totally private pay, then whatever admissions needs to make them a resident financially needs to be done. Could mean a deposit, admissions contract with financial responsibility signature done by local family/DPOA and 1st month paid in full. I'd say allow for 15-25k. If they are on Medicaid, they will need to become eligible for the new states Medicaid & this could be difficult or straightforward - it will all depend on the new states Medicaid program. Personally in my experience - unless there is a major emergency like from a natural disaster so the Feds require states to be accommodating (we dealt with this for my mil post hurricane Katrina) - they are going to be ineligible for admission as "medicaid pending" at the new NH so will be private pay till their new legal residency is established & they fully qualify for the new states Medicaid. And getting eligible & residency will not be simple.
For the medical, you would have their medical chart forwarded in advance do that the new NH can evaluate being able to provide care. They will look at the NCD codes to determine this along with with current care plan. If its a multi state corporate facility, this could be oodles easier & coordinated by social services.
Private pay much easier to do. Medicaid will be complicated IMO.
Transportation will be all on family to pay or do. Transfer or air ambulance will be pretty expensive.
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.
Medicaid is funded jointly feds & state, but administered uniquely by each state. So programs state A does may not be available in state B. It's somewhere that 60 -70% of NH stays are paid by state Medicaid. It's a real budget issue foratats, so taking in out of state residents is an issue.
Medicare is federal so is portable from state to state IF the facility or provider takes Medicare. Medicare is more about hospitalization & medical provider costs. LTC costs like room & board is not a benefit of Medicare.
This site has really good articles on the M & M's btw.
If they are totally private pay, then whatever admissions needs to make them a resident financially needs to be done. Could mean a deposit, admissions contract with financial responsibility signature done by local family/DPOA and 1st month paid in full. I'd say allow for 15-25k. If they are on Medicaid, they will need to become eligible for the new states Medicaid & this could be difficult or straightforward - it will all depend on the new states Medicaid program. Personally in my experience - unless there is a major emergency like from a natural disaster so the Feds require states to be accommodating (we dealt with this for my mil post hurricane Katrina) - they are going to be ineligible for admission as "medicaid pending" at the new NH so will be private pay till their new legal residency is established & they fully qualify for the new states Medicaid. And getting eligible & residency will not be simple.
For the medical, you would have their medical chart forwarded in advance do that the new NH can evaluate being able to provide care. They will look at the NCD codes to determine this along with with current care plan. If its a multi state corporate facility, this could be oodles easier & coordinated by social services.
Private pay much easier to do. Medicaid will be complicated IMO.
Transportation will be all on family to pay or do. Transfer or air ambulance will be pretty expensive.