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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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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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Don't transfer mom's money to your name. Medicaid, when needed, would find the transfer then penalize mom the equivalent until they will begin covering her expenses. Use that money to pay for her care, then apply for Medicaid.
Call her primary. He can order and evaluation with a homecare facility that is able to bill Medicare. I am surprised if she was in over 3 days that rehab wasn't mentioned in a facility or at home. With her history she may be able to have PT/OT. If she qualifies, you may be able to get an aide with the facility but only for the time she has therapy.
Kittysue, is your mom coming home from a hospital stay, or does this social worker work with Area Agency on Aging/Dept. of Aging (or equivalent)?
Typically people pay out of pocket unless their elder demonstrates financial & medical need (per state's rules, usually done through AAA or Dept. of Aging) or if the person qualifies for VA program or Medicaid.
However sometimes when an elderly person goes home from the hospital, Medicare will cover a few visits from PT, OT, and/or aide.
It depends on what she is in the hospital for, if they feel she needs at home care. If so, then her Medicare Insurance will usually pay for a certain number of visit for a nurse and Physical Therapist to come to her home. This is usually only a few times a week, and visits are usually no more then an hour or so. If she was in for something pretty serious they might send her to a rehab center. If it's not that serious, they may just send her home with specific instructions. If you feel she needs full time care, then she might have to pay for it out of pocket.
I'd find out why the hospital feels she doesn't need at least a visiting nurse or physical therapist. Then I'd get with your area on aging yourself to find out what sorts of resources are available in your state for our mom. Good Luck!
If your mother was hospitalized for an acute condition that requires skilled nursing/home care - ie wound dressing changes, post op hip replacement, etc and her physician agrees she needs it, she can receive nursing, OT, PT services for a limited time until she gets better and the home care staff have educates you, your family and mom to handle care and the acute episode is resolved. That kind of home care is usually 60 days or less if she recovers. This too depends on her insurance - Medicare is usually 60 days but some commercial insurance limit the amount of visits according to her diagnosis. If you mean home health care such as CNA's to assist with bathing, dressing and general supervision, those services are usually private pay (the family pays). Very few insurances cover aides or sitters; Medicare & Medicaid definitely do not. Those services are family/patient out of pocket expenses.
She is fortunate to have money in her account. I hope she gets well quickly! Maybe have a family meeting and discuss your mom's care going forward so you can all set up a plan for the future and include your mom's wishes if she has verbalized those to you or your siblings. Yes it is very hard. My mother had no resources except me & my brother; no real estate, minimal savings, never worked but we made it. I wish you luck.
Georgia is a filial responsibility state. So if the Social Worker said family had to pay, that tells me family got some of her money within the last five years. That being the case, Medicaid will not pay and they impose a "penalty".
So picture this--if you saw a sign, "free help for the aged offered," would you expect it to be true? No, of course not. Anything that seems too good to be true as the saying goes generally is. So, yes, you are going to have to pay.
If she needs an aid to be around to help with daily living....there is no free help if the elder can pay for it themselves.
Medicare will pay for a nurse (an hour only every few days) or therapy (again, an hour only) if the Doc certifies her as home-bound.
Once the elder has total assets less than $2000 and income below $2000 monthly, then some in home help (very limited) can be had from Medicaid. OR move to a nursing home.
But...in home aide.....only if your mom can pay for it.
Next time someone tells you there is free help...get from them to give you detailed specifics....they will not have any because this is an urban myth.
Whether she is eligible for home care depends on her diagnosis. Her PCP can order home care from a certified home care agency if he feels she needs it but the visits are about 1-2 week for 1 hr per each discipline which would amount to 4 hrs per week. She may need nursing & therapy but if she recovered enough to be discharged home and not to a rehab center first, her doctors may not feel she needs it for too long, as you had said two weeks, which in my experience is probably sufficient for a diagnosis of pneumonia. Otherwise you can hire CNA's from an agency like Visiting Angels that would be private pay to stay with her while you start your new job for peace of mind. I would go that route as she would then spend her money on care givers which would be credited as a valid expense during her spend down if she may need Medicaid in the future and you would be able to concentrate and more comfortable leaving to go to work. From the sound of it her needs may be temporary.
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.
Typically people pay out of pocket unless their elder demonstrates financial & medical need (per state's rules, usually done through AAA or Dept. of Aging) or if the person qualifies for VA program or Medicaid.
However sometimes when an elderly person goes home from the hospital, Medicare will cover a few visits from PT, OT, and/or aide.
I'd find out why the hospital feels she doesn't need at least a visiting nurse or physical therapist. Then I'd get with your area on aging yourself to find out what sorts of resources are available in your state for our mom. Good Luck!
Medicare will pay for a nurse (an hour only every few days) or therapy (again, an hour only) if the Doc certifies her as home-bound.
Once the elder has total assets less than $2000 and income below $2000 monthly, then some in home help (very limited) can be had from Medicaid. OR move to a nursing home.
But...in home aide.....only if your mom can pay for it.
Next time someone tells you there is free help...get from them to give you detailed specifics....they will not have any because this is an urban myth.
Otherwise you can hire CNA's from an agency like Visiting Angels that would be private pay to stay with her while you start your new job for peace of mind. I would go that route as she would then spend her money on care givers which would be credited as a valid expense during her spend down if she may need Medicaid in the future and you would be able to concentrate and more comfortable leaving to go to work. From the sound of it her needs may be temporary.
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