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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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I'm a retired long term care administrator. I'm assuming that this person is not covered by Medicare, which only covers up to 100 days depending on the person's medical/therapy needs. Medicaid varies from state to state and many who have Medicaid as their insurance are on a HMO plan that specifies more clearly what is covered for short term. If this person does have Medicare coverage along with Medicaid, Medicaid will dovetail with Medicare, as Medicare is always the first to be billed for services (to spare the state budget, not to enlarge the facility's budget, but it does have a positive effect on the facility.) The discharge planner at the hospital will be able to explain what is covered for this person and the facility admission person can explain more specifically what to expect once admitted to the facility. If the person is being admitted for therapy, there is a generally predictable trajectory for recovery based on the basic reason for the therapy, other diagnoses that may impact the person's ability, motivation, age, etc. Once the person has reached what the therapy staff believe are the person's maximum potential (aka "plateau"), the person will be discharged from therapy and if there are no other medical needs that require "skilled nursing services" (as defined by Medicare and Medicaid), Medicare coverage will end. Medicaid will only continue if there is a need for non-skilled nursing services (or skilled nursing past the 100 days), including assistance with activities of daily living (bathing, dressing, toileting, etc.). What care is covered by Medicaid varies from state to state. Hope this helps. May God bless.
Short term care can go up to 100 days, but only if the patient is making progress. If "failure to progress" is noted, the patient converts to long term care, since treatment has not helped.
plzdnr, Please read Jimmo v HHS (2014). I just had a case where the NH stopped PT and I advised the patient to appeal. The facility immediately reinstated PT and the patient is making progress. I am an Ombudsman.
pamstegma, Thanks for adding this dimension to the discussion.Yes, Jimmo has relevance but has limited application. It does not give carte blanche to continued therapy without a bona fide clinical justification. In my experience, we would rely on Jimmo very rarely, but believe me, we used Jimmo to argue for further therapy as much as we could since it is certainly to the advantage of both the resident and the facility to continue therapy whenever justified. There is no downside to appealing the facility's (or increasingly is the case, the ins. co.'s decision on continued therapy, but an appeal will not automatically result in a reversal, as the rules still are the rules .
It is at the particular NH's discretion. My late mother was in the rehab unit of her NH for 10-12 days, only to be told she was deemed to well to stay at the NH AT ALL. They got it wrong, in fact dead wrong because less than 48 hours later she suffered a stroke there!
Not sure about Medicaid. I have found with my preemie GS and disabled nephew, they pay for everything. Mom is in rehab right now Medicare fully pays up to 20days after that 50% of the cost. With Medicare and her supplemental her cost will be $157 a day up to 100 days I think. After that, you pay. Told admitting that Mom can't afford to pay after 20days. Medicaid is not an option because she does have money but that has been set aside for her care at the AL. She still owns her home so bills, taxes and personal needs use up her SS and sm pension.
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.
May God bless.
Thanks for adding this dimension to the discussion.Yes, Jimmo has relevance but has limited application. It does not give carte blanche to continued therapy without a bona fide clinical justification. In my experience, we would rely on Jimmo very rarely, but believe me, we used Jimmo to argue for further therapy as much as we could since it is certainly to the advantage of both the resident and the facility to continue therapy whenever justified. There is no downside to appealing the facility's (or increasingly is the case, the ins. co.'s decision on continued therapy, but an appeal will not automatically result in a reversal, as the rules still are the rules .
You did not apply for Medicaid did you? Some NH and ALs, will try to convince family to apply in the hopes the resident will stay longer.