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There are some good suggestions above. I hope you can find some help. If it doesn't work out though, I would discuss the the shared room with the facility. Before my LO got a shared room, I thought it might be problematic, as she was a highly private person but, as it turned out, it was fine. I learned that the residents spent hardly any time in their room, except for sleeping. They mainly are out and about in the activity room, watching tv in the media room, having meals and snacks in the dining room or out on the patio outside.
I’m going to approach this from another angle as Medicaid payment is designed for shared rooms..... probably the simplest is to see if your states Medicaid allows for family to private pay the MC the difference between a private room and a Medicaid shared room and you do this with an autopay drawn from your bank account; OR could dad get orders from his MD or a geriatric psychiatrist that single room status is needed for his mental health. This does run a level of risk as it changes the level of care needed in his health records; OR does this MC have “odd” floorplan rooms? my moms 2nd NH had the rooms at the end of each hallway with smaller dimensions due to stairwell & equipment closet. They were made to be single rooms occupied by males who had a community spouse who “visited” & no issue for Medicaid to pay as room size was such that 2 beds, etc could not fit into room. My mil old NH was in a historic zone and the floor plans in her area had them all in single person mini suites with shared jack&jill bathroom that opened onto community balcony & floorplan could NOT be changed due to historic district status. (Place was awesome & she hated it but thats another issue).
You probably will find that switching to VA A&A - rather than staying on Medicaid - will mean a shortfall in $ to pay. If say his MC is 8k a mo, Medicaid pays all plus whatever is his copay / SOC; A&A at $ 1800 plus his monthly copay / SOC from SS or pensions more than likely won’t add up to 8k so there will be a “gap” that must be private paid in some way. A&A for NH works well if they are still in spenddown mode before being eligible for Medicaid though. My understanding is that VA won’t pay A&A if Medicaid is being drawn but instead VA does pay a separate VA personal need allowance of $90 a mo. So dad would have 2 PNAs each mo.
Have you applied for (or is he receiving) AID AND ATTENDANCE? If not, and he meets the requirements, serveed during one of the major military conflicts, at least one day during the actual time period, was honorably discharged, and meets the financial requirements as well, then he should qualify for A&A, and can get up to 1,760 dollars.
The filing process to recieve the benifits isn't too bad, and can take up to 10 months or so to receive, but I filed for my FIL, using a lawyer who does nothing but A&A fillings, and it did cost my FIL 700 dollars for them to represent him, but they do make sure that All of the ppwk is turned in correctly, and they do support him with any assistance on his claim, for the rest of his life should there ever be any sort of updates or questions later on.
Using the Lawyer , they were able to fast track his application through anew expedited program called "fully developed claim", and my FIL recieved his full Veterans pension (A&A) in only 7 weeks.
This money went a long way in helping to pay his rent in Assisted living. I'm not sure how it would work in paying for a Private Room, but I don't see why not?
You should definitely inquire if he isn't already receiving this little known Veterans benifit!
You can do the application online for free through Veterans Affairs, or with the help of you local VFW group, but do make sure you go the FDC, to recieve his military pension money's swiftly.
I assume he's getting medical benefits through the VA? If so, contact his team leader and ask to speak with the social worker who works for that team. I've found them to be very knowledgeable and helpful about what might be available for enrolled Veterans.
Does he have any service connected disabilities? You could get some extra funds if he does, and they could be applied toward a private room.
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.
You probably will find that switching to VA A&A - rather than staying on Medicaid - will mean a shortfall in $ to pay. If say his MC is 8k a mo, Medicaid pays all plus whatever is his copay / SOC; A&A at $ 1800 plus his monthly copay / SOC from SS or pensions more than likely won’t add up to 8k so there will be a “gap” that must be private paid in some way. A&A for NH works well if they are still in spenddown mode before being eligible for Medicaid though. My understanding is that VA won’t pay A&A if Medicaid is being drawn but instead VA does pay a separate VA personal need allowance of $90 a mo. So dad would have 2 PNAs each mo.
The filing process to recieve the benifits isn't too bad, and can take up to 10 months or so to receive, but I filed for my FIL, using a lawyer who does nothing but A&A fillings, and it did cost my FIL 700 dollars for them to represent him, but they do make sure that All of the ppwk is turned in correctly, and they do support him with any assistance on his claim, for the rest of his life should there ever be any sort of updates or questions later on.
Using the Lawyer , they were able to fast track his application through anew expedited program called "fully developed claim", and my FIL recieved his full Veterans pension (A&A) in only 7 weeks.
This money went a long way in helping to pay his rent in Assisted living. I'm not sure how it would work in paying for a Private Room, but I don't see why not?
You should definitely inquire if he isn't already receiving this little known Veterans benifit!
You can do the application online for free through Veterans Affairs, or with the help of you local VFW group, but do make sure you go the FDC, to recieve his military pension money's swiftly.
I hope this helps! Good Luck
Does he have any service connected disabilities? You could get some extra funds if he does, and they could be applied toward a private room.