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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?
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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.
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.
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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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Regarding too much $...... so is it that your parents have assets beyond what is allowed for couples? OR is their assets within Medicaid maximum but their monthly income is over Medicaid limits? OR is too much assets & income? Getting assets and income to be within Medicaid limits can be done but to me it’s a very different path to do it for assets vs. income. And if just dad is needing a facility but mom is fine and can easily stay living at home, it’s a lots more complicated math problem.
So what’s their backstory?
And does their states Medicaid program routinely pay for MC? Or is it that Medicaid pays for NH but for MC it is paid by a Medicaid waiver? For some states, MC - since it isn’t always skilled nursing care - it won’t qualify for dedicated Medicaid funding like a NH does.
The place to go for a good answer to your question is: the office of an Elder Law Attorney in your state. The Elder Law Attorney can explain how the Medicaid program can help your parents.
If the problem is "over - under" (meaning an income amount that is "over" the monthly amount that Medicaid would pay for care in a nursing home, but under the amount that is needed to pay the nursing home's "private pay" rate), the Elder Law Attorney can help your parents plan a monthly spend down program that will bring them into compliance with Medicaid regulations in your state.
If the problem is that your father can't afford memory care and an assisted living facility that can also accommodate your mother, consider whether home care can fill the gap. Again, the Elder Law Attorney should be familiar with home care programs that provide hours of care to supplement services provided by you or family members.
Guessing about your circumstances here can't provide specific solutions. An Elder Law Attorney can bring you understanding all of your options, if you take the time to explain your circumstances.
There is also a thing called financial separation. It is not a divorce but funds are counted separate. My sister and her late husband did this and medicaid paid for her NH care and still does. BIL has since passed away but her care continues. Since she has ALS she qualified for SSI which helped her a lot. BIL would visit nearly everyday. This may be something to discuss with the elder care attorney.
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.
OR is their assets within Medicaid maximum but their monthly income is over Medicaid limits?
OR is too much assets & income?
Getting assets and income to be within Medicaid limits can be done but to me it’s a very different path to do it for assets vs. income. And if just dad is needing a facility but mom is fine and can easily stay living at home, it’s a lots more complicated math problem.
So what’s their backstory?
And does their states Medicaid program routinely pay for MC?
Or is it that Medicaid pays for NH but for MC it is paid by a Medicaid waiver?
For some states, MC - since it isn’t always skilled nursing care - it won’t qualify for dedicated Medicaid funding like a NH does.
I think a lot of people fall through the cracks, between too much money and not enough to pay for care. Hugs to you.
Use some of that so-called excess money to consult an attorney specializing in Elder Law. The specialty is critical.
If the problem is "over - under" (meaning an income amount that is "over" the monthly amount that Medicaid would pay for care in a nursing home, but under the amount that is needed to pay the nursing home's "private pay" rate), the Elder Law Attorney can help your parents plan a monthly spend down program that will bring them into compliance with Medicaid regulations in your state.
If the problem is that your father can't afford memory care and an assisted living facility that can also accommodate your mother, consider whether home care can fill the gap. Again, the Elder Law Attorney should be familiar with home care programs that provide hours of care to supplement services provided by you or family members.
Guessing about your circumstances here can't provide specific solutions. An Elder Law Attorney can bring you understanding all of your options, if you take the time to explain your circumstances.
This may be something to discuss with the elder care attorney.