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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.
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My friend must be in assisted living but her money from social security and her retirement is not enough. She only gets $996.00 and the rent for the assisted living is $1145.00. Who can help her with the difference. Help please!
Only $1145/mo for AL rent is less than half the US natl avg $3600. Doesn't help you pay it, I know, but 99.99% of us reading your question would love to have your problem. Can we please switch places? Even for a couple months?
$ 1,145 is pretty low AL cost - perchance is this a discounted amount? like is a low income program and that's why it's low and your friend meets the criteria for low income? If so, there should be some sort of waiver of the amount needed over her available $ 996.00 as a co-pay. Does your state do a Medicaid waiver for AL? - if so look into her getting a waiver. Just as an aside states are really trying to get away from the AL waiver and going instead to PACE programs, so you may find it hard to get a waiver or the waiting list is miles long.
The other possibility is to have her qualify for needing skilled nursing care in a NH. That would mean she applies for Medicaid.
Medicaid has 2 tracks for approval to show "at-need", financial & medical. At $ 996 a mo income she probably is OK for the financial part of the application. Now the medical is going to trickier as she has to show "need" for skilled nursing. I moved my mom from IL to NH and bypassed the whole AL part. I did have to work with mom's gerontologist - who was also the medical director of the NH I moved mom to. Basically she saw him every 4 - 6 weeks to build up the medical history to show the need for skilled nursing care. The appointment mom had a more than 10% weight loss, bad H&H lab work and a couple of other things, he wrote the order for SNF needed. Took about 6 mos of appointments to get there. Most NH admits come from a hospital stay (like they broke a hip) and then get admitted to rehab at the NH - they have a nice fat medical file and show the need to skilled nursing care & rehab - so after rehab ends they stay in the NH. But for those still out living in the community - whether at home or in IL - it's harder as they just flat do not have a medical file to show "need". Some things can be a simple change: like they go from Exelon pill to Exelon patch as the patch needs more "skill" to apply; or their medication is one that needs to be compounded daily and that too is "skilled" and they can't do it properly on their own but a NH can.
None of this is simple or easy; it's wonderful you are there for her. Keep a sense of humor going in all this too. Good luck.
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.
If she is the widow of a wartime veteran, call the VA.
The other possibility is to have her qualify for needing skilled nursing care in a NH. That would mean she applies for Medicaid.
Medicaid has 2 tracks for approval to show "at-need", financial & medical. At $ 996 a mo income she probably is OK for the financial part of the application. Now the medical is going to trickier as she has to show "need" for skilled nursing. I moved my mom from IL to NH and bypassed the whole AL part. I did have to work with mom's gerontologist - who was also the medical director of the NH I moved mom to. Basically she saw him every 4 - 6 weeks to build up the medical history to show the need for skilled nursing care. The appointment mom had a more than 10% weight loss, bad H&H lab work and a couple of other things, he wrote the order for SNF needed. Took about 6 mos of appointments to get there. Most NH admits come from a hospital stay (like they broke a hip) and then get admitted to rehab at the NH - they have a nice fat medical file and show the need to skilled nursing care & rehab - so after rehab ends they stay in the NH. But for those still out living in the community - whether at home or in IL - it's harder as they just flat do not have a medical file to show "need". Some things can be a simple change: like they go from Exelon pill to Exelon patch as the patch needs more "skill" to apply; or their medication is one that needs to be compounded daily and that too is "skilled" and they can't do it properly on their own but a NH can.
None of this is simple or easy; it's wonderful you are there for her. Keep a sense of humor going in all this too. Good luck.