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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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Dad is currently in a SNF on Medicare. His Medicare days will be running out soon. He is in Medicaid pending status, with great likelihood for approval. Can SNF refuse to keep him after he changes from Medicare to Medicaid?
They could but it’s unlikely. In my experience it would be because... - this SNF/NH does not participate in Medicaid. They participate in Medicare, so his post hospitalization rehab since it’s a covered Medicare benefit was ok. But once he goes out of rehab, it’s a problem as facility does not take Medicaid. There should be a discharge planner or SW to help him get placed. - the # of medicaid beds are limited and there are no open Medicaid beds - your parent level of care are beyond what this specific NH can provide. The needs assessment will be central to this. Like he’s needing locked ward or specialty obesity care, and this SNF cannot provide.
Is there a possibility that “great likelihood of approval” will actually not be there? Is there something lurking that may surface to pose an issue? Please keep in mind that the date of Medicaid application starts the look back period. By applying for Medicaid, it provides the state an “all access pass” to their life. If something amiss it will surface eventually.
Some SNFs accept Medicaid and some do not. It's a business decision on their part. If they do accept Medicaid, the 2nd challenge is to find out if they have any "open" Medicaid beds. Often they designate a specific number of beds as Medicaid, and when those are filled, there is a waiting list.
Just want to say...Medicare does not stop when Medicaid comes into the picture. Health insurance wise Medicare is the primary, Medicaid is the supplimental. Medicaid pays the 20% Medicare Doesn't, prescriptions, vision and dental. If Dad is in Medicaid pending I would think SNF is involved with this and as such they feel they have a bed for him. You need to talk to the admitting person. I don't think you have anything to worry about.
When your dad entered the SNF didn't they tell you whether they accept Medicaid or not? I would think that if they do not accept Medicaid someone from the SNF would have been coming around to discuss discharge instructions.
Call the facility's social worker. The social worker will know.
He has virtually no assets, and all income will be going to the facility in any case. They don't have Medicaid beds available in NH section. They do take Medicaid, but we are looking to keep him in the rehab wing with Medicaid paying until he can be discharged to home care. Our concern is that the facility is not being very forthcoming with information because they don't want to give up the rehab slot to a Medicaid pay. The question is whether they can "force" him out before he is ready.
Daisy - if you or other family are planning on taking him home AND you all have let the NH/rehab facility know that this is the plan, I can understand why this place isn’t all over trying to accommodate you. Once he’s discharged from rehab, he has to move out of the rehab bed. He goes back home the day of rehab discharge.
If this is about Medicaid paying the 20% copay due for the rehab stay after the first 20/21 days MediCARE 100% paid days, that is up to the facility to determine what payment acceptable. If this place will accept Medicaid for the copay, then try to have him placed as “Medicaid Pending”. If facility won’t do that then he or you or rest of his family will need find a way to pay the 20%. The copay I think is $185 a day. His SS income can pay some of this.
Have you spoken to rehab staff as to what his progress is like? How soon to probable discharge from rehab?
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.
- this SNF/NH does not participate in Medicaid. They participate in Medicare, so his post hospitalization rehab since it’s a covered Medicare benefit was ok. But once he goes out of rehab, it’s a problem as facility does not take Medicaid. There should be a discharge planner or SW to help him get placed.
- the # of medicaid beds are limited and there are no open Medicaid beds
- your parent level of care are beyond what this specific NH can provide. The needs assessment will be central to this. Like he’s needing locked ward or specialty obesity care, and this SNF cannot provide.
Is there a possibility that “great likelihood of approval” will actually not be there?
Is there something lurking that may surface to pose an issue?
Please keep in mind that the date of Medicaid application starts the look back period. By applying for Medicaid, it provides the state an “all access pass” to their life. If something amiss it will surface eventually.
Call the facility's social worker. The social worker will know.
If this is about Medicaid paying the 20% copay due for the rehab stay after the first 20/21 days MediCARE 100% paid days, that is up to the facility to determine what payment acceptable. If this place will accept Medicaid for the copay, then try to have him placed as “Medicaid Pending”. If facility won’t do that then he or you or rest of his family will need find a way to pay the 20%. The copay I think is $185 a day. His SS income can pay some of this.
Have you spoken to rehab staff as to what his progress is like? How soon to probable discharge from rehab?