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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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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.
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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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You need to start checking out facilities NOW. Many Medicaid facilities have limited beds, so if you find one you like you may have to wait on a list. You don't want to move dementia patients too much - it's too difficult on them. Visit facilities at different times of day, not just on regular tours. See what residents look like - what the place smells like. Tours are designed to sell you and will frequently happen at "on times with more staff etc.". If there is a social worker at your mom's facility, see if they can help you. You can get reviews of facilities on-line at medicare.gov for rehab - some also list long-term facilities. Wishing you the best.
I'm guessing your mom has about 70k. If so, she could possibly do a big spend down to be eligible financially for NH Medicaid much much sooner than 10 mos.
When you visit places, I'd suggest if there's 2 that seem to be a good fit for mom both for her needs & personality that take medicaid, you go ahead and move her with her being private pay for the first few mos. Then you use that period of time to get a legit spend down going and gather up the documents needed for her medicaid application. Then the month her assets hit 2k, she becomes "Medicaid pending" & you do her application. All the facilities I toured had a list of the paperwork needed from the applicant to accompany their Medicaid application & the NH submitted all alongside their bill to the State. It will be oodles less stress to be prepared and at the ready!
If your mom does not have a paid preneed funeral & burial done, I'd suggest that this is the first spend down done. This alone could be 8k - 10k. You just want to ensure that it is within the $ amount allowed by Medicaid. A FH will know as they do "Medicaid Compliant" preneeds often.
Also try to find your mom's "awards" letters. They are the statements that come in Nov or Dec that state the amount of $ mom will be paid for the incoming year. For SS and most federal or state retirements, it's a trifold letter (so letter is its own envelope). Copy these and take with you when you do the NH lookie-lou. The amount on the letters will be moms required copay each mo to the NH for Medicaid both while she is "Medicaid Pending" and then once approved for Medicaid. The NH will ask & having them at the ready kinda shows you understand the required copay.
If you need suggestions for spend-downs, pls post that. Quite a few on this site have done bigger spend-downs.
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.
When you visit places, I'd suggest if there's 2 that seem to be a good fit for mom both for her needs & personality that take medicaid, you go ahead and move her with her being private pay for the first few mos. Then you use that period of time to get a legit spend down going and gather up the documents needed for her medicaid application. Then the month her assets hit 2k, she becomes "Medicaid pending" & you do her application. All the facilities I toured had a list of the paperwork needed from the applicant to accompany their Medicaid application & the NH submitted all alongside their bill to the State. It will be oodles less stress to be prepared and at the ready!
If your mom does not have a paid preneed funeral & burial done, I'd suggest that this is the first spend down done. This alone could be 8k - 10k. You just want to ensure that it is within the $ amount allowed by Medicaid. A FH will know as they do "Medicaid Compliant" preneeds often.
Also try to find your mom's "awards" letters. They are the statements that come in Nov or Dec that state the amount of $ mom will be paid for the incoming year. For SS and most federal or state retirements, it's a trifold letter (so letter is its own envelope). Copy these and take with you when you do the NH lookie-lou. The amount on the letters will be moms required copay each mo to the NH for Medicaid both while she is "Medicaid Pending" and then once approved for Medicaid. The NH will ask & having them at the ready kinda shows you understand the required copay.
If you need suggestions for spend-downs, pls post that. Quite a few on this site have done bigger spend-downs.
Good luck and keep your sense of humor going.