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Who are you caring for?
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How are they managing their medications?
Does their living environment pose any safety concerns?
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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.
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It won’t be easy. Especially right now. And his Medicaid will not cross state lines so he can’t use his Georgia Medicaid in Louisiana. Neither Medicare or Medicaid will pay for the transport either. You’ll have to apply for Louisiana Medicaid and find a nursing home that has a Medicaid bed available. You will have to pay hire a private ambulance or rent an RV & get a friend or family member to drive you or find a medical transport company. You could start by contacting the social worker or discharge planner at the current nursing home & see if they can help you coordinate the move. But again you’ll have to get the person set up with Medicaid in Louisiana.
I'm familiar with a family where husband collapsed while on vacation and was stabilized at a local hospital. I think hosp was trying to discharge him to NH and the family agreed with this assessment, but they wanted him closer to where they actually lived. His home was several states away and he was not medically clear to go by car. They also found that medical transportation was not covered - especially for such a distance. I believe family pooled their money and paid for the transport, but it ran into many thousands of dollars. I'd say OP needs to find out if the transfer is even financially possible before too much time is spent on what will happen after the transfer happens.
Realistically I think this would be beyond difficult right now.
Why? well he will need to become legal resident of State of Louisiana in order to become fully eligible for LA Medicaid. Right now he’s a resident of GA & on GA LTC Medicaid program. Medicaid, as Cali posted, is not portable . At some point, you as his DPOA will need to fill out the LA LTC Medicaid application & that will require eventually documents showing LA residency, financial status & US citizenship. To establish LA residency could mean getting state issued ID, banking w/Louisiana address on statements, move his SS $ & any other direct deposit retirement or pensions into LA bank account. He or you as DPOA will need to go onto CMS and move his federal nationwide MediCARE to new LA address. If he hasn’t yet filed taxes, he might could do with tax filing as his new LA address. All these are all about establishing a legit legal presence in the state. If he’s not already LA resident, state will want something showing that he is citizen, like birth certificate, US passport or naturalization document.
Doing this in normal times not easy but can be done imo if they are relatively competent and cognitive and/or DPOA has been very proactive on their behalf & involved in their life & financial so they are dpoa already & are signatories on bank accounts &/or have set up stuff on-line that you have user name & PW on. Issue is this is not at all normal times....
Yesterday at LA Gov. JBL daily presser, he announced stay at home to continue statewide till April 30 with understanding that date could move into May. For NOLA, Mayor Cantrell has it till May 16. All nonessential govt offices are closed statewide. Those open have reduced staff. Last mo. I got emails & follow up letters from banks I use that all lobby’s were closing in 2 days till further notice and if you need to do something requiring “wet” signature, to contact your banker to set up. I just don’t see opening right now a new bank acct for someone with out of state ID if they cannot easily communicate with a bank officer over the phone or in person at a prearranged meeting time.
Then there’s the logistics of moving him & finding a place that can meet his needs that Cali described.
imo only way into LA facility this mo or next will be if they have at least 50/60k: 3-4 mos of private pay @ $9-12k mo, 5-8k for specialized medical transport as he’s paralyzed, 1-2 mos of private pay nurse or aide (5-12k) at new place as he’s going to be quarantined & for “transitioning” and LA elder law atty as he will need all new legal done. LA law is French based so DPOA, wills, care agreement, etc from others states (English law based) won’t be quite right so have to be redone.
Another harsh reality, if he’s really paralyzed so requires total help in transitioning (like from bed to wheelchair or to potty), if you’re in the coastal parishes, imo gonna be really hard to find him a bed. Residents like this pose huge logistics & risk for hurricane evacuation. And this before current Covid concerns. If a place can easily fill a bed with someone still ambulatory that’s whose moving in.
if stuff falls thru, can you have home move into your home? & care for him? If not, please please think abt leaving him where he is.
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.
Why? well he will need to become legal resident of State of Louisiana in order to become fully eligible for LA Medicaid. Right now he’s a resident of GA & on GA LTC Medicaid program. Medicaid, as Cali posted, is not portable . At some point, you as his DPOA will need to fill out the LA LTC Medicaid application & that will require eventually documents showing LA residency, financial status & US citizenship. To establish LA residency could mean getting state issued ID, banking w/Louisiana address on statements, move his SS $ & any other direct deposit retirement or pensions into LA bank account. He or you as DPOA will need to go onto CMS and move his federal nationwide MediCARE to new LA address. If he hasn’t yet filed taxes, he might could do with tax filing as his new LA address. All these are all about establishing a legit legal presence in the state. If he’s not already LA resident, state will want something showing that he is citizen, like birth certificate, US passport or naturalization document.
Doing this in normal times not easy but can be done imo if they are relatively competent and cognitive and/or DPOA has been very proactive on their behalf & involved in their life & financial so they are dpoa already & are signatories on bank accounts &/or have set up stuff on-line that you have user name & PW on. Issue is this is not at all normal times....
Yesterday at LA Gov. JBL daily presser, he announced stay at home to continue statewide till April 30 with understanding that date could move into May. For NOLA, Mayor Cantrell has it till May 16. All nonessential govt offices are closed statewide. Those open have reduced staff. Last mo. I got emails & follow up letters from banks I use that all lobby’s were closing in 2 days till further notice and if you need to do something requiring “wet” signature, to contact your banker to set up. I just don’t see opening right now a new bank acct for someone with out of state ID if they cannot easily communicate with a bank officer over the phone or in person at a prearranged meeting time.
Then there’s the logistics of moving him & finding a place that can meet his needs that Cali described.
imo only way into LA facility this mo or next will be if they have at least 50/60k: 3-4 mos of private pay @ $9-12k mo, 5-8k for specialized medical transport as he’s paralyzed, 1-2 mos of private pay nurse or aide (5-12k) at new place as he’s going to be quarantined & for “transitioning” and LA elder law atty as he will need all new legal done. LA law is French based so DPOA, wills, care agreement, etc from others states (English law based) won’t be quite right so have to be redone.
Another harsh reality, if he’s really paralyzed so requires total help in transitioning (like from bed to wheelchair or to potty), if you’re in the coastal parishes, imo gonna be really hard to find him a bed. Residents like this pose huge logistics & risk for hurricane evacuation. And this before current Covid concerns. If a place can easily fill a bed with someone still ambulatory that’s whose moving in.
if stuff falls thru, can you have home move into your home? & care for him? If not, please please think abt leaving him where he is.