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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.
Share a few details and we will match you to trusted home care in your area:
Mom (95) is in spend down. Does anyone know how much Medicaid help ($) people can get if they want to remain at home or living with family? Ballpark or a range is fine. I'm just trying to get an idea.
there is no ball park range. It depends on the Medicaid program, whether it’s a voucher or not. Or what they approve her for. Generally in home caregiving is done on an hourly basis and Medicaid determines how many hours she’s eligible for. You may or may not have to find and hire the caregivers.
Thank you very much, tacy and worried, for giving me some insight into this. I don't know what all the exact needs will be when the time comes. Currently I take care of my Mom; she lives with my husband and me. She has Parkinson's and some mobility issues, but is oriented x3 and has retained her sweet personality. I hire in agency HHAs for 10 hours per week so my husband and I can get out together, more hours if I have appointments to get to. I work from home doing editing and translating. It's not easy to concentrate and I only average 15-20 hrs per week. I am at the point (emotionally and certainly financially) where I want to get out in the real world and work at least part-time. Mom is against the idea of adult day care; there is one near here but everyone is at some stage of dementia, so I don't see that as the environment for her, at this stage anyway. Other family members have no interest in the day to day. Sister comes sometimes on Sunday afternoons for 5-6 hours. Brother lives 30 miles away and has not visited since April; has not called since June/July. I am starting to think about Medicaid because Mom's assets (proceeds from August house sale minus reverse mortgage and credit card debt (from hiring in HHAs for 18 months)) will probably be gone within 6 months, faster if I start working out of the home and have to hire in help. Frankly, I know it sounds selfish, but my main concern after her money is gone is keeping my sanity!
I think the max is 9 hours pay per day, even if they are completely helpless. And even if you are there 24/7 ... they will only cover 9. So depending on what the pay scale is where you live, and what level of care is needed -medical- or basic daily living activities type of care giving- (non medical.) You can find out where to apply through medicaid. After you apply a separate social worker will then come to your home and help determine how many hours of paid help can be approved - depending on what your loved one can and can not do for themselves .... Hope that helps.
If she is in spend down Medicaid will pay nothing until her resources are down to the state set limit. She could pay you from her own pocket but you need a care agreement prior to being paid. An elder law attorney can draft the agreement so it is in compliance with Medicaid rules.
As others have posted the needs assessment is central to determining hrs the state will pay for an outside caregiver from agency or pay family if your state has a IHHS that allows payment to family.
CA has IHHS program and based on what others have posted the in the home paid family CG is paid slightly above minimum wage for your area and it is fully reported with taxes & FICA with 20 hrs a week average. There will be a limit to the # of hours allowed. If they get assessed to need over 36/40 hrs a week, they’ll likely be assessed to need skilled care in a facility with 24/7 oversight. So watch what you wish for in # of hours.
You might want to see if there is a PACE program in your city. If so, they might be assessed and determined to be placed at the PACE center 2 - 4 days a week with transportation provided by PACE. For PACE, they need to be “duals” that is on Medicare and Medicaid BUT it would be for community based Medicaid which has different & higher income & asset limits than for in facility LTC Medicaid which basically requires them to be impoverished with a max of 2k in nonexempt assets.
Thank you all for your answers. I will be seeing an elder law attorney soon to discuss the care agreement, and I now feel more informed as to what questions to ask. It's quite overwhelming. But it's helpful to know what to expect, and what not to expect. And I will check out whether PACE is here. Thank you!
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.
You can find out where to apply through medicaid. After you apply a separate social worker will then come to your home and help determine how many hours of paid help can be approved - depending on what your loved one can and can not do for themselves .... Hope that helps.
CA has IHHS program and based on what others have posted the in the home paid family CG is paid slightly above minimum wage for your area and it is fully reported with taxes & FICA with 20 hrs a week average. There will be a limit to the # of hours allowed. If they get assessed to need over 36/40 hrs a week, they’ll likely be assessed to need skilled care in a facility with 24/7 oversight. So watch what you wish for in # of hours.
You might want to see if there is a PACE program in your city. If so, they might be assessed and determined to be placed at the PACE center 2 - 4 days a week with transportation provided by PACE. For PACE, they need to be “duals” that is on Medicare and Medicaid BUT it would be for community based Medicaid which has different & higher income & asset limits than for in facility LTC Medicaid which basically requires them to be impoverished with a max of 2k in nonexempt assets.