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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.
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My understanding is that if the medical condition can be totally dealt with within “medication management” that does not meet the criteria of skilled nursing needed. Clearly ask her MD if this is her situation- I’m going to guess it is.
To get into a NH & onto LTC Medicaid they have to show to be at need for skilled nursing care in a facility. She’s imo going to need more health care issues into her chart other than schizophrenia. The place she is in now, are there Medicaid beds? & if so will they segueway her from private pay to Medicaid? And will the MDs/ medical director actively build her chart to show need?
If not, she’s gonna need to move and it’s good you are being proactive in this now. I moved my mom from IL to a NH totally bypassing the AL phase. Her gerontologist saw her every 4-5 weeks for about 6 mos and was proactive in denoting her health changes and doing lab work. The visit she had a 10% weight loss, a bad H&H lab report and few other things (like switch from Exelon pill to patch which requires “skill” to apply as she physically couldn’t), he wrote orders for skilled nursing needed and I moved her into a NH shortly thereafter.
A gerontologist who is also a medical director of a NH will know what criteria Medicaid looks at for skilled. I’d be concerned that if where your mom is is more of a behavioral care facility, it’s all about medication management & she’s good on her ADLs as long as she’s good on her drugs. They aren’t looking for other issues or co-morbidity diseases. You may need to take her to see a MD outside of the facility & one that takes Medicare. If you are anywhere by a medical school with a teaching hospital I’d suggest you get her an appointment with gerontology department there and then they can do whatever referrals needed. That’s the path we did for my mom at one of the University of TX Health Science Centers & all the gerontologists were medical directors of various NH in the area as it’s a part time position. Good luck.
Thank you! Yes we use the Health Science Center as well. I will set up a Gerontology appt. I also plan to see Todd Marquardt, Eldercare Atty. Thank you again!
Schizophrenia is usually managed reasonably well with drugs these days, although many people dislike the side effects and compliance is difficult to cope with. It also affects quite young people, and you don't say the age of the person you are asking about. I doubt if nursing home benefits would cover non-compliance, particularly for a younger person with many years ahead of them. They also have difficulties in fitting in to a facility which is dominated by very elderly people with dementia.
I don’t know how your Mom’s Schizophrenia diagnosis will play into her medical need requirement.
My Mom had Dementia and she fell a lot. I think the falling had something to do with her meeting the Medicaid Medical Need Requirement.
I am in Texas. Mom’s Primary Care Physician handled the paperwork stating she met the Medical Need Requirement. My Mom was in the NH 2012-2015. Rules, Regs, Requirements May have changed.
If Mom has funds for 1 more year of self pay in MC I think you are wise to explore your options now.
Moms funds can be used to secure a certified Elder Care Attorney to help get her Medicaid eligible.
In memory care, her schizophrenia drugs should be on track. You may need to focus on the dementia effects to 'justify' care. Good luck - it can't be easy!
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.
To get into a NH & onto LTC Medicaid they have to show to be at need for skilled nursing care in a facility. She’s imo going to need more health care issues into her chart other than schizophrenia. The place she is in now, are there Medicaid beds? & if so will they segueway her from private pay to Medicaid? And will the MDs/ medical director actively build her chart to show need?
If not, she’s gonna need to move and it’s good you are being proactive in this now. I moved my mom from IL to a NH totally bypassing the AL phase. Her gerontologist saw her every 4-5 weeks for about 6 mos and was proactive in denoting her health changes and doing lab work. The visit she had a 10% weight loss, a bad H&H lab report and few other things (like switch from Exelon pill to patch which requires “skill” to apply as she physically couldn’t), he wrote orders for skilled nursing needed and I moved her into a NH shortly thereafter.
A gerontologist who is also a medical director of a NH will know what criteria Medicaid looks at for skilled. I’d be concerned that if where your mom is is more of a behavioral care facility, it’s all about medication management & she’s good on her ADLs as long as she’s good on her drugs. They aren’t looking for other issues or co-morbidity diseases. You may need to take her to see a MD outside of the facility & one that takes Medicare. If you are anywhere by a medical school with a teaching hospital I’d suggest you get her an appointment with gerontology department there and then they can do whatever referrals needed. That’s the path we did for my mom at one of the University of TX Health Science Centers & all the gerontologists were medical directors of various NH in the area as it’s a part time position.
Good luck.
I don’t know how your Mom’s Schizophrenia diagnosis will play into her medical need requirement.
My Mom had Dementia and she fell a lot. I think the falling had something to do with her meeting the Medicaid Medical Need Requirement.
I am in Texas. Mom’s Primary Care Physician handled the paperwork stating she met the Medical Need Requirement. My Mom was in the NH 2012-2015. Rules, Regs, Requirements May have changed.
If Mom has funds for 1 more year of self pay in MC I think you are wise to explore your options now.
Moms funds can be used to secure a certified Elder Care Attorney to help get her Medicaid eligible.