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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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Insurance was transferred as of january 1 from a managed Medicaid to traditional Medicaid. Does the episode from the managed Medicaid need to be discharged and a new soc completed under traditional Medicaid?
Medicare and Medicaid are two different things. Medicaid is state welfare by what ever name your state calls it. Medicare is the federal health care for those over 65 or qualified due to disability. It sounds like it was changed from a MEDICARE Advantage plan back to a traditional Medicare plan plus you would need the Part C supplement and Part D drug plan to go with it.
From Medicaid dot gov States can allow people to voluntarily enroll in a managed care program, but more frequently, states require people to enroll in a managed care program. Managed Care Organizations (MCOs) – like HMOs, these companies agree to provide most Medicaid benefits to people in exchange for a monthly payment from the state. Traditional Medicaid is a program created to provide health care coverage to individuals with low income. Medicaid provides assistance for medical expenses such as doctor visits, prescription drugs, dental and vision care, family planning, mental health care, surgeries, and hospitalizations.
what is a "soc"? typically, when you transition from one type of insurance to another (managed care medicaid to traditional medicaid), if there is an ongoing episode of care treatment, then the new insurance transitions it over which may mean everything continues as before but you have until a certain date to switch over to specific providers or it may mean you have to do the switch right away. it's probably best to contact your state's medicaid (dept of health) office.
Those on NH Medicaid have a SOC based on their monthly income and possibly any exemptions allowed to their income (an exemption could be if they have a still in the community spouse that needs some of their income to live on). It also can be called resident responsibility or private co-pay. The actual SOC amount is reduced by whatever your state has as it's "personal care allowance" - this varies from $ 35 - 90 a month. PCA $ depends on state. My mom is in TX and their allowance is $ 60 a month, so all of mom's monthly income (her SS and retirement) except for $ 60 must be paid to the NH each & every month. Many NH press upon families to have their SS, retirement or other income go to the NH directly so many don't realize what the SOC and PNA actually is - but you don't have to do it this way, you can write a check to the NH from your elder's account and keep the PNA and let it build up as an asset in the bank rather than @ the NH as a resident use fund. Just need to make sure it never gets above the 2K allowed for assets.
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.
Those on NH Medicaid have a SOC based on their monthly income and possibly any exemptions allowed to their income (an exemption could be if they have a still in the community spouse that needs some of their income to live on). It also can be called resident responsibility or private co-pay. The actual SOC amount is reduced by whatever your state has as it's "personal care allowance" - this varies from $ 35 - 90 a month. PCA $ depends on state. My mom is in TX and their allowance is $ 60 a month, so all of mom's monthly income (her SS and retirement) except for $ 60 must be paid to the NH each & every month. Many NH press upon families to have their SS, retirement or other income go to the NH directly so many don't realize what the SOC and PNA actually is - but you don't have to do it this way, you can write a check to the NH from your elder's account and keep the PNA and let it build up as an asset in the bank rather than @ the NH as a resident use fund. Just need to make sure it never gets above the 2K allowed for assets.