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
[email protected] 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.
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our
Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our
Terms of Use. for information about our privacy practices.
Go in to your local Agency On Aging if you need help with any of the following or for anything. First ask for an Options counselor.Often they even have volunteers who can help with legal questions or who help you at home. Ask about Certified Medicaid planners. Also you can check with the Alzheimer's Assoc.
https://www.dementiacarecentral.com/medicaid/assisted-living-waivers
An HCBS Waiver is a way to get an LO into assisted living or memory care at no cost if the LO's money can be spent down or put into a Qualified Income Trust or similar Medicaid-approved trust. It's paid by the state and Medicaid both.
https://www.dementiacarecentral.com/medicaid/assisted-living-waivers
These are for a.l. or memory care.
https://www.eldercareresourceplanning.org/medicaid-benefits/hcbs-waivers/
https://www.nolo.com/legal-encyclopedia/safe-ways-spend-down-your-assets-qualify-medicaid.html
https://www.medicaidplanningassistance.org/getting-paid-as-caregiver/
be sure to check into Miller Trusts (also called Qualified Income Trusts) if your loved one is spent down (no assets left besides a couple of thousand dollars)…But still has too much income per month. I believe many states will allow you to set aside up to 4K or so of extra income, in order to get into Medicaid. For example, a person makes 5k per month but needs to make $2,800 or so per month to qualify for Medicaid. Thus, you set aside $2,200 per month into the Miller trust (see an attorney to set it up) and then all of the trust will one day go to the center, I believe upon death. In the meantime, the center receives their remaining monthly income of $2,800 because they are now utilizing Medicaid.
I did check if she qualified for Medicaid, but nope. I did add the AARP insurance for caregiver needs and options on hospital beds, etc. The addition to her Part A and PART B. was at no extra cost. If the doctor(PCP) approves the needed care the United Healthcare AARP plan pays for overnight and daily care I think it was 40 hours a week. Maybe you could make a plan for hours that would allow you to work and live with the hours they can support. We managed around the hours they can arrange. The insurance pays for the care costs. Anyway, it's helpful having someone who can move her to avoid bedsores, etc.
During the skilled nursing/rehab stay, the patient is evaluated for appropriate discharge (this is where, as has been pointed out, the OP tells them she can not provide care and a discharge to home is unsafe. May have to say it repeatedly!) and that patient needs long term care (LTC). OP should discuss with a certified elder care attorney who is familiar with Medicaid in her state but I can guarantee OP will need LO's birth certificate, marriage and divorce papers, rent mortgage receipts, (deeds of all property owned) bank statements --- all going back about 5 years so she should start working on that immediately. In NJ you need to spend down to $2000. but each state is a bit different.
The Medicaid app process is not that bad........... it's the hunting for the documents they require that is exhausting!
If she has unprotected assets like real estate, bank accounts, or insurance policies these will have to be liquidated and will go towards cash-paying her in a care facility until they run out. Then Medicaid kicks in.
So she can go into managed care.
A nursing home resident always needs an advocate keeping that staff and administration on their toes. Never trust a facility on good faith that they'll take good care of your LO. Not even the high-end places, but especially the Medicaid ones. If you keep them on their toes, your person will get decent care.