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.
Medicaid doesn't generally accept a doctor all of a sudden saying a patient is in medical need of SNF. There has to be a fat folder of documentation.
If dad has been in the hospital and then rehab, the documentation is there. If he's at home, you need to alert the doc that you need to build a case for medicaid to consider him "medically at need".
Maybe ask his PCP to admit him to a psych hospital for evaluation and medication therapy to see if your dad can be medicated daily to keep his impulsive behavior in check.
Maybe get your local Department of Aging involved to ask about community resources or if they may be familiar with any other situations like his?
This is so hard for you and your father. Do his doctors have any ideas?
It still will be a safety issue for a SNF & if any of them do admit him and he acts out, they will call 911 & have your father sent for psychiatric evaluation if that happened.
I am not sure you can force his insurance company to pay for a SNF stay with no doctor’s order. Sounds like he doesn’t qualify for admission to a medical hospital facility anyway, yet alone be there for the three days. It’s rare that SNF takes patients directly from home as usually the patient comes from an “acute” hospital setting with clear medical needs.
There has to be some sort of solution but I don’t have one. Won’t Medi-cal pay for in home care in some instances? Maybe the dept of aging knows more about this? I live on the east coast & not familiar with California.
This is very complicated, so sorry for you!
You talk about a nurse being able to give him more seroquel if necessary. That's only true if a doctor has written the prescription that way. What dosage is he on?
Have you spoken with Area Agency on Aging? Asked them to do a needs assessment?
About medical need. I would assume each organization has criteria that allows them to accept or deny coverage or acceptance.
Would a memory care accept him for a respite stay? That would give a real opportunity to try him in memory care. Or an involuntary 72 hr hold in a psychiatric facility might allow for a med adjustment to help him settle down and help with the hallucinations? If he is a danger to himself or others you can ask the courts to sign an order for him to be evaluated. Call the Area Agency on Aging and see what they have to suggest. I’m sorry if that’s already been suggested and done. I haven’t read all your previous posts.
This is so complicated! How much Seroquel do some of you administer? I am curious if my dad takes too little...
I can’t remember for sure but are you the person who stated that your dad’s doctor report stated he was aggressive? SNF have to take that under consideration in providing a safe environment for their other residents.
Was it you who also stated a nurse can use restraints and medication to control those aggressive behaviors? Nurses will not do that as it is against the law.
Yours is a hard position to be in& I sense your frustration.
health service or treatment that is mandatory to protect and enhance the health status of a patient, and could adversely affect the patient’s condition if omitted, in accordance with accepted standards of medical practice.
When applied to hospitalisation, medically necessary means that a plan member’s acute care needs are such that he or she cannot receive safe and adequate care as an outpatient or at a lower level of care.
Medically necessary, criteria
A. Appropriate for the symptoms and diagnosis or treatment of a condition, illness or injury.
B. Provides for the diagnosis or direct care and treatment of the condition, illness or injury.
C. In accordance with the standards of good medical practice in the service area.
D. Not primarily for the convenience of a plan member or a plan provider.
E. The most appropriate level or type of service or supply that can safely be provided to the plan member.