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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:
My mom is currently in a nursing home and I am not happy with the care she is getting. I thought if the nursing home is getting paid why can't I take care of her in my home
I was only involved for fifteen days while my mother was in acute care after surgery for a hip replacement. I know it is complicated and a lot of red tape. My advice would be the same as that of ramiller. Every state is different, so go to your state agency for information. Sometimes it is available online. One thing I learned is that, when my father passed away, I put myself on Mom's checking account and her on mine since I was writing her checks for her. When they added her assets, they were going to consider MY checking and savings accounts as hers. The reasoning was that she had access to it. So, take her name off anything that is secondary and that you don't want considered as HERS. Good luck to you.
I am in Massachusetts. It has taken years to find what options I have for caregiver services from the state. It took thousands of dollars to engage Nolan and Nolan to help me.
We had to separate all joint assets to his and hers. It took a year and an appeal after a rejection.
Now my ADW receives in excess of one hundred hours per week of agency services.
It is life changing. Incontinence supplies are covered.
I still do not know if we have reached the maximum hours no one will say in advance. It all is managed by the local A.A.A. so much depends on the skill and quality of the person's case manager at the Area Agency and engaging an excellent elder lawyer. When I think of the thousands paid for direct pay agencies I wonder why it is so impossible to get knowledgeable case managers early in the ALZ diagnosis so one can make real long term care plans
If your Mom is bedridden, is there any chance she would qualify for Hospice in home care? It only has someone coming for parts of days, several days a week, but there is no charge. Also, you could call the Medicaid case manager assigned to your Mom and ask for other options covered by Medicaid. A case manager should know all that is available in your area. In AZ, there are many smaller, private foster group homes for adults that are covered by Medicaid. Perhaps there would be more personalized care in a smaller more family oriented placement? And if none of these ideas is an option, her case manager should be willing to help make the care improved where your Mom is now, or help you will writing a complaint about the care to the state health dept too. In AZ, last I knew, Medicaid did pay for in home coverage, but it was only about 4 hrs /day, 7 days per week, so not much coverage, money wise, compared to what the care needs are. I see by your question now, that you are now the one who mentioned that the person getting care was bed ridden.... but hospice now covers people more based on health histories and care needs, than the notion that they are terminal and will be dying in a matter of weeks or months. It's worth asking about. I would start with the case manager assigned by Medicaid to your Mom though.
Taking care of your Mom WILL kill you even if you do find someway to get paid. The pay will never be enough!! No matter how much it is if you die. I tried taking care of my parents since 2010 and got no where. The more you do the more they hate you and do not appreciate you for your efforts. Seem to look down on you more. 91 year old Mom said that I had an IQ of 54!! I was so frustrated that I said to her if I had a higher IQ I never would be putting up with you so be glad my IQ is so low. My Husband finally decided that she got the IQ thing from the fact that I was born in 1954!!! I am so done but heart is broken from her being so mean. They have more respect for the person or child who does nothing!!!
Hi, i am in NH. I know mass gives a Lot, i hVe many friends in Ma and grew up and worked there. You can get paid 18k in ma for caring for a loved one also. My mother was just accepted for a.choices for independence waiver thru medicaid. Waiting for a letter to. Choose an agency, then wait on that ,what a pain. I would love any info if anyone has any on hours for bedridden full care needs.
That's the thing, it seems to be different in different states - some do have home care programs and help, others like NYS, very little. It is so hard to get answers, call the office for the aging and they stonewall you, give you the runaround, send you on a telephone wild goose chase, or flood you with gibberish your exhausted mind can't parse.
John thank you for the great info. Just wish states would use same term for things. Its confusing when one state calles one name and another state calles it something different even though its the exact same program. But thats government for you. Make it hard to find and even harder to understand....sigh😕
The Medicaid program in your state may have several programs to help you and your mother.
Whether you can provide sufficient care at home is another question though. Consider hiring a geriatric care manager to help you prepare a care plan the would be acceptable to the facility's discharge planner, and your mother's physician.
Other programs that are available in my state (Massachusetts) are: Adult Foster Care (AFC), Community Choices, Group Adult Foster Care (GAFC), and Personal Care Attendant Program (PCA).
There is also a form of health insurance that combines Medicare with Medicaid to offer day care and come in-home home health aid hours. It is called PACE.
Talking with an elder law attorney who knows the Medicaid programs in your state, and your local ASAP (Aging Services Access Point), could open up many doors to achieve your objectives!
I have cared for my mother for almost 10 years. In CT there is a program that allows me to hire aids and a state qualified firm, Allied Community Resources, does the background checks and handles payroll. The person (the patient) needs a PCA waiver and be on medicaid. It's a little more complicated than just letting the Area Agency on Aging get you an agency, but you don't have to deal with said agencies.
On the other hand, if you are doing caregiving for the money, don't. Either do it out of love or don't do it at all.
It all depends on your state. What state and city are you in? Have you ever considered an adult foster care home? We just moved mom there and its wonderful. I can share more info with you if you message me. Care at home as others have said is brutal if you are on your own. Medicaid may pay for some again depending on your state but you will not get what the nursing home gets, not even close. Let me know if I can help you find an alternative. Ruth Anne
I just got my mother approved for a medicaid waiver for at home care. Her condition is bedridden full care.i am waiting for an agency to come and access for hours. My friend got 8 hours a day monday through friday for her mother. She had to work fulltime because her husband died. Other than that she said they were offering 10 hours a week. I am hoping for 4 hours a day so i can hire weekend help with that money i now pay put for 4 hours. 8 years is starting to kill me, look how much money ive saved the government. i sure hope they help me so i don't die first.
Medicaid will pay ZERO to you. What they will do is send a little shuttle bus a few days a week to take your mom to some kind of day care center, pay for that, a few hours a day. As far as I can tell, that is IT. (Maybe respite care a few hours a year.) I was told by a Medicaid employee last year they are phasing out 'home care'. So a few hours a day, a few hours a week in some day care thing! You still have to: get them up. Get them dressed, wrassled into a diaper. Breakfast. Wait for the shuttle to come by (and remember, during a snowstorm or a holiday, they are a no-show). Get them, working as a team, onto the little van. You have a few hours....and at 4 p.m, they bring them back. Repeat, only backwards. Get them in, change their diaper, put out food, and whatever goes for the rest of the night. Repeat the next day....Medicaid doesn't pay for caregivers AT HOME, no, not you, nor your friend down the street, nor a professional from an agency.
You can care for her at home, but it is a 24/7 job that will kill you sooner than you think. My MIL got six hours pay a week. Absolutely no one here has ever gotten enough to replace the job they had. It would be basically self imposed imprisonment at an extreme poverty level.
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.
We had to separate all joint assets to his and hers. It took a year and an appeal after a rejection.
Now my ADW receives in excess of one hundred hours per week of agency services.
It is life changing. Incontinence supplies are covered.
I still do not know if we have reached the maximum hours no one will say in advance. It all is managed by the local A.A.A. so much depends on the skill and quality of the person's case manager at the Area Agency and engaging an excellent elder lawyer.
When I think of the thousands paid for direct pay agencies I wonder why it is so impossible to get knowledgeable case managers early in the ALZ diagnosis so one can make real long term care plans
Whether you can provide sufficient care at home is another question though. Consider hiring a geriatric care manager to help you prepare a care plan the would be acceptable to the facility's discharge planner, and your mother's physician.
Agingcare.com has an excellent article on: The Money Follows the Person Program. Use the search box on this page to find it.
https://www.agingcare.com/articles/The-Money-Follows-the-Person-Program-189162.htm
Other programs that are available in my state (Massachusetts) are: Adult Foster Care (AFC), Community Choices, Group Adult Foster Care (GAFC), and Personal Care Attendant Program (PCA).
There is also a form of health insurance that combines Medicare with Medicaid to offer day care and come in-home home health aid hours. It is called PACE.
Talking with an elder law attorney who knows the Medicaid programs in your state, and your local ASAP (Aging Services Access Point), could open up many doors to achieve your objectives!
On the other hand, if you are doing caregiving for the money, don't. Either do it out of love or don't do it at all.