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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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That is what I heard. Tell me it is not true. I, only have records from three and a half years. Mom had dementia now and I didn't know her personal business .
The short answer is "No," the Medicaid lookback and penalty rules were not affected by the Affordable Care Act ("Obamacare"). The lookback period is still 5 years before the date you apply for Medicaid.
The Affordable Care Act (aka Obamacare) is about providing health insurance coverage. It is not an entitlement program but a health insurance product.
Medicaid is an entitlement program limited to those "at-need" both financially and medically for specific services. Medicaid is run by each state so what is required will depend on how your state administers Medicaid. For elderly Medicaid, since it is "at-need" you have to meet the strict asset & income limits set by your state and be able to provide documentation (the "look-back") for up to 5 years that no assets were transferred or gifted inappropriately. For my mom, it was a 3 year & 6 months of all financials that I had to provide for review. The state through their ability to look at county tax assessor records did a 5 yr review on mom's ownership on all real property (home, land, cars). Also the elder will have to have the medical history to show that they are "at-need" for skilled nursing services which is what a NH provides. Just being old, or needing help with their ADL's, or having memory issues may not be enough to meet the standard of needing skilled nursing care.
Some states do have waiver programs for AL (so they can be in AL rather than a NH) but these seem to be few & far between and the AL seem to want the elder to be on full private pay for 1 - 2 years prior. Some states also have community based programs which Medicaid pays for too.
Good in-depth answer igloo 572. Medicare is often confused with Medicaid. Briefly, Medicare is a federal government program. Medicaid is a state program. Each state has it's own requirements. Antiqfreq, I suggest you contact your Georgia Medicaid office to find out if your mother qualifies. Also, your local senior citizens club might have that information on hand.
I know what Medicare is for. I know what Medicaid is for. I only heard from a nurse today at her doctors office that now Medicaid in Georgia looks back seven years. Thanks everyone!
One more thing, which I asked; if I inky has financials for the time I have had her, what can I do about. She came with nothing as her sister got rid of it, along with alot of her money!
Medicaid will let YOU know when they review the application if there are any concerns. You may find yourself searching for insuarnace policy papers, etc. You can't be expected to tell them about anything you don't know, and if there was massive gifting to sister or some other non-exempt assets within the state's lookback period, there could be a penalty period where you will have to spend your/her own money. If it looks like you have any problems, you may want to involve an eldercare attorney or estate planner to help sort them out.
I would not be suprised if some states start looking back even longer, like 10 years...it is not the PPACA, but the fact that baby boomers care costs that end up coverable by Medicaid are skyrocketing and they can't afford to do it all..."they are not in the business of protecting children's inheritances" as it was explained by one of my advisors. Sorry it is so hard - years ago, it was not like this - and now some states even have filial responsbility laws that apply if a parent is impoverished, which can be an extreme burden though theoretically they are not meant to impoverish children and grandchildren, just to prevent inappropriate dumping of responsibilities.
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.
Medicaid is an entitlement program limited to those "at-need" both financially and medically for specific services. Medicaid is run by each state so what is required will depend on how your state administers Medicaid. For elderly Medicaid, since it is "at-need" you have to meet the strict asset & income limits set by your state and be able to provide documentation (the "look-back") for up to 5 years that no assets were transferred or gifted inappropriately. For my mom, it was a 3 year & 6 months of all financials that I had to provide for review. The state through their ability to look at county tax assessor records did a 5 yr review on mom's ownership on all real property (home, land, cars). Also the elder will have to have the medical history to show that they are "at-need" for skilled nursing services which is what a NH provides. Just being old, or needing help with their ADL's, or having memory issues may not be enough to meet the standard of needing skilled nursing care.
Some states do have waiver programs for AL (so they can be in AL rather than a NH) but these seem to be few & far between and the AL seem to want the elder to be on full private pay for 1 - 2 years prior. Some states also have community based programs which Medicaid pays for too.
I would not be suprised if some states start looking back even longer, like 10 years...it is not the PPACA, but the fact that baby boomers care costs that end up coverable by Medicaid are skyrocketing and they can't afford to do it all..."they are not in the business of protecting children's inheritances" as it was explained by one of my advisors. Sorry it is so hard - years ago, it was not like this - and now some states even have filial responsbility laws that apply if a parent is impoverished, which can be an extreme burden though theoretically they are not meant to impoverish children and grandchildren, just to prevent inappropriate dumping of responsibilities.