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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.
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My mother has dementia and it's getting worse and assisted living would help. She has Medicare and Social Security. Will most assisted living facilities take Medicaid?
Check with your local county social services dept. Some states will cover asst living.....bigger question might be whether your mom.might need memory care (higher level of care than asst living).
Getting your Mom on Medicaid if she is eligible would be very worthwhile. Various in-home services are available, and the time comes that she needs a care center you'll be all ready with Medicaid.
One of the things that Medicaid covers (at least in this state) is adult day health programs (day care) and that can be a good way to extend the period the person with dementia can stay at home.
Definitely look into Medicaid if Mom cannot afford the services she needs.
You could also go visit asst living places you like, take the tour, and get their info packet. The tour guide will be very happy to explain their reimbursement policies. When I did this for my parents over a period of several years, I learned a couple things (which may or may not apply to your state or region)-- First, some AL do not accept any Medicaid (they will say they are "private pay only" as a PC way of saying scram to anyone on Medicaid ), Secondly, if you do find one that accepts Medicaid, they will not allow you to visit the rooms where the Medicaid recipients live (these areas of the facility are typically in the partial view area of the building or basement with lookout windows and not as nicely decorated), Thirdly, there's usually a long waiting list for ANY area of the facility, Fourthly, those that do accept Medicaid will typically require you to prove ability to self-paced for 2 or 3 years, Fifthly, if you enter the facility as self-pay and rent a nice 1 bedroom with kitchenette, after 2 or 3 years of selfpay you go on Medicaid you will be moved to the dormitory-style floor (they can rent your 1 BR to someone else for more money so why would they let you keep it for Medicaid rates for another 10 yrs?). I don't mean to be discouraging, but just in my experience, it is better to know these possible or probable scenarios when having Medicaid pay your way in asst living. There needs to be a 10,000 more asst living centers built before costs come down to anything approaching an affordable price, and Medicaid recipient can have any type of.choice. Right now there is just not much choice.
Another thought, getting back to asst living vs. Memory Care, what does her doctor say she needs? In my state (MN) where I visited about 2 dozen asst living facilities, they were not set up for dementia patients at all, they would need memory Care, or a nursing home. AL seems more like a step up from senior independent living-- they have "services" available if needed, meals in the dining room and various activities. Residents in AL are basically independent but appreciate the option of prepared meals, assistance with laundry or housekeeping. More expensive options in AL were any services provided by medically trained personnel, usually Medication Management where the resident needed a.little help remembering to take their meds. But a dementia diagnosis is indicative of a much higher level of needed cares.....be very aware that all AL have a "behavior code" and it allows for eviction of any resident who cannot behave appropriately. I have a friend whose mom has been evicted 3x for behavior issues. So if dementia is already an issue you might be thinking towards nursing home care in the near future. One of my grandparents had dementia issues big time! It is very challenging, and not at all within the realm of simple assisted living (the types I visited here, maybe your state has more ramped up asst living than MN).
No one was answering this person except for Mallory. That's why I started it off by asking if she was on Medicare or Medicaid. Thanks fot your inputs, Mallory and Jeanne!
PPosting another reply to push this up in the general questions......I hope the original poster will post an update (fingers crossed), please let us know how you are doing in this process, Ashmok!
1. In general, Medicaid does not cover assisted living, only nursing home (skilled nursing). 2. Some states have expanded Medicaid to cover services delivered in the community, via a "waiver" program. So the answer is state specific. 3. Some assisted living facilities have sliding scales and accept low income patients. These places will have waiting lists, so get her signed up now.
Original post says she has MediCare (not MedicAid ) and Soc Sec. Unless she qualifies.and applies for MedicAid she won't get it. Usually in my state the MedicAid program is not paying too many people's bills for AL, if, and that's a big if, if they start their AL stay with Medicaid. The ones I visited always always had required.2.or even 3 yrs of self -pay. At around $4,000/month rent that comes out to about $120,000 cash needed (if you throw their SocSec check into the whole mix). if you're on Medicaid you can only have $2500 (?) cash assets. If you own a home, and widowed, you'll have to sell the home. But there may.be AL in other states that accept straight SS/Medicaid and also have zero waiting lists, however I am doubtful. Even if they were to invest 15 million into building a new facility (which happened near me) it will be full before the roof is on.
There are many programs under the Medicaid umbrella that could help, short of moving into assisted living, and those should be investigated. But again, it is state specific. There are also many financial models of assisted living. Some require up-front payment of a large deposit, or a commitment to pay for some number of months/years, others are straight monthly rent. I agree it's best if you have some money in the bank so you don't have to say, at application, I have NO money. Crisis planning is waiting until you need help and you're broke to start looking around. You may benefit from a consult with an elder law attorney.
Yes, she is asking about Medicaid, which is different from Medicare. I hope she can post an update and let us know if she has more questions or if she has found help from an Elder lawyer. There are even classes at the library, or your local community education dept. Usually taught by elder care lawyers who seek new clients! So a good way to cover the basic questions, and also meet some of these lawyers in person maybe to see if you like their personality (or not)?
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.
One of the things that Medicaid covers (at least in this state) is adult day health programs (day care) and that can be a good way to extend the period the person with dementia can stay at home.
Definitely look into Medicaid if Mom cannot afford the services she needs.
That's why I started it off by asking if she was on Medicare or Medicaid. Thanks fot your inputs, Mallory and Jeanne!
2. Some states have expanded Medicaid to cover services delivered in the community, via a "waiver" program. So the answer is state specific.
3. Some assisted living facilities have sliding scales and accept low income patients. These places will have waiting lists, so get her signed up now.