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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:
Needing care at home for dementia and visual impairment to help with meds, showers, meals and getting dressed. Is there a certain form or plan of care form I could ask the doctor for?
Usually, a home health care agency coordinates the services your doctor orders for you so ask your physician. To understand what Medicare does and does not cover, go to https://www.medicare.gov/coverage/home-health-services
I think you will find that MediCARE will NOT be paying for inhome health care for anything custodial care. Meals, bathing, hygiene, getting dressed are all activities of daily life (ADL) and viewed as custodial care. MediCARE won’t pay but your states Community based Medicaid programs may if she’s if eligible both medically and financially for a community Medicaid program. Just what is out there is totally on your state as each state runs it’s Medicaid program uniquely but under overall federal guidelines. Medicaid is very much an “at need” system to ever be eligible & the “need” varies by state.
Now MediCARE will pay for - time limited in home health if it is directly related to a discharge from a hospitalization. So if mom was hospitalized for hip surgery and then she is discharged to her home rather than to rehab at a facility, MediCARE will pay for therapist, etc visits for a period of time as they would in a rehab facility. AND - for in home hospice care. She would have to be evaluated to need hospice.
If your mom is beyond befuddled in taking her prescriptions and if she also has black box type of RXs or meds that need compounding, she may be viewed as “at need” for “skilled medication management”. This is often used as part of the criteria in getting them eligible medically “at need” for skilled nursing care LTC Medicaid placement aka they become a resident in a LTC facility like a NH. But if it’s more mom cannot tell the difference between Losartan and Lipitor and when to take them, that’s the type of medication management that an private pay AL can do and adds a surcharge onto her monthly bill.
There was a poster who said she was able to get ""intermittent care" for her Mom and Aunt. May want to check this out. On the whole though, Medicare does not pay for aides.
Call your Office of Aging to see if they can help. Check with her secondary insurance. If she has a Medicare Advantage call them.
If your mom has BCBS Medicare advantage you will need to call them to see how they handle this. If she has original Medicare, she can probably get help under Medicare Part B, intermittent skilled nursing needs for those who are home bound and not easy to get out. There is a sweet spot where it helps. If your mom needs help setting up her pill planner that can justify a nurse. But they won’t be there daily to give her the pills. Then if she needs help with showers, a cna can come in for that. Usually only a couple of times a week and they will help her change and might even change her bed sheets and start the washer.
PT and OT can also provide needed services. Meals would need to be ordered from meals on wheels. I have had CNAs bring my mom a burger or heat her lunch but that isn’t a routine thing.
There are other services but first find out what insurance she has. I’m not familiar with advantage plans but have 10-12 years experience with original Medicare covering this for my mom and then my DH aunt. Aunt has dementia and has transitioned from home health to hospice now with the same agency. Under Medicare.gov you can find agencies in your city, state. Call a couple and see if they take your insurance. Have them come for an evaluation. They will have the doctor sign the forms they need if they can help your mom.
Oh and mom will need to allow the help although they will work with her to gain her trust. It helps if you are there the first few times so that your mom is at ease.
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.
Now MediCARE will pay for
- time limited in home health if it is directly related to a discharge from a hospitalization. So if mom was hospitalized for hip surgery and then she is discharged to her home rather than to rehab at a facility, MediCARE will pay for therapist, etc visits for a period of time as they would in a rehab facility.
AND
- for in home hospice care. She would have to be evaluated to need hospice.
If your mom is beyond befuddled in taking her prescriptions and if she also has black box type of RXs or meds that need compounding, she may be viewed as “at need” for “skilled medication management”. This is often used as part of the criteria in getting them eligible medically “at need” for skilled nursing care LTC Medicaid placement aka they become a resident in a LTC facility like a NH. But if it’s more mom cannot tell the difference between Losartan and Lipitor and when to take them, that’s the type of medication management that an private pay AL can do and adds a surcharge onto her monthly bill.
Call your Office of Aging to see if they can help. Check with her secondary insurance. If she has a Medicare Advantage call them.
If she has original Medicare, she can probably get help under Medicare Part B, intermittent skilled nursing needs for those who are home bound and not easy to get out.
There is a sweet spot where it helps. If your mom needs help setting up her pill planner that can justify a nurse. But they won’t be there daily to give her the pills. Then if she needs help with showers, a cna can come in for that. Usually only a couple of times a week and they will help her change and might even change her bed sheets and start the washer.
PT and OT can also provide needed services.
Meals would need to be ordered from meals on wheels. I have had CNAs bring my mom a burger or heat her lunch but that isn’t a routine thing.
There are other services but first find out what insurance she has. I’m not familiar with advantage plans but have 10-12 years experience with original Medicare covering this for my mom and then my DH aunt. Aunt has dementia and has transitioned from home health to hospice now with the same agency.
Under Medicare.gov you can find agencies in your city, state. Call a couple and see if they take your insurance. Have them come for an evaluation. They will have the doctor sign the forms they need if they can help your mom.
Oh and mom will need to allow the help although they will work with her to gain her trust. It helps if you are there the first few times so that your mom is at ease.