Are you sure you want to exit? Your progress will be lost.
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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
I consent to the sharing of my consumer health data with qualified home care agencies.*
*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.
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:
Iowa Medicaid is the state and federally funded health insurance program for low-income residents, seniors, people with disabilities, pregnant women, and some families with children. In Iowa, most Medicaid coverage is managed through a system called Iowa Health Link, where private managed-care organizations coordinate care.
Here’s the basic way it works: 1. You Apply You can apply: Online through Iowa HHS By phone By paper application Through the federal marketplace in some cases
2. Iowa Checks Eligibility Eligibility depends mainly on: Income Household size Age/disability status Iowa residency Citizenship or qualified immigration status Examples: Adults 19–64 generally qualify up to about 138% of the Federal Poverty Level under Medicaid expansion. Pregnant women and children have higher income limits. Seniors needing nursing home care or long-term care must also meet asset/resource limits.
3. Most Members Choose a Managed Care Plan Most Iowa Medicaid recipients are placed into a private managed-care plan such as: Iowa Total Care Molina Healthcare of Iowa These plans handle: Doctor networks Referrals Prescriptions Care coordination If you do not choose a plan, Iowa may assign one for you.
4. Covered Services Coverage may include: Doctor visits Hospital care Prescriptions Mental health treatment Dental care (varies) Transportation to medical appointments Nursing home care Home/community-based services (waivers) For seniors and disabled adults, Iowa also has HCBS waivers that can help pay for care at home instead of a nursing home.
5. Renewals Coverage is not permanent automatically. Iowa periodically reviews: Income Household changes Disability status Assets (for long-term care Medicaid) If paperwork is missed, coverage can be lost even if the person still qualifies. Important distinction: “Regular” Medicaid vs Long-Term Care Medicaid These are very different systems: Regular Medicaid Long-Term Care Medicaid Based mainly on income Based on income and assets Covers healthcare Covers nursing homes or in-home caregiving No asset test for many adults Strict asset/resource limits ACA expansion rules Elder law / Medicaid planning rules This distinction becomes very important for dementia care, nursing home placement, or waiver services.
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.
Here’s the basic way it works:
1. You Apply
You can apply:
Online through Iowa HHS
By phone
By paper application
Through the federal marketplace in some cases
2. Iowa Checks Eligibility
Eligibility depends mainly on:
Income
Household size
Age/disability status
Iowa residency
Citizenship or qualified immigration status
Examples:
Adults 19–64 generally qualify up to about 138% of the Federal Poverty Level under Medicaid expansion.
Pregnant women and children have higher income limits.
Seniors needing nursing home care or long-term care must also meet asset/resource limits.
3. Most Members Choose a Managed Care Plan
Most Iowa Medicaid recipients are placed into a private managed-care plan such as:
Iowa Total Care
Molina Healthcare of Iowa
These plans handle:
Doctor networks
Referrals
Prescriptions
Care coordination
If you do not choose a plan, Iowa may assign one for you.
4. Covered Services
Coverage may include:
Doctor visits
Hospital care
Prescriptions
Mental health treatment
Dental care (varies)
Transportation to medical appointments
Nursing home care
Home/community-based services (waivers)
For seniors and disabled adults, Iowa also has HCBS waivers that can help pay for care at home instead of a nursing home.
5. Renewals
Coverage is not permanent automatically. Iowa periodically reviews:
Income
Household changes
Disability status
Assets (for long-term care Medicaid)
If paperwork is missed, coverage can be lost even if the person still qualifies.
Important distinction: “Regular” Medicaid vs Long-Term Care Medicaid
These are very different systems:
Regular Medicaid
Long-Term Care Medicaid
Based mainly on income
Based on income and assets
Covers healthcare
Covers nursing homes or in-home caregiving
No asset test for many adults
Strict asset/resource limits
ACA expansion rules
Elder law / Medicaid planning rules
This distinction becomes very important for dementia care, nursing home placement, or waiver services.