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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?
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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.
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.
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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.
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It is unknown if, & in what amount, unpaid charges may be outstanding, but likely to be an amount still owed at the time of her return home.Once that is paid does Medicaid then "attach" her SS to cover their expenditures?
You asked a similar question before. Why was the SNF given payee status if there was a possibility the resident would be coming home? I don't think there is any law that says this must be done. I was not given that impression when Mom was placedbin LTC. It was approached to me as an option. People on this forum have chosen to send a check to the NH every month from a LOs account taking out the PNA allowed. As long as the NH is being paid on time I see no problem.
Cover gave good advice. You need to take this directly to Social Security. Medicaid has nothing to do with SS payments. What they pay determines how much is paid in SS.
SS does stress this. Without this information in the timeframe, the monthly payment will reflect still being in the facility. It is imperative to have the discharge paperwork and to head to an SS office ASAP.
Question: once she returns home, how will she pay any medical bills? You say she is currently in a LTC facility on Medicaid, then does this mean she needs to reapply for an in-home waiver program so that Medicaid pays for in-home aids? I'm only asking because I don't know myself. My MIL is on Medicaid in a LTC facility. She would need a lot of aid if someone ever took her into a private home.
I know your question isn't about the in-home caregiving part, but just want to make sure this is carefully considered before moving her.
If she needs no in home waiver, what maybe will happen is the OPs Dept of Job and Family Services will discontinue LTC Medicaid leaving the client with regular Medicaid.
Personal again, had both LTC and regular Medicaid, when JFS notified of discharge (finally), they discontinued LTC leaving just plain Medicaid. There was no need to reapply .
She should be applying for any in home assistance while in the facility. The Social Worker should be doing this.
What you would do, and make darn sure you do, is get discharge paperwork, (make copies of the paperwork) With the paper work, go to your local (or any) Social Security Field Office, let them know that the resident is not in the facility anymore, let them know where the resident is staying, with documentation and give them the copy of the discharge paperwork for proof.
If this is not done, SS will "think" the resident is still living in the facility and will continue to only pay the amount as if this was the case,
Went through this, and was only resolved after the SS Rep called to verify I was no longer at the facility.
Make sure you notify them before the 10th of the month after they would leave, or they won't be able to change the payment for that month.
Cart before the horse here. You say "if she returns home............". Is that likely to happen? Who is the POA? Is this person competent in her own mind to make a decision, and well in body to not be a danger to self or others if released?
A SNF would do discharge of this person. The SNF would do discharge planning with this person if competent in mind and body OR with the POA. Home care would be arranged to be certain all was well.
And no, SS would not be paid to an SNF for a person who has been discharged from said SNF. This paperwork would be done at time of discharge by discharge planners or social workers, and coordinated with the client or with her representative (POA, etc).
That's how it is supposed to work, but sometimes that is not the case. Personal experience, Social Worker was probably pissed he was not able to make a good impression for the facility bigwigs during an issue, so no discharge planning was had.
What he failed to realize (or did not care to see), proper discharge was part of the rules that this facility has. Complaint was made, state investigated found the complaint valid, facility fined, made changes (he lost again).
Facility seems to be "cleaning house" in a sense, since several positions are up to be filled.
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.
You asked a similar question before. Why was the SNF given payee status if there was a possibility the resident would be coming home? I don't think there is any law that says this must be done. I was not given that impression when Mom was placedbin LTC. It was approached to me as an option. People on this forum have chosen to send a check to the NH every month from a LOs account taking out the PNA allowed. As long as the NH is being paid on time I see no problem.
Cover gave good advice. You need to take this directly to Social Security. Medicaid has nothing to do with SS payments. What they pay determines how much is paid in SS.
SS does stress this. Without this information in the timeframe, the monthly payment will reflect still being in the facility. It is imperative to have the discharge paperwork and to head to an SS office ASAP.
I know your question isn't about the in-home caregiving part, but just want to make sure this is carefully considered before moving her.
Personal again, had both LTC and regular Medicaid, when JFS notified of discharge (finally), they discontinued LTC leaving just plain Medicaid. There was no need to reapply .
She should be applying for any in home assistance while in the facility. The Social Worker should be doing this.
If this is not done, SS will "think" the resident is still living in the facility and will continue to only pay the amount as if this was the case,
Went through this, and was only resolved after the SS Rep called to verify I was no longer at the facility.
Make sure you notify them before the 10th of the month after they would leave, or they won't be able to change the payment for that month.
You say "if she returns home............".
Is that likely to happen?
Who is the POA?
Is this person competent in her own mind to make a decision, and well in body to not be a danger to self or others if released?
A SNF would do discharge of this person.
The SNF would do discharge planning with this person if competent in mind and body OR with the POA. Home care would be arranged to be certain all was well.
And no, SS would not be paid to an SNF for a person who has been discharged from said SNF. This paperwork would be done at time of discharge by discharge planners or social workers, and coordinated with the client or with her representative (POA, etc).
Wishing you the best.
What he failed to realize (or did not care to see), proper discharge was part of the rules that this facility has. Complaint was made, state investigated found the complaint valid, facility fined, made changes (he lost again).
Facility seems to be "cleaning house" in a sense, since several positions are up to be filled.