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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:
When a non-ambulatory patient has plateaued and is moved from rehab bed to long-term bed in a care facility, what will Medicare pay for (if anything) and for how long?
The costs - after the Medicare's 100% / 80% rehab benefit is over - at a NH/SNF will be in 2 intertwined paths: room & board costs medical costs Medicare will NOT pay any of the room & board costs, but Medicaid will. Medical costs (MD fees, PT/OT, other therapists, Rx's) will be some combo of Medicaid & Medicare depending on what type of Medicare they are on, what your state's Medicaid program will pay. But one of the M&M's will be viewed as primary payment source. Often they will qualify for one of the medication/prescription "at need" programs and which M&M pays what co-pay will vary BY MONTH as some meds are done in 90 day packs and others 30 day so some months less $ for drugs. It is totally whack to keep track of. Really all you need to remember is that once she's on Medicaid and the NH accepts Medicaid & Medicare, all costs should be covered.
A thought for you…..If they should be in a NH and then qualify for hospice, that is a 100% Medicare paid benefit and Medicare will pay the hospice provider directly & as it's a Medicare benefit YOU (as dpoa for your mom) can select the hospice provider. Now the room & board will still needed to be paid & gets R & B billed to Medicaid. If your mom seems to not be doing well, I've really really REALLY try to get her evaluated for hospice so that when she moves from "rehab" to regular NH bed she is also on hospice. Hospice will mean that the hospice agency will come in to see mom anywhere from 2 -4 days a week and will provide staff that will essentially will be extra hands to help with mom's care. My mom was in a NH for 3 years with her last 18 mos on hospice at the NH as well. I've found the NH really just love love LOVE having hospice residents as hospice helps getting them bathed, linens changed, extra supplies or better nutritionals (like instead of Boost hospice got Twin Cal with probiotics for mom). A good NH will have a smallish group of hospice vendors that come to the NH and you can speak with them to find those that are a best fit for mom. The SW at the NH probably has good insight on what's what on options with the hospice groups that already come in. Ive found the SW are pretty frank and direct in speaking with families as they are required staff and somewhat independent of the personalties of the nursing staff and the DON (director of nursing & the power center at a NH). Medicare paid the hospice an average of $ 4,500 a mo for my mom for 18 months. Good luck on the transition!
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.
room & board costs
medical costs
Medicare will NOT pay any of the room & board costs, but Medicaid will.
Medical costs (MD fees, PT/OT, other therapists, Rx's) will be some combo of Medicaid & Medicare depending on what type of Medicare they are on, what your state's Medicaid program will pay. But one of the M&M's will be viewed as primary payment source. Often they will qualify for one of the medication/prescription "at need" programs and which M&M pays what co-pay will vary BY MONTH as some meds are done in 90 day packs and others 30 day so some months less $ for drugs. It is totally whack to keep track of. Really all you need to remember is that once she's on Medicaid and the NH accepts Medicaid & Medicare, all costs should be covered.
A thought for you…..If they should be in a NH and then qualify for hospice, that is a 100% Medicare paid benefit and Medicare will pay the hospice provider directly & as it's a Medicare benefit YOU (as dpoa for your mom) can select the hospice provider. Now the room & board will still needed to be paid & gets R & B billed to Medicaid. If your mom seems to not be doing well, I've really really REALLY try to get her evaluated for hospice so that when she moves from "rehab" to regular NH bed she is also on hospice. Hospice will mean that the hospice agency will come in to see mom anywhere from 2 -4 days a week and will provide staff that will essentially will be extra hands to help with mom's care. My mom was in a NH for 3 years with her last 18 mos on hospice at the NH as well. I've found the NH really just love love LOVE having hospice residents as hospice helps getting them bathed, linens changed, extra supplies or better nutritionals (like instead of Boost hospice got Twin Cal with probiotics for mom). A good NH will have a smallish group of hospice vendors that come to the NH and you can speak with them to find those that are a best fit for mom. The SW at the NH probably has good insight on what's what on options with the hospice groups that already come in. Ive found the SW are pretty frank and direct in speaking with families as they are required staff and somewhat independent of the personalties of the nursing staff and the DON (director of nursing & the power center at a NH). Medicare paid the hospice an average of $ 4,500 a mo for my mom for 18 months.
Good luck on the transition!