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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.
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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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Friend only receives social security. Makes $20.00 to much for disability, and has lung disease, Medicaid has stopped paying for oxygen although Dr. has ordered it. Is there any programs out there that can help with this expense?
Medicaid management may have adopted a policy similar to that of Medicare, which no longer provides oxygen after 3 years. The supplier said that Medicare changed its practices by instituting competitive bidding for oxygen suppliers, as well as limiting its policy of providing oxygen after 3 years.
The supplier said that this is putting a lot of pressure on suppliers, one of which we've used off and on for years will no longer be participating in the DME supply and will in fact will be dissolving its business.
The current supplier could only be uncertain about what happens in 3 years and whether or not oxygen would have to be paid out of pocket.
In 2 yeasr I'm going to be stocking up on supplies and will continue to do so as year 3 approaches. I'll also be asking the techs to provide whatever insight they can on maintenance of the equipment, should it become dysfunctional.
I don't know whether or not Medicare would provide a new concentrator.
I suspect Medicaid may have adopted a similar policy. But if so, your friend should have been notified, as it's my understanding that DMEs are in fact providing up front notice of this policy change.
Verlague, your friend's pulmonology doctor might be the person to suggest funding as these doctors are probably going to have to deal with still caring for their patients in the face of Medicare's (and Medicaid's??) changed policy.
Your friend could also inquire of his/her pulmonologist whether or not there are pulmonary rehab programs in the area. There is one in our area. At least it might help your friend improve his/her lung capacity.
In our area there's an agency which provides assistance on a variety of levels. The local Area Agency on Aging would likely have any contact numbers and/or might be able to offer insight on whether there are other programs that could assist with payment.
Maggie, the thresholds for scripts for oxygen have also changed for Medicare, and possibly Medicaid. As of a few years ago, there were 3 criteria for oxygen. I don't remember exactly but I do recall that resting and walking SAT rates needed to be at a certain level or below. There was also an overnight test to be administered, which if SAT rate reached the lower threshhold, would justify oxygen overnight, but not during the day.
What this results in is provision of a concentrator for night use, but only a few tanks allowed for daytime use, thus restricting the out of home trips an individual could safely make.
Hmmmm. Perhaps there's something you're not aware of. Like. Maybe, her lung function isn't poor enough to qualify. Rather hard to believe, though. Are you absolutely sure it's not a miscommunication with the doctor? Like his incorrectly filling out the necessary paperwork? If her oxygen level is below 90%'at rest, it's very difficult to believe Medicaid would not pay for it.
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.
The supplier said that this is putting a lot of pressure on suppliers, one of which we've used off and on for years will no longer be participating in the DME supply and will in fact will be dissolving its business.
The current supplier could only be uncertain about what happens in 3 years and whether or not oxygen would have to be paid out of pocket.
In 2 yeasr I'm going to be stocking up on supplies and will continue to do so as year 3 approaches. I'll also be asking the techs to provide whatever insight they can on maintenance of the equipment, should it become dysfunctional.
I don't know whether or not Medicare would provide a new concentrator.
I suspect Medicaid may have adopted a similar policy. But if so, your friend should have been notified, as it's my understanding that DMEs are in fact providing up front notice of this policy change.
Verlague, your friend's pulmonology doctor might be the person to suggest funding as these doctors are probably going to have to deal with still caring for their patients in the face of Medicare's (and Medicaid's??) changed policy.
Your friend could also inquire of his/her pulmonologist whether or not there are pulmonary rehab programs in the area. There is one in our area. At least it might help your friend improve his/her lung capacity.
In our area there's an agency which provides assistance on a variety of levels. The local Area Agency on Aging would likely have any contact numbers and/or might be able to offer insight on whether there are other programs that could assist with payment.
Maggie, the thresholds for scripts for oxygen have also changed for Medicare, and possibly Medicaid. As of a few years ago, there were 3 criteria for oxygen. I don't remember exactly but I do recall that resting and walking SAT rates needed to be at a certain level or below. There was also an overnight test to be administered, which if SAT rate reached the lower threshhold, would justify oxygen overnight, but not during the day.
What this results in is provision of a concentrator for night use, but only a few tanks allowed for daytime use, thus restricting the out of home trips an individual could safely make.
Rationale? Who knows.