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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:
If your mother is still alive Medicaid would leave her enough money to pay her living expenses, then take any remainder towards providing for your father's care.
Medicaids co pay or SOC (share of cost) requirements will depend on which Medicaid program he is applying to. For the states - which administer it under federal guidelines - Medicaid is beyond huge and ranges from loaning breast pumps for free under WIC, those giant dental vans that do preventative care free for CHIP enrolled kids, to LTC in a NH which requires a copay of NH resident monthly income. What specific Medicaid is he applying to?
Your profile suggests you live with and caregive for your parents in their home. Is that right? If so, imo, dealing with & understanding Medicaid for them & how it can affect you is just not a DIY project and all of you will be best served in meeting with an elder law atty AND ahead of ever filing his Medicaid application.
Like if he’s applying to community based Medicaid program (so he’s living in house), it’s going to have lots more latitude as to both their income & assets as they both need $ to enable them to continue to live in the community but they will need to still meet Medicaids low income threshold for your state AND he will need to be assessed to need care. And whether provided in home or at a community based Medicaid program (like PACE, which states are leaning to & run by a nonprofit like Catholic Charities health care division). Most community based Medicaid programs run on ”dual” enrollees to get paid, so folks have to be on Medicaid & Medicare with little or no copay as long as the care provider takes the M&Ms or they stay in the network that is under Medicaid contract for your state (Molina Health does this in a lot of states). For the above type of community Medicaid, a couple probably low income enough that no $ needed outside of minimal copays.
But IF your dad is looking for getting IHHS (in home health services), where someone is paid by Medicaid to provide 1-on-1 care for him 2-4 days a week based on his needs assessment, those will require a % of his income paid to state to offset the costs of the caregiver. Both CA & AZ have well established IHHS programs. And you as a non spouse resident of the household can be paid to caregive a parent. Seems to be abt 20 hrs a week at slightly above minimum wage with taxes, fica, etc done. Most states do NOT do IHHS and most caregiving is done by family for free.
For LTC NH medicaid, his monthly income must be paid to the NH. Your mom as a community spouse (CS) can get CRSA or MMNA (a resource allowance) if her income alone will not be enough to cover her living costs. If she needs his income, it gets approved by Medicaid to be waived to go to her instead of being paid as the SOC to the NH. It has to be documented financial need and states have preset limits for CSRA / MMNA.
Whatever the case, for any type of over 55 Medicaid enrollment, Medicaid is required to attempt a recoup (MERP) of all $ spent. Just how & what Medicaid does is super interdependent on your states laws for property rights, probate laws AND also if there are any exemptions, exclusions to MERP. If you’ve been a caregiver for over 2 yrs and can provide documentation to establish this, you might qualify for that exemption. And this is something that the atty will need to deal with for you & ahead of ever filing dads application.
If all your folks $ is needed to keep household afloat due to heavy debt, and you don’t have your own income, LTC NH may just not be feasible. Really CS options needs advice of a NAELA or CELA level of elder law attorney. Not a DIY.
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.
For the states - which administer it under federal guidelines - Medicaid is beyond huge and ranges from loaning breast pumps for free under WIC, those giant dental vans that do preventative care free for CHIP enrolled kids, to LTC in a NH which requires a copay of NH resident monthly income. What specific Medicaid is he applying to?
Your profile suggests you live with and caregive for your parents in their home. Is that right?
If so, imo, dealing with & understanding Medicaid for them & how it can affect you is just not a DIY project and all of you will be best served in meeting with an elder law atty AND ahead of ever filing his Medicaid application.
Like if he’s applying to community based Medicaid program (so he’s living in house), it’s going to have lots more latitude as to both their income & assets as they both need $ to enable them to continue to live in the community but they will need to still meet Medicaids low income threshold for your state AND he will need to be assessed to need care. And whether provided in home or at a community based Medicaid program (like PACE, which states are leaning to & run by a nonprofit like Catholic Charities health care division). Most community based Medicaid programs run on ”dual” enrollees to get paid, so folks have to be on Medicaid & Medicare with little or no copay as long as the care provider takes the M&Ms or they stay in the network that is under Medicaid contract for your state (Molina Health does this in a lot of states). For the above type of community Medicaid, a couple probably low income enough that no $ needed outside of minimal copays.
But IF your dad is looking for getting IHHS (in home health services), where someone is paid by Medicaid to provide 1-on-1 care for him 2-4 days a week based on his needs assessment, those will require a % of his income paid to state to offset the costs of the caregiver. Both CA & AZ have well established IHHS programs. And you as a non spouse resident of the household can be paid to caregive a parent. Seems to be abt 20 hrs a week at slightly above minimum wage with taxes, fica, etc done. Most states do NOT do IHHS and most caregiving is done by family for free.
For LTC NH medicaid, his monthly income must be paid to the NH. Your mom as a community spouse (CS) can get CRSA or MMNA (a resource allowance) if her income alone will not be enough to cover her living costs. If she needs his income, it gets approved by Medicaid to be waived to go to her instead of being paid as the SOC to the NH. It has to be documented financial need and states have preset limits for CSRA / MMNA.
Whatever the case, for any type of over 55 Medicaid enrollment, Medicaid is required to attempt a recoup (MERP) of all $ spent. Just how & what Medicaid does is super interdependent on your states laws for property rights, probate laws AND also if there are any exemptions, exclusions to MERP. If you’ve been a caregiver for over 2 yrs and can provide documentation to establish this, you might qualify for that exemption. And this is something that the atty will need to deal with for you & ahead of ever filing dads application.
If all your folks $ is needed to keep household afloat due to heavy debt, and you don’t have your own income, LTC NH may just not be feasible. Really CS options needs advice of a NAELA or CELA level of elder law attorney. Not a DIY.