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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.
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This may vary by state, but it is probably up to the nursing home. The one my mom is in (NC) would let us have a private room (were one available - there's a huge waiting list though) - and we could pay the difference between the Medicaid rate the private room rate. In our case, this would be around $600 a month. My three sibs and I will split the cost four ways.
In Texas, Medicaid also views this as a no-no. Whatever you would pay then, medicaid would want you to pay towards their care, or they could count as income, and then it might disqualify them for Medicaid. You always have to be very careful with Medicaid. Also most nursing homes have very few rooms that are private.
In some states all nursing homes are legally required to accept medicaid as a payment. I recommend seeing an elder law attorney. They will know if your state requires the facility to accept medicaid (facilities often don't disclose this so they will have more private payers) and make sure she gets to stay after her money runs out.
My mom was offered a private room on another floor in her NH recently. The social worker pushed for it..as my mom had a few unlucky incidents with roommates, for mixed reasons. I wasn't sure she would do well alone - she is very social- but the private room definitely feels a bit more like home since you don't have to sleep next to a stranger or look at their stuff. The jury is still out as to if it was worth the move from a familiar floor..she is still adjusting to her surroundings. Do we ever know if we make the right choice. What do you think..would you choose a private room for your loved one if they had to move to another floor? It wasn't a "great" floor, but it was familiar.
My mom was offered a private room on another floor in her NH recently. The social worker pushed for it..as my mom had a few unlucky incidents with roommates, for mixed reasons. I wasn't sure she would do well alone - she is very social- but the private room definitely feels a bit more like home since you don't have to sleep next to a stranger and look at their stuff. The jury is still out though in whether it was worth it to move from a floor she was used to..it's only been a week and she's still adjusting to her new surroundings. Do we ever really know what the right choice is?
Shoot- I answered this a year ago w/o reading the whole question! Medicaid is quite different than Medicare (with rider policies). I know that Mother had Medicare and one rider policy. Even with that, she was placed in a facility that was not nice, not private--hence the meltdown and us placing her in a posh rehab and wealthy sis picking up the difference. Had she been on MEDICAID in UT she wouldn't have had the choice. They would look at a family's ability to "pay up" and not have allowed this. A totally different dynamic, for sure. I'm sorry if I misled anyone.
Does this have to be in a Medicaid facility? Our mom is in a private pay facility right now. It would be nice to keep her there even after the money runs out. Currently O.E. is not a Medicaid facility. Moving her would be too dramatic. Our plan is to have her run down her savings money, her income money from SS, Vets, and pension totals about $3100 per month. Any ideas or realities.
In NY, that's a no-go. Medicaid would view the ability for family to pay the difference as "proof" (sorry, that's probably not the best word, but I haven't had coffee yet!) that funds exist for the resident, and therefore, why should the government provide aid if family members can? Of course, you and I know there's a big difference between coming up with an extra $200 a month for a loved one and coming up with the thousands it would cost out of pocket if Medicaid weren't supplementing. But unfortunately, at least around here in NY, Medicaid doesn't see it that way.
Situation: Mom in nursing home, semi. Wants private. If family contributes the money for the private, does that go into the formula for calculating her eligibility for Medicaid?
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.
Medicaid is quite different than Medicare (with rider policies). I know that Mother had Medicare and one rider policy. Even with that, she was placed in a facility that was not nice, not private--hence the meltdown and us placing her in a posh rehab and wealthy sis picking up the difference.
Had she been on MEDICAID in UT she wouldn't have had the choice. They would look at a family's ability to "pay up" and not have allowed this.
A totally different dynamic, for sure. I'm sorry if I misled anyone.
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