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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.
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.
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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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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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Call your Medicaid office and see if they are open to the public now. I was able to first go in and find out what needed to be done. I picked a LTC facility and then got an appointment with a caseworker that handled that facility. He asked me questions and fed them into his computer. I was given a list of info I needed to give them. In my State you have 90 days to spend down assets, get info needed to Medicaid and find a facility.
I would talk to an Elder Lawyer first well versed in Medicaid. If your wife goes on Medicaid, you become the Community Spouse. You need to have assets split and Medicaid allows this. Your wifes split will need to be spent down and before its gone Medicaid applied for. You will stay in the home and be given enough or all of your combined monthly income to live on.
1. Contact your wife's physician and ask for a referral to a social worker case manager or someone else in his/her office practice who can help you complete the application. 2. Or contact the office on aging, or county health departments ; either may be able to help put you on right track to help. 3. You do not say if you wife is receiving hospice care. If she is, then the social worker assigned to your wife's hospice care should be competent to help you complete the application. IF you wife is not on hospice care, you may want to inquire with a hospice of your choice to get more information about having her assessed for admission to hospice care; this will provide you with a broad range of interdisciplinary professional services to help you both . You do not have to wait for her physician to refer you to hospice care for her in order to gather the information yourself. You can then request her physician to order hospice evaluation for her and admission if hospice evaluation supports her being in hospice care. Hospice is not about dying. Hospice is about 'quality of life ' in the midst of a ' life limiting illness'. It may be right for your wife and you or may not. But it is an avenue to explore to make more services available in your home with your wife's care and support for you.
Yes, Elder Law attorneys are expensive, but it can be much more expensive not to get advice. Most Elder Law attorneys will offer a free consultation and can tell whether your situation is complicated enough that you will SAVE MONEY by hiring an Elder Law attorney. Neither the care center employee, the government agency handling the Medicaid in your state, ombudsman, or anyone who is not an EXPERIENCED Elder Law attorney can educate you on all the options available to SAVE YOU money, in the long run. I often encounter clients who have spent $20,000 to $100,000 on long term care that they would not have had to spend if they had called me first. How can you find one: there may be an elder law attorney associated with this web site in your state; there is a national organization called National Academy of Elder Law attorneys, where you can find a list of Elder Law attorneys who may be in your state; or contact your local Alzheimer's support group for a referral.
That's exactly what I did. I knew I wouldn't have the time or the energy or the knowledge to do it by myself without either screwing something up or spending more money than I would have to otherwise. I found an elder law attorney who specializes in Medicaid for seniors and he's been an enormous help and it has taken a load off my mind.
I guarantee you, there are options he's thought of that would never occur to the average person. He's been worth every penny so far.
I have been filling out the Medicaid forms for years but when my BIL went off of Medicaid because he was 65 I had to reapply again, What helped me is where they put him which is a nursing home in memory care. The financial person has helped so much with getting what I need for him to be back on it.
We had to spend down his finances because he had over what Medicaid allows then we had to cash out his life insurance because he had a prepaid funeral. So that cash out went on his prepaid funeral.
I am waiting to see if his pension comes into the payee account once that happens then I will get all the paperwork together and go see the financial person she will send in the paperwork for me.
I would tell you if you are placing her somewhere they will help if not call Medicaid office they should help or go down to Dept of Human Services they should have someone there to help fill out those papers.
Ccmatt Because you are a community spouse it is very important that your income is protected. A portion of your wife’s ss may be available to help you continue to live in the community. Not every lay person will know how to complete the forms to do this.
Be careful who you receive help from. Even when you choose an attorney, make sure they are a certified elder attorney well versed in the Medicaid rules of your state. Medicaid is administered by each state. The rules are not always the same. Here is a link for the forum previous posts regarding community spouse.
Call the Medicaid office in your state. When you fill out the Medicaid application, she should be 'tested' for other programs available to her. Some will require doctor input to declare her medical necessity for certain programs (ex : X number of hours per week cleaning your wife's area or helping her with bathing)
You can also contact Ombudsman's office in your state or local agency on aging in your county to find out what programs/assistance are available for people who receive 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.
I would talk to an Elder Lawyer first well versed in Medicaid. If your wife goes on Medicaid, you become the Community Spouse. You need to have assets split and Medicaid allows this. Your wifes split will need to be spent down and before its gone Medicaid applied for. You will stay in the home and be given enough or all of your combined monthly income to live on.
3. You do not say if you wife is receiving hospice care. If she is, then the social worker assigned to your wife's hospice care should be competent to help you complete the application. IF you wife is not on hospice care, you may want to inquire with a hospice of your choice to get more information about having her assessed for admission to hospice care; this will provide you with a broad range of interdisciplinary professional services to help you both . You do not have to wait for her physician to refer you to hospice care for her in order to gather the information yourself. You can then request her physician to order hospice evaluation for her and admission if hospice evaluation supports her being in hospice care. Hospice is not about dying. Hospice is about 'quality of life ' in the midst of a ' life limiting illness'. It may be right for your wife and you or may not. But it is an avenue to explore to make more services available in your home with your wife's care and support for you.
I guarantee you, there are options he's thought of that would never occur to the average person. He's been worth every penny so far.
We had to spend down his finances because he had over what Medicaid allows then we had to cash out his life insurance because he had a prepaid funeral. So that cash out went on his prepaid funeral.
I am waiting to see if his pension comes into the payee account once that happens then I will get all the paperwork together and go see the financial person she will send in the paperwork for me.
I would tell you if you are placing her somewhere they will help if not call Medicaid office they should help or go down to Dept of Human Services they should have someone there to help fill out those papers.
Prayers you find the solution.
Because you are a community spouse it is very important that your income is protected. A portion of your wife’s ss may be available to help you continue to live in the community. Not every lay person will know how to complete the forms to do this.
Be careful who you receive help from. Even when you choose an attorney, make sure they are a certified elder attorney well versed in the Medicaid rules of your state.
Medicaid is administered by each state. The rules are not always the same.
Here is a link for the forum previous posts regarding community spouse.
https://www.agingcare.com/search?term=Community+spouse
Igloos posts are especially informative.
https://www.agingcare.com/search?term=Community+spouse+Igloo
The more info you give about your unique circumstances the better your answers will be.
Good luck with your application.
You can also contact Ombudsman's office in your state or local agency on aging in your county to find out what programs/assistance are available for people who receive Medicaid.
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