Are you sure you want to exit? Your progress will be lost.
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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I acknowledge and authorize
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I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
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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:
Look over what she signed, because anyone going into a Nursing Home as a Medicaid client agrees to make the NH their representative payee. That means the SS checks go to them. Title 19 is a Medicaid program.
I am new here sorry..I'd also like to add that she has title 19 and Medicare we are in the state of Wisconsin.just was a shock to my mother and I as to how this happend.she had not signed anything and was never made aware of anything to do with this ...thought insurance was going to take care of the rehab stay.thank you
Is she in rehab after a hospital stay? Or was she admitted to the nh as a Medicaid patient? Talk to social worker and business office at nh to determine what kind of patient she is considered at this point. What Pam says is accurate.
Geri - if she is on Title 19 then at some earlier point in time she did something to apply for Title 19 aka Medicaid. Perhaps she has been low income and was on Medicaid for a community based program? or maybe has been receiving some mental health services in the past with Medicaid paying for it? If they are receiving Medicaid, then they have to be in compliance with Medicaid's rules. And often it is done as an acknowledgement of participation, so if you take Medicaid you accept whatever terms of the program. You do not necessarily do a sign off.
Now for those on Medicaid & in a NH or in another skilled nursing facility like a free-standing rehab center, they are required to do a co-pay / "SOC". Their copay will be all of their monthly income each month less a small personal needs allowance. The allowance varies by state and runs from $ 35 - 90 a month. Often the NH will put the allowance in a personal needs trust @ the NH which can be used for them to pay for beauty shop, pay for phone or cable charges (which are not covered by Medicaid) or for buying small items from the "canteen" @ the NH. So all of their SS $ goes to the NH. Most NH routinely become the rep payee for SS as it is easier. However, you do not have to do it this way. My mom gets about $ 800 in SS and then 1K in retirement and both get direct deposited to her checking account and then I write a check each month for her required Medicaid co-pay of $ 1,740.00 as her state has a $ 60 allowance. If you do it this way, often the NH will require whomever is able to be the financially responsible person for the resident to sign an admissions contract so they can come back at you if the SOC is not paid.
Now if mom went into rehab after a hospitalization (of 3 full days) then the first 21 days are covered by Medicare (Medicare was also her primary insurer for the hospitalization). But if she is not progressing, then Medicare will stop paying and then Medicaid will pay for her stay. She is actually fortunate to already be on Medicaid, as you are not going through the application & vetting process to be accepted for Medicaid which can take months and can be declined.
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.
Now for those on Medicaid & in a NH or in another skilled nursing facility like a free-standing rehab center, they are required to do a co-pay / "SOC". Their copay will be all of their monthly income each month less a small personal needs allowance. The allowance varies by state and runs from $ 35 - 90 a month. Often the NH will put the allowance in a personal needs trust @ the NH which can be used for them to pay for beauty shop, pay for phone or cable charges (which are not covered by Medicaid) or for buying small items from the "canteen" @ the NH. So all of their SS $ goes to the NH. Most NH routinely become the rep payee for SS as it is easier. However, you do not have to do it this way. My mom gets about $ 800 in SS and then 1K in retirement and both get direct deposited to her checking account and then I write a check each month for her required Medicaid co-pay of $ 1,740.00 as her state has a $ 60 allowance. If you do it this way, often the NH will require whomever is able to be the financially responsible person for the resident to sign an admissions contract so they can come back at you if the SOC is not paid.
Now if mom went into rehab after a hospitalization (of 3 full days) then the first 21 days are covered by Medicare (Medicare was also her primary insurer for the hospitalization). But if she is not progressing, then Medicare will stop paying and then Medicaid will pay for her stay. She is actually fortunate to already be on Medicaid, as you are not going through the application & vetting process to be accepted for Medicaid which can take months and can be declined.