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 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:
First of all, kudos to you for getting involved with Visiting Angels !!! You will have so many families whose lives you make easier by this. But do realize that Visiting Angels is franchised; whomever owns the one you work at paid a franchise fee and has a protected territory. VA is mainly personal in home care, so is not covered by Medicare or other health insurance. BUT If your VA does have employees that can do skilled care, then Medicare as health insurance can pay for a very narrow time limited period based on a patient’s ICD-10 codes. State Medicaid might if it decided to cover personal services.
Abt IHHS / in home healthcare services, just what options there are will be dependent on State has as budget priorities & then what your city / county budget also does.
Hang with me on this as I do my health policy wonk explanation: back when Medicare & Medicaid were put into law in 1960’s, law placed a federal requirement that all States had to use a demographically defined % of its $ to pay for long Term skilled nursing care services in a facility (SNF). A required spend aka dedicated funding for those “at need” for a NH had to be done in all States. % elderly was somewhat small as they would be born 1880/90s. In 70’s NH expansion; the 80’s came the era of “tiered” where a build out would be IL, AL & NH; 90’s MC. This millennium LTACH, hospice expansion, PACE. The # of folks at need increased every decade. And the costs of care increased as well. States budgets started getting pummeled. OMG WHAT 2 DO?? The % required spend has an option for States. State can file to get a “waiver” to use some of the dedicated SNF $ to go via a waiver for services for the same demographic but done somewhere other than a NH. Voila! State can choose to do waivers for AL, PACE, IHHS, MC.
In theory keeping a person in their home way cheaper than NH. So IHHS waivers was looked upon favorably way to do this. Whether a State requires caregivers to come only from an Agency or can be an already living in the house nonspouse family member depends on your States waiver programs.
It’s on a State to decide if they will file an application for a waiver program & monitor & manage that will pass federal review (done by CMS, the Centers for Medicare & Medicaid). Waivers NOT permanent dedicated funding like SNF placement is. States tend to do waivers that can be accomplished with vendors with a track record that are committed to being in a waiver process. But for many vendors - like an AL - as the payment stream could be cut off down the road, they really are not interested or if they do it it’s teeny # of beds at the AL set for residents who have been there forever. Or for In Home type of companies, the requirements to be a vendor may not be achievable plus rates paid by the State may not be competitive enough to keep workers.
For State supported IHHS, whatever State minimum wage usually determines what worker paid. Tends to be minimum wage plus 10%. Is all taxable income. Like my state is crap $7.25 hr and hard to keep any minimum wage workers, as folks can work at Target for double. NY & CA is $16 hr (CA is $20 for fast food) & both do HCOLA add on for IHHS so a worker could be getting $20+ hr. Agency paid administrative fee.
For State paid family provided IHHS, the at need person will be assessed for a care plan. Caregiver paid # of hours determined by the plan. Tends to be 20-28 hrs a week max; maybe 30. If it goes higher it - w/administrative time included - takes them into FT care needed. And that means 24/7 oversight in a NH needed. So,watch what you wish for. A spouse cannot be a paid caregiver for their spouse.
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.
Abt IHHS / in home healthcare services, just what options there are will be dependent on State has as budget priorities & then what your city / county budget also does.
Hang with me on this as I do my health policy wonk explanation: back when Medicare & Medicaid were put into law in 1960’s, law placed a federal requirement that all States had to use a demographically defined % of its $ to pay for long Term skilled nursing care services in a facility (SNF). A required spend aka dedicated funding for those “at need” for a NH had to be done in all States. % elderly was somewhat small as they would be born 1880/90s. In 70’s NH expansion; the 80’s came the era of “tiered” where a build out would be IL, AL & NH; 90’s MC. This millennium LTACH, hospice expansion, PACE. The # of folks at need increased every decade. And the costs of care increased as well. States budgets started getting pummeled.
OMG WHAT 2 DO??
The % required spend has an option for States. State can file to get a “waiver” to use some of the dedicated SNF $ to go via a waiver for services for the same demographic but done somewhere other than a NH. Voila! State can choose to do waivers for AL, PACE, IHHS, MC.
In theory keeping a person in their home way cheaper than NH. So IHHS waivers was looked upon favorably way to do this. Whether a State requires caregivers to come only from an Agency or can be an already living in the house nonspouse family member depends on your States waiver programs.
It’s on a State to decide if they will file an application for a waiver program & monitor & manage that will pass federal review (done by CMS, the Centers for Medicare & Medicaid). Waivers NOT permanent dedicated funding like SNF placement is. States tend to do waivers that can be accomplished with vendors with a track record that are committed to being in a waiver process. But for many vendors - like an AL - as the payment stream could be cut off down the road, they really are not interested or if they do it it’s teeny # of beds at the AL set for residents who have been there forever. Or for In Home type of companies, the requirements to be a vendor may not be achievable plus rates paid by the State may not be competitive enough to keep workers.
For State supported IHHS, whatever State minimum wage usually determines what worker paid. Tends to be minimum wage plus 10%. Is all taxable income. Like my state is crap $7.25 hr and hard to keep any minimum wage workers, as folks can work at Target for double. NY & CA is $16 hr (CA is $20 for fast food) & both do HCOLA add on for IHHS so a worker could be getting $20+ hr. Agency paid administrative fee.
For State paid family provided IHHS, the at need person will be assessed for a care plan. Caregiver paid # of hours determined by the plan. Tends to be 20-28 hrs a week max; maybe 30. If it goes higher it - w/administrative time included - takes them into FT care needed. And that means 24/7 oversight in a NH needed. So,watch what you wish for. A spouse cannot be a paid caregiver for their spouse.
https://www.agingcare.com/articles/how-to-get-paid-for-being-a-caregiver-135476.htm