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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.
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If Aid and Attendance, then no it shouldn't count as income. You can't have both Medicaid and A&A. Medicaid will be higher with money for their care so A&A will be dropped. Both are government funded.
Now a Vet getting disability for a service related injury? Not sure about that. This is a question for Medicaid or the rep at your local VA office.
If you’re referring to $ paid to thru VAs Aide & Attendance program, this is my understanding of it: A&A is a “means tested” program that can pay a vet or their spouse a mo $ amount they can use to private pay for caregiving. It is income paid but non-taxable income like what SS $ or civil service retirement $ is. It’s somewhat similar to Medicaid in that they both require the applicant to provide financials info & medical documentation that they “need” the caregiving & “need” the $; but the financials are not quite as tight as LTC Medicaid is. Is your $ actually A&A $?
If so, you’ve been Means Tested=At Need so are eligible to get A&A. A&A, based on what others have posted, pays abt $1500-1800 a mo. A&A paid atop whatever else retirement $ being paid. So if retirement of $1985.67 a mo plus $1800 A&A, it would be $3,785.67 mo. & likely more than enough to pay for AL or at home care from an agency to offset what family does.
A&A seems to be ideal for those doing in their home care or in AL as between elders savings (assets), monthly income AND extra $ from A&A, it covers all the costs. It kinda also works great for those in NH (who takes Medicaid) or in AL (w/Medicaid waiver beds) but are with still too much in assets to be financially eligible for Medicaid & having to do a “spend down” of assets. The A&A $ enables them to be @ home or in private pay for a longer period of time. Comprende?
A&A on its own @ $1500 or $1800 or even 2k a mo will not ever ever ever pay enough $$$$ to cover in full the monthly NH room & board costs (5k-15k mo) that LTC Medicaid will. Medicaid is better program to be on for LTC. So you’d get A&A suspended or cancelled, so that $ stops getting paid & that income no longer exists to be counted for your LTC Medicaid eligibility.
Again please please Remember they are both “at need” programs. LTC Medicaid it’s basically being impoverished with no more than 2k in non exempt assets for an individual for most states & under monthly income limits your state has for LTC Medicaid (most $2100). You’ll need to check what the latest $ amounts are for VA, I didn’t deal witH VA for my mom or mil. If your on A&A at the time you apply for Medicaid, it’s included in your Medicaid application (as it’s in your bank statements) but gets viewed as non permanent income so not included for your overall financial eligibility (cause it’s gonna be stopping or suspended). Medicaid will instead tally up your other income to determine what your copay or SOC (share of cost) to the NH will be, less a $50-60 smallish PNA (personal needs allowance). PNA varies by state.
VA seems to move glacially so it could be months till A&A suspension hits payment system. VA is going to either clawback $ or want to be repaid. So cannot spend VA A&A$$ once they have applied to LTC Medicaid; $ has to just be in limbo in the bank account till VA recaptures it. Based on what others have written seems to be 4-5 months for VA to stop A&A payment & instead switch to VA veterans needs allowance of $90 a mo. to be paid instead.
VA $90 is extra $. It’s theirs to keep & not part of Medicaid required copay of income to the NH. So end up with VA $90 AND Medicaid PNA $ as extra $ each mo.
Yeah its not a simple couple of steps..... OR go into a fully VA LTC facility & all dealt within VA billing systems.
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 a Vet getting disability for a service related injury? Not sure about that. This is a question for Medicaid or the rep at your local VA office.
A&A is a “means tested” program that can pay a vet or their spouse a mo $ amount they can use to private pay for caregiving. It is income paid but non-taxable income like what SS $ or civil service retirement $ is. It’s somewhat similar to Medicaid in that they both require the applicant to provide financials info & medical documentation that they “need” the caregiving & “need” the $; but the financials are not quite as tight as LTC Medicaid is. Is your $ actually A&A $?
If so, you’ve been Means Tested=At Need so are eligible to get A&A.
A&A, based on what others have posted, pays abt $1500-1800 a mo.
A&A paid atop whatever else retirement $ being paid. So if retirement of $1985.67 a mo plus $1800 A&A, it would be $3,785.67 mo. & likely more than enough to pay for AL or at home care from an agency to offset what family does.
A&A seems to be ideal for those doing in their home care or in AL as between elders savings (assets), monthly income AND extra $ from A&A, it covers all the costs. It kinda also works great for those in NH (who takes Medicaid) or in AL (w/Medicaid waiver beds) but are with still too much in assets to be financially eligible for Medicaid & having to do a “spend down” of assets. The A&A $ enables them to be @ home or in private pay for a longer period of time. Comprende?
A&A on its own @ $1500 or $1800 or even 2k a mo will not ever ever ever pay enough $$$$ to cover in full the monthly NH room & board costs (5k-15k mo) that LTC Medicaid will. Medicaid is better program to be on for LTC. So you’d get A&A suspended or cancelled, so that $ stops getting paid & that income no longer exists to be counted for your LTC Medicaid eligibility.
Again please please Remember they are both “at need” programs.
LTC Medicaid it’s basically being impoverished with no more than 2k in non exempt assets for an individual for most states & under monthly income limits your state has for LTC Medicaid (most $2100). You’ll need to check what the latest $ amounts are for VA, I didn’t deal witH VA for my mom or mil. If your on A&A at the time you apply for Medicaid, it’s included in your Medicaid application (as it’s in your bank statements) but gets viewed as non permanent income so not included for your overall financial eligibility (cause it’s gonna be stopping or suspended). Medicaid will instead tally up your other income to determine what your copay or SOC (share of cost) to the NH will be, less a $50-60 smallish PNA (personal needs allowance). PNA varies by state.
VA seems to move glacially so it could be months till A&A suspension hits payment system. VA is going to either clawback $ or want to be repaid. So cannot spend VA A&A$$ once they have applied to LTC Medicaid; $ has to just be in limbo in the bank account till VA recaptures it. Based on what others have written seems to be 4-5 months for VA to stop A&A payment & instead switch to VA veterans needs allowance of $90 a mo. to be paid instead.
VA $90 is extra $. It’s theirs to keep & not part of Medicaid required copay of income to the NH. So end up with VA $90 AND Medicaid PNA $ as extra $ each mo.
Yeah its not a simple couple of steps.....
OR
go into a fully VA LTC facility & all dealt within VA billing systems.