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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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Yes! Our mom and dad have dementia- Alzheimer’s. Social services in our area came in got them evaluated in home with a nurse. They scored high enough for 35 hours each, weekly. Then we applied for Medicaid due to their disability and income. They were put in the CCC Medicaid program which pays for everything. My sister and I have been with them around the clock fortunately able to care for them ourselves, and get some income as well as respite care when burnout sets in. I hope this helps 🥰
What do you mean by respite care when you’re burnt out? I am in the same boat and would like to get some respite care from time to time for my grandparents living with me
Boston señor Home care got me covered with my Dad 10 Hours for a CNA - bathing and Light house keeping that was covered under medicare and we also Got Physical therapy through the VNA .
Traditional Medicare does not pay for ongoing care. If you have a Medicare Advantage they may. Most services are income based. You can't have any assets other than monthly income. Medicaid provided in home services. Office of Aging might be able to help.
There isn't enough coverage for Dementia. Usually, a doctor will recommend skilled nursing or rehab at home for other reasons. Once you have your loved one diagnosed with a serious health condition, they may qualify for hospice care and Medicare will pay for it. Hopefully, we will start to see improvements in the future for Dementia care.
Lots of info here and some clarifications may help.
Regular Medicare (one has Part A, B and D) does not pay for "aides" such as folks to come help with things such as cleaning, food prep, dressing, bathing (Activities of Daily Living.) If a person was in the hospital (inpatient for surgery for example) and discharged home, Medicare may cover a visiting nurse, PT or OT for a limited number of visits. But this is "health or medical" in nature. These aides may come 2 or three times a week for perhaps 45 mins. This is NOT fully day, weekly help at all.
If one has Medicare Part C (or NOT regular Medicare, but a Medicare Advantage plan) there may be some that office some short term assistance, but again generally this is not a full day/weekly on going type of aide.
If one has a long term care insurance policy purchased separately, that policy may cover actual aides to come into the home on a daily weekly basis. But that totally depends on the terms of the policy purchased. Most folks do not have a separate long term care insurance policy as the premiums are high.
Some may have access to Medicare PACE, a specialized program but I am doubtful this is for someone in the later stages of dementia.
Each state law is different in terms of how Assistive Living (AL) and Memory Care (MC)facilities are licensed and regulated that are NOT Medicare and Medicaid qualified; that is NOT regulated/licensed by the US gov. But most of these are totally private pay, albeit some non-profit/religious ones may have other arrangements for folks with limited resources.
Medicaid is typically the program that can (once one has spent down and qualifies) will cover skilled nursing homes or facilities (SNFs). This is generally the "insurer" of last resort. Medicaid has home health aides that "IN THEORY" could come to one's home to help, but there is a HUGE backlog to get an aide given the HUGE demand for help. In our state, I was told the "wait list" for a Medicaid covered aide was FIVE YEARS! OMG
If one has resources, hiring aides from an agency is the way to go until it becomes unsafe for the person with dementia to remain at home. Having 24/7 at home aides is generally cost prohibitive so at some point SNFs (nursing homes w/memory care units and Medicaid) often is the only option.
A relative who had resources (good for her) paid $9K weekly for 24/7 aides so she could stay in her huge upper East Side condo in New York City. There were three shifts of aides. It was her money and she spent it until her passing. Most folks cannot obviously do that.
Your relative got ripped off if she was paying 9 grand a week for live-in homecare even in New York. She got scammed.
People with limited resources who are so invalid with dementia that they need round-the-clock care and supervision should really be put into LTC in memory care facility.
I see this all the time. Families who don't understand when their loved one's condition is beyond what homecare should try to provide and they need residential placement. Then wat follows is the negotiation attempts on lowering the price of the homecare services.
I'll tell a family straight when a person is so advanced in dementia that they have to be supervised like a toddler 24/7 my recommendation is to put them into residential care. I don't even take on cases where a potential client needs 24-hour supervision.
Nicholas123: Per Google "Yes. Medicare covers home healthcare for dementia, but only if you meet certain criteria: Your doctor must certify that you are homebound. You must be under the care of a doctor and receiving services as part of a care plan that is reviewed regularly."
A homebound dementia client needs 24/7-365 care/elder-sitting. Medicare will not pay for this level of help or for live-in caregivers. They won't pay for it in residential memory care either.
I am experiencing that now with medicare and my Mom Everything for us is out of pocket. I have someone come in for 2 days a week for only 5 hrs a day and that for me is a blessing but very expensive. It gives me a chance to leave the home so I can run errands and a little me time. My Mom is home bound and doesn't leave the house. Very challenging
Does insurance pay…. depends on what insurance you are talking about. There must be thousands of insurances plans/programs etc.
‘’Does Medicare pay for ANY home “health” aid services for dementia?
Yes, not because it’s dementia. It could be for other disease as well.
home “health” vs home “care”….home health is covered in some instances by Medicare but home “care” is private pay unless a person qualifies due to their medical and financial situations and could receive mediCAID which is state specific and not mediCARE.
Home 'health' and Home 'care' are the same thing. The rules have changed. These days it doesn't have to be a CNA coming in to do the hygiene care, blood sugar testing, or PT exercizes. Today you'll find homemaker/companions (which used to just be house cleaners and elder-sitters) doing this in the home. I personally don't allow this, but other places do.
I did both for 25 years. Home/health aide and homecare CNA. Medicare will pay for some hours a week if person's doctor orders it. That's usually temporary though. Of course there are exceptions to every rule. Things have changed very much over the last few years.
I deal with Medicare every day for our clients. Medicare will not pay for elder-sitting services because someone has dementia and can't be left alone.
If a doctor determines someone needs hygiene assistance becaus they have mobility issues for example,, or it's medically necessary for them to have homecare services AND they have dementia, Medicare will pay for some hours as in a few hours a couple times a week.
Medicare will pay for up to two weeks respite stay in a care facility for a person with dementia though. Medicare offers this for family care slaves who need a break and have to be on duty 24/7-365 for a family member with dementia.
The rules for Medicaid and what they're willing to pay for are changing too.
If your loved one has assets, you may have to start using some if they need elder-sitting services.
Medicare will pay for hospice care in the home. My dad is on hospice care and an aide comes three times a week for bathing for about an hour and a half. A hospice nurse once a week at present. This could increase as his condition worsens
To help understand the difference between HOME HEALTH SERVICES and HOME HEALTH CARE please see this article Aging Care has posted. It includes a chart and an assessment tool if needed. It can be found under Resources, Care Topics…
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.
Do you mean Medicaid? That's a different program from Medicare. Also, when did your father get those services? What year was it?
Usually, a doctor will recommend skilled nursing or rehab at home for other reasons.
Once you have your loved one diagnosed with a serious health condition, they may qualify for hospice care and Medicare will pay for it. Hopefully, we will start to see improvements in the future for Dementia care.
Regular Medicare (one has Part A, B and D) does not pay for "aides" such as folks to come help with things such as cleaning, food prep, dressing, bathing (Activities of Daily Living.) If a person was in the hospital (inpatient for surgery for example) and discharged home, Medicare may cover a visiting nurse, PT or OT for a limited number of visits. But this is "health or medical" in nature. These aides may come 2 or three times a week for perhaps 45 mins. This is NOT fully day, weekly help at all.
If one has Medicare Part C (or NOT regular Medicare, but a Medicare Advantage plan) there may be some that office some short term assistance, but again generally this is not a full day/weekly on going type of aide.
If one has a long term care insurance policy purchased separately, that policy may cover actual aides to come into the home on a daily weekly basis. But that totally depends on the terms of the policy purchased. Most folks do not have a separate long term care insurance policy as the premiums are high.
Some may have access to Medicare PACE, a specialized program but I am doubtful this is for someone in the later stages of dementia.
Each state law is different in terms of how Assistive Living (AL) and Memory Care (MC)facilities are licensed and regulated that are NOT Medicare and Medicaid qualified; that is NOT regulated/licensed by the US gov. But most of these are totally private pay, albeit some non-profit/religious ones may have other arrangements for folks with limited resources.
Medicaid is typically the program that can (once one has spent down and qualifies) will cover skilled nursing homes or facilities (SNFs). This is generally the "insurer" of last resort. Medicaid has home health aides that "IN THEORY" could come to one's home to help, but there is a HUGE backlog to get an aide given the HUGE demand for help. In our state, I was told the "wait list" for a Medicaid covered aide was FIVE YEARS! OMG
If one has resources, hiring aides from an agency is the way to go until it becomes unsafe for the person with dementia to remain at home. Having 24/7 at home aides is generally cost prohibitive so at some point SNFs (nursing homes w/memory care units and Medicaid) often is the only option.
A relative who had resources (good for her) paid $9K weekly for 24/7 aides so she could stay in her huge upper East Side condo in New York City. There were three shifts of aides. It was her money and she spent it until her passing. Most folks cannot obviously do that.
Your relative got ripped off if she was paying 9 grand a week for live-in homecare even in New York. She got scammed.
People with limited resources who are so invalid with dementia that they need round-the-clock care and supervision should really be put into LTC in memory care facility.
I see this all the time. Families who don't understand when their loved one's condition is beyond what homecare should try to provide and they need residential placement.
Then wat follows is the negotiation attempts on lowering the price of the homecare services.
I'll tell a family straight when a person is so advanced in dementia that they have to be supervised like a toddler 24/7 my recommendation is to put them into residential care. I don't even take on cases where a potential client needs 24-hour supervision.
Everything for us is out of pocket. I have someone come in for 2 days a week for only 5 hrs a day and that for me is a blessing but very expensive. It gives me a chance to leave the home so I can run errands and a little me time. My Mom is home bound and doesn't leave the house. Very challenging
depends on what insurance you are talking about. There must be thousands of insurances plans/programs etc.
‘’Does Medicare pay for ANY home “health” aid services for dementia?
Yes, not because it’s dementia. It could be for other disease as well.
home “health” vs home “care”….home health is covered in some instances by Medicare but home “care” is private pay unless a person qualifies due to their medical and financial situations and could receive mediCAID which is state specific and not mediCARE.
I did both for 25 years. Home/health aide and homecare CNA. Medicare will pay for some hours a week if person's doctor orders it. That's usually temporary though. Of course there are exceptions to every rule. Things have changed very much over the last few years.
If a doctor determines someone needs hygiene assistance becaus they have mobility issues for example,, or it's medically necessary for them to have homecare services AND they have dementia, Medicare will pay for some hours as in a few hours a couple times a week.
Medicare will pay for up to two weeks respite stay in a care facility for a person with dementia though. Medicare offers this for family care slaves who need a break and have to be on duty 24/7-365 for a family member with dementia.
The rules for Medicaid and what they're willing to pay for are changing too.
If your loved one has assets, you may have to start using some if they need elder-sitting services.
I am glad you posted this for Nicholas.
Hospice care is paid for by Medicare and the services they offer is very similar to Home Health care paid for by Medicare.
The aide comes because you have Hospice. An aide also comes when a person has Home Health services through original Medicare.
Often a person may have Home Health Care and then switch to Hospice as their health declines.
Some companies have a Home Health group and a Hospice Group.
HOME HEALTH SERVICES and HOME HEALTH CARE
please see this article Aging Care has posted. It includes a chart and an assessment tool if needed. It can be found under Resources, Care Topics…
https://www.agingcare.com/articles/difference-between-home-health-and-non-medical-home-care-services-
‘Home Care vs. Home Health Care: What’s the Difference?”
Kayla Carney