The most frequently asked questions we receive are:
AOS Care Management professionals can be hired to visit your parents in their home and conduct a care planning assessment to identify problems and to provide solutions. Our client assessment and evaluation reviews support structure, basic and advanced self-care tasks, household inventory and safety, medical history, mental health, financial status, personal and legal affairs and client’s lifestyle wishes. This process generates a written report that is comprehensive and holistic in nature.
When you start to ask the following questions, it is time to consult with a care management professional. A care management professional will help you develop a plan, gather resources and find solutions.
- Adult Children.
- Is my parent receiving the care he/she needs?
- Is my parent eating correctly?
- Is my parent taking his/her medications correctly?
- Are you missing work to care for a parent?
- Does your parent live in a different town or state?
- Older Adult.
- Are you concerned about who will care for your spouse?
- Is your spouse experiencing problems with memory?
- Have managing meals, medications, and appointments become a full time job?
- Are you wondering if you and your spouse can continue to live in your home?
- Are you considering moving into a retirement community?
- Who will you call in an emergency?
- Care Management – NO, but the Care Manager is trained to help navigate this for each client. They coordinate with licensed home care agencies to help clients set up and utilize any services qualified under Medicare (determined by age) or Medicaid (determined by income). The Care Manager is well versed in theses areas to help clients get the maximum potential benefit. They also help clients who are planning for a Medicaid spend down, working closely with an elder care attorney.
- The Care Manager also works closely with Hospice (covered under Medicare) to help clients utilize this benefit.
- Caregiver – NO, in reality; Medicare and Medicaid have very limited resources and allocation to provide caregiver or certified nursing assistant on any long term basis. It is typically for a limited period and limited hours for a specific task (bath aide 3 days a week) following a hospitalization or significant change in medical status.
LTC insurance is intended to pay the policy holder (the client). The policy holder can appoint a beneficiary. Many of our clients do have LTC policies that offer a benefit for home care or care management. Each policy is written differently, but our Care Managers can help review the policy and complete necessary forms, develop of a plan of care (often required) to help the client process a claim and determine what services might be covered. The client is responsible for payment if the claim is denied.
- Caregiver – many policies do have a home care benefit, however the language can vary greatly from policy to policy and should be reviewed prior to services.
- Care Management – is not covered in many of the older policies. But some of the newer policies do have a benefit for a Care Manager or professional to help determine care needed, write and monitor plan of care, and at time complete forms necessary to the claim. Your policy should be reviewed prior to services.
The client has two choices. They can pay the caregiver directly and the caregiver then pays a referral fee to our registry for assisting them in “finding clients”.
ORThe client can fund an escrow account, set up by the registry. An invoice is generated on behalf of each caregiver based on hours submitted and signed off on by the client. Payment is then made to the caregiver on behalf of the client. The caregiver is issued a 1099 tax form at the end of year and the client is issued a statement showing what they paid for home care services during the year. This provides safety and peace of mind for the client and caregiver that all documentation needed for tax related filings is satisfied.
The scope of care and services is determined by the client and the caregiver. This is a huge benefit for private care (not insurance supplemented care). Caregivers do everything from help with gardening, walk pets, engage in activities, take clients to social outings, cook meals, travel, run errands, provide transportation, light housekeeping, laundry, personal care, assist with hygiene related tasks, supervision and companionship, and care for those with dementia and Alzheimer’s.
Definitely, we offer a consumer directed model of home care. The client determines the type of care, skill of care providers and hours they would like. We are happy to provide guidance and support, but the client is in control of this process and is encouraged to be actively engaged. We have a profile of each caregiver for review. The client can also call us at any time and say that a caregiver is not a good fit and ask for referral to a different caregiver.
There is a two hour minimum. The client determines the schedule they would like, how many days a week, how many hours and can choose to utilize caregivers routinely or as needed. There is a greater likelihood of having the same caregiver when a routine schedule is established.