Frequently Asked Questions
"As advocates for older adults, it is our mission to ensure they have true quality of life. This passion is what drives all of the services that AOS provides. It is extremely rewarding to help a client with small daily needs as well as life-changing decisions—in routine and in crisis. Our services are designed to be individualized to client needs and to provide a professional service with heart." - Amy Natt, President & CEO
I'm not sure if my parent(s) should be living alone. How can a care manager help me decide?
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.
Why would someone hire a Care Management Professional?
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.
- 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?
- 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?
Does Medicare or Medicaid cover care management or caregiver services?
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.
Will my Long Term Care Insurance (LTC) policy pay for caregiver or care management services?
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.
Does the client pay the caregiver directly?
The client has two choices. They can pay the caregiver directly and receive a separate invoice from AOS for the registry referral fee.
The 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.
What services can a caregiver provide?
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.
Does the client have a say in determining the caregiver?
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.
Is there a minimum time requirement for caregiver services?
No. The consumer directed model of care allows clients to determine their own schedules including how many days per week, how many hours per visit, and whether they would like to utilize caregivers routinely or as needed. There is a greater likelihood of having the same caregiver when a routine schedule is established. The desired schedule may be negotiated directly between the client and caregiver.
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