I hope you all weathered the storm without too much anguish. Of course my basement flooded, again....Last time the insurance adjuster told me to just go back to a concrete floor, no carpeting. I took his advice and remarkably the damage is minimal and the cleanup fairly simple, but still has to finish drying out. As many of you who visited my office through the years know, I have always had carpeting. But the concrete floor is ok as we have a very large deep red bath mat, 10 feet by 6 feet, that looks and feels like a real carpet. But it is lightweight and washable so it cleans up after a flood very well.
The latest news with the Special Needs Trusts and Medicaid is a bit disheartening. But as you know I tell it like it is, no rose colored glasses. Medicaid has started requesting proof of monthly deposits to these trusts on a more frequent basis. In the past, upon recertification, once a year Medicaid would request a transcript from the Trust showing that all the deposits had been made monthly through the year. But now Medicaid is requesting proof of the deposits each month, as an ongoing process throughout the year. So if you have a trust, it is now your responsibility to keep Medicaid up to date monthly on all the deposits being made. If you don't, Medicaid can ask you to start contributing the surplus to the cost of the home care and will not allow you to keep the trust. Medicaid has not liked these trusts from the beginning, as they no longer can access the surplus income of the client for payment toward the cost of homecare. The trust allows the client to keep the surplus income available by giving it to the trust each month and then submitting household bills to the Trust. If you don't want to handle this on your own each month, you can retain me for the monthly service either on a month by month basis or on a flat rate annual basis. Call the office to arrange this service if you want me to do the work of monthly submissions to Medicaid to keep the trust active.
Please go to www.AgingHomecare.com and visit the website. If you scan to the bottom of the site, I have an informational video that my son Morgan made. He is now available to create a video for your business or personal use for a very reasonable fee. You can see his website at Poubelleproductions.com. Or you can call the office at 718-442-2414 anytime.
The homecare agency is fairly busy this summer. Many elders have decided to stay home with affordable homecare rather than enter the nursing home setting. Also many elders who are in Rehab settings are deciding to come back home after they finish the Rehab with private care in their homes. The homecare is very affordable, $10 per hour, $130 for a 24 hour shift. We are an employment agency not a home health agency, so we have an agency fee of 18% weekly. All of the homecare are certified in their field and carry malpractice insurance. Call anytime if you need this type of care for a client or loved one.
I also do the Medicaid applications to convert private paying cases to Medicaid paid care. Call for an appointment for consultation. If your loved one does require placement to a nursing home or assisted living, I do this as well. For the nursing home, we have registered nurses who complete the required Patient Review Instrument (PRI) and Screen forms.
I am available to lecture at your support groups for family members or at senior centers. Call me at 718-442-2414 to arrange a date. Stay healthy and well.
Warmly, Holly Gemme, ACSW, CCM, LA