Reply to "Aging out" of assisted living?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Op, how far away is your parent from needing hospice care?  Is it a several years away or several weeks away situation?  Continuing care facilities often only accept new patients who currently only need whatever is their lowest level of service.  Also good facilities at any level often have waitlists.

If you want meaningful answers, you need to indicate the state and what your mom’s current needs are.[/quote]

We don't know timing, that's the issue. Things could continue as they are for several years or decline rapidly (like our other parent). They can't live alone anymore, can't shower alone or cook safely, etc. They don't need to be in a nursing home but can't function if that makes sense. They can't safely get in and out of bed anymore but are lucid enough not to want to be in a nursing home.[/quote]

Assisted living facilities will do an assessment at time of entry to determine if your mom qualifies to live there.  I would add that you don't want your mom in an assisted living facility if her needs exceed what they can provide.  They won't have one to one staffing (or even close) so I would worry if she truly can't get out of bed and be mobile without assistance-- that's when people are at a high risk of falls.  Help with cooking, showering, or dressing is less serious.

It sounds like finances aren't an issue, but most of the options discussed in this thread, including assisted living, are not covered by Medicare.  Generally hospice and a nursing home would be.[/quote]

Medicare does not pay for a nursing home, just hospice.  Long term care Medicaid pays for nursing home.  Some states pay for assisted living, most don’t. [/quote]

Maryland does not.[/quote]

There is actually a small program that can but the waitlist is crazy long.  My relative was on the list for years and never got it.  Not sure if it is an actual program.

The Maryland Home and Community-Based Options Waiver (CO Waiver) helps seniors and disabled adults pay for assisted living or in-home care, allowing them to avoid nursing home placement. It covers services for eligible Maryland residents, usually requiring income below $2,829 per month (300% of SSI) and assets under $2,000. Applications are handled through Maryland Access Point. 
The Maryland People's Law Library
The Maryland People's Law Library
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Key Details of the Maryland Assisted Living Waiver:
Eligibility: Must be 18+, a Maryland resident, meet financial guidelines, and require a nursing facility level of care.
Benefits: Covers assisted living costs, case management, personal care, medical daycare, and home-delivered meals.
Waitlist: There is often a waiting list for the CO Waiver; registration for the list is required to start the process.
Application Process: To apply, contact Maryland Access Point (MAP) at 1-844-MAP-LINK (1-844-627-5465) or visit marylandaccesspoint.211md.org. 
Maryland Inclusive Housing (MIH)
Maryland Inclusive Housing (MIH)
 +4
The program enables individuals to reside in approved assisted living residences that accept Medicaid payment rates.

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