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Chronic Care Advocacy
The Estate Planning & Elder Law Firm is dedicated to securing consistent, quality life care for our clients. We do this through a special program called Chronic Care Advocacy.
What Is Chronic Care Advocacy?
Chronic Care Advocacy is a customized plan that coordinates every aspect of your and/or your loved one's chronic care. It combines legal representation, asset protection, care coordination, and advocacy.

Chronic Care Advocacy offers a single customized solution for your or your loved one’s long-term illness or incapacity. It details and coordinates how your or your loved one’s medical, housing, legal, and care needs will be met until the end of life without placing unnecessary burdens on relatives. It is the ultimate protection for elders and their families. It's life care planning at its best.

A Model of Caring
The Estate Planning & Elder Law Firm is one of a small number of law firms in the United States and the only one in the Washington metropolitan area that has implemented the Chronic Care Advocacy practice model. The primary goal of this model is to ensure consistent quality chronic care through proactive advocacy and asset preservation.

The practice model was conceived by members of the National Academy of Elder Law Attorneys in response to the unmet needs of seniors and to address the mediocre care that pervades the long-term care industry.

Chronic Care Advocacy incorporates social workers into the law firm staff as Care Advocates who are individually assigned to each client. Proactive care advocacy by our social workers, elder law attorneys, and experienced staff ensures that the shortcomings of our health care system do not prevent our clients from getting the best and most consistent care. We make the system work to meet the specific needs of our clients.

Our Experts Take the Lead
We understand that family and loved ones have extensive time demands and cannot spend hours researching care options. Unless an individual already has years of experience as an elder care professional, the options are overwhelming. Moreover, most individuals are not familiar with the local facilities and care providers and have no degree of certainty that their choices are the best available.

It's impossible to go it alone when it comes to quality, consistent care. Our practice model involves a three-tier system of customized advocacy that includes:

Well-informed family, friends, and support network
An assigned social worker/care advocate
Our elder law attorneys, paralegals, and our seasoned support staff.

We relieve anxiety, guilt, and a host of other draining emotions by eliminating ambiguity regarding any and all options.

How Chronic Care Advocacy Works
Every new representation begins with a comprehensive care assessment by one of our social workers. The assigned social worker travels to the client's location to assess the current and anticipated level of care as well as the safety and appropriateness of the living environment.

While on site, the social worker collects all personal and financial documentation. All data is organized, consolidated, and electronically scanned for permanent, secure storage and ease of access and retrieval.

Executing estate and incapacity planning documents is one of our first actions to secure decision-making authority while the individual still has capacity. We will travel to the client with witnesses and a notary public, if necessary, to execute the documents. Once decision-making authority is secure, we work to complete a full accounting of the current financial status of the senior and review care payment options.

The appropriate care options are identified for consideration. Aging at home is the optimal and most cost-effective choice. We will conduct a home safety inspection to identify issues and any modifications that could extend the length of time the client can remain at home.

If remaining at home is not a suitable option, we narrow down the overwhelming choices and identify the least restrictive venue where the client can live safely. Once a facility is chosen our firm negotiates admission and entrance costs. We use our superior negotiation position as an ongoing referral source (as opposed to an individual one-time applicant) to secure placement on the most favorable financial terms.

When the admissions process is complete, the firm sends a letter to the facility director to inform him or her that we represent the client and to provide the name of the assigned social worker. We include all required releases and authorizations to gain access to fully review all client files.

Our social workers make periodic, unannounced visits to our clients. Frequently, the firm has several clients residing at the same facility. Our social workers attempt, either in person or by phone, to participate in facility care-plan meetings. When care issues arise, the first point of contact is our social worker. The social worker will interact with the facility's social worker, peer to peer, to resolve any issues. The status of all of our Chronic Care Advocacy clients is reviewed weekly by our elder law attorneys and social workers to insure that all issues are properly addressed.

We provide the family and support network with peace of mind knowing that the loved one is represented by a team that combines legal and financial expertise with specific knowledge of the elder's physical, mental, and emotional health. Chronic Care Advocacy is a complete solution that has evolved as the needs of our clients have grown.

Preserving Assets & Paying for Care
Asset protection is a major component of Chronic Care Advocacy. A 2012 New York Life study found that the national average cost for skilled nursing care is $91,980 a year. In the Washington, D.C. area, the average annual costs for skilled nursing care often exceeds $100,000 annually. Without proper guidance, most individuals quickly exhaust their assets while being unaware that under federal and state rules assets can be preserved in every single case.

We will help you determine the best and most advantageous way to pay for care. There are three available options to pay for chronic care:

Private Pay/Self-Insure
Long-Term Care Insurance
Entitlement Programs—Veteran's Benefits, Medicare, Medicaid, and state programs.

Many mistakenly believe that Medicare, the federal insurance program for older Americans, will pay for chronic care. Medicare, however, only provides very limited rehabilitative coverage for chronic care.

Understanding and successfully navigating the confusing maze of choices and programs from application to qualification is beyond the abilities of most individuals, especially those under stress. Attaining entitlement eligibility allows for the preservation of assets for the future care needs of an individual and his or her spouse and family.

Our firm researches and educates clients on all available strategies permitted under federal and state law. We take advantage of the variations in rules in Virginia, Maryland, and the District of Columbia to obtain the best outcome for our clients.

The Cost of Chronic Care Advocacy
Chronic Care Advocacy is an investment that ensures consistent, quality care for you and your loved ones. No other advocacy model is more effective.

We address all of your issues simultaneously and consistently. Our team surrounds you with the resources, support, and guidance you need to make decisions with confidence. You are never alone. Our team has decades of experience guiding families through the very situations you may be facing now. We have access to the resources you will need to protect your loved one’s quality of life.

What does this cost? We offer a complete Chronic Care Advocacy Plan of Action for a one-time flat-rate fee. Contact us to discuss your plan.


Call us today for an assessment of your Life Care options

Virginia (703) 243-3200
Maryland (301) 214-2229
Washington DC (202) 223-0270

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