Every situation is different, we can discuss your particular needs and circumstances before the visit is made. We are very familiar with older adults who are resistant to accepting help or even acknowledging that they need any assistance. We have many successful strategies that have worked well with clients over the years, and together we can devise the strategy that will work best for your family.

Care Management services are not covered by Medicare or regular health insurance. Some services may be covered under a long-term care insurance policy. We advise you to contact your insurance company to determine the benefit under your policy. Additionally, care management services may be tax deductible, and we encourage you to contact your tax professional to discuss.

The vast majority of the time we see people in the older adult/disabled person’s home as it is very valuable to see people in their daily environment. However, sometimes a meeting in our office, with or without the older adult, makes the most sense – either a preliminary consultation or due to travel needs or other unique circumstances. We are very flexible and will try hard to accommodate your needs as much as possible.

Our office is open Monday through Friday from 9am to 5pm. We are available on call 24/7 for our ongoing clients. We can do assessments and consultations in the evening and/or on the weekend, by request.

Yes, absolutely. Together, we’ll discover if our services are right for your specific situation. If you feel we can be of service, we’ll schedule a time for an assessment and go from there.

Although the internet offers a lot of information, our recommendations are based on our extensive knowledge of and experience in the local community. We know the communities’ strengths and weaknesses and our recommendations are based on past performance and outcomes. Unlike placement firms, we do not take referral fees and are only focused on what is best for your loved one.

The Care Manager who does the initial assessment or consultation may or may not be the professional assigned to the client if/when ongoing services are requested. Care managers are assigned to clients based on numerous factors including matching the specific needs of the client with the right care manager’s skill set as well as location and capacity.

We can assist in identifying and applying for the various entitlement programs that you or your loved one is eligible for. We can guide you as to what documentation is needed, best strategies for success etc. When a complicated Medicaid/financial scenario is involved, we will either consult on your behalf with one of the elder law attorneys we work with or refer you to them directly for legal advice.

Most families call us during a crisis. The better moment is a few months earlier, when you are noticing things but nothing has broken yet.

These are the signals that matter more than a person’s age:

• A fall, or a near fall your parent shrugged off. The CDC reports that more than one in four adults age 65 and older falls each year, and fewer than half mention the fall to a doctor.
• Two or more trips to the emergency room in a year.
• Medications piling up, doubling up, or going unfilled.
• Unopened mail and unpaid bills in a house that used to run like a clock.
• Weight loss, an empty refrigerator, or the same three meals on repeat.
• A driver getting lost on roads they have taken for forty years.
• A well spouse doing all the caregiving and starting to look worn out.
• Any sentence that begins with “I didn’t want to worry you.”

None of these signs means you need ongoing care management tomorrow. Each one means the ground is shifting. And a plan built during a calm week costs a family far less than a plan built in a hospital corridor at ten at night. Research from the United Hospital Fund on discharge planning found that families choosing a rehab or skilled nursing facility usually make that decision in a rush, with unclear options in front of them.

So call before the fall, not after. If you are not sure whether your situation warrants a call, that uncertainty is itself a good reason to pick up the phone.

Related reading: You’re Not Alone: Common Worries About Aging Parents and When to Reach Out.

Yes. And your family is far from unusual.

A study in The Gerontologist found that 40 percent of adult children caring for a parent were in serious conflict with another family member, usually a sibling, most often because that relative was not providing enough help. The Within-Family Differences Study found sibling tension runs higher when a parent has cognitive impairment, and higher still for the sibling providing the care.

Here is what usually drives the disagreement. Not stubbornness. Different information. The local sibling sees the bad days. The out-of-state sibling sees a cheerful parent on a holiday video call. Everyone is telling the truth about what they have seen, and no two people have seen the same thing.

That is the problem a care manager solves first:

• An independent assessment of your parent at home, covering health, safety, cognition, finances, and daily function.
• A shared set of facts, so the conversation stops being one person’s word against another’s.
• A facilitated family meeting. The Family Caregiver Alliance recommends a neutral facilitator for exactly this reason. We come with an agenda and realistic options rather than a verdict.
• A written plan with names attached. Who calls the doctor. Who handles the money. Who checks in on Sundays.
• Ongoing involvement, so the plan gets revisited when things change.

A few things we do not do. We do not take sides. We are not family therapists. We do not give legal advice, though we work with elder law attorneys and can refer you.

We do. The program is called Plan Ahead with CRCM, and this is exactly who the program is built for.

The concern is widespread and growing. AARP reported in late 2025 that 24 million adults age 50 and older now live alone without a spouse, partner, or anyone else in the household, roughly 21 percent of that age group. Among people 75 and older, about half live alone, compared with 9 percent of older adults in 1950. AARP research on solo agers also found that only about a quarter have someone they can count on to help with cooking, cleaning, or grocery shopping, while 78 percent worry about losing their independence.

Plan Ahead with CRCM puts a professional relationship in place before you need one. A one-time enrollment fee covers a full assessment and intake, your information entered into our secure HIPAA-compliant system, and a first check-in call. Enrollment renews annually and includes an in-person meeting each year to keep your records current, plus a brief check-in call about six months later. If and when you need hands-on care management, we already know your doctors, your medications, your home, and your wishes. Nobody is starting from scratch.

The same program serves parents and guardians of a special needs adult who want a plan in place for the day they can no longer provide care themselves.

Think of Plan Ahead as insurance you actually use once a year.

Yes. The word “aging” in our title describes our training, not a minimum age for our clients.

The Aging Life Care Association notes that while most Aging Life Care clients are older adults, many members also work with younger adults facing disability or serious illness, and can help parents concerned about a young adult or middle-aged adult child with disabilities. CRCM has done this work for decades. Our team supports people living with developmental disabilities including autism spectrum disorders and cerebral palsy, neurodegenerative conditions such as Parkinson’s disease, ALS, and multiple sclerosis, and mental health conditions including depression, anxiety, and bipolar disorder.

What the work looks like in practice:

• Finding appropriate housing and evaluating whether the current setting still fits
• Getting consistent medical follow-up in place and attending appointments as an advocate
• Connecting the person with support groups, therapy, counseling, job coaches, and vocational training
• Identifying and applying for benefits and entitlement programs
• Monitoring services already in place to confirm the care being paid for is the care being delivered
• Coordinating with an elder law attorney and a Special Needs Trust when one has been established

Families often come to us when a parent who has managed everything for thirty years is starting to age out of the role. Read more on our Disabled Adult Care page.

Your parent is in the majority. AARP’s 2024 Home and Community Preferences Survey found that 75 percent of adults age 50 and older want to remain in their current homes as they age, and 73 percent want to stay in their communities, with the desire strongest among adults 65 and older.

Wanting to stay home and being safe at home are two different questions. Our job is to close the gap between them.

An Aging Life Care Manager starts with an assessment in the home, because a house tells you things a phone call never will. We look at stairs, lighting, bathrooms, thresholds, and how your parent actually moves through their day. AARP found that more than half of adults 50 and older say they need a home that supports independent aging, with grab bars named by 72 percent and entryway improvements by 71 percent. Small changes prevent big events.

From there, we build and manage the rest of the support:

• Recommending and arranging home care, then supervising the aides so the quality holds up after week three
• Coordinating physicians, specialists, and therapies, and attending appointments when that helps
• Managing medications and watching for the interactions that cause falls and confusion
• Reassessing on a schedule, because needs at home change quietly

If the day comes when home is no longer the right answer, we will say so, and help you look at the alternatives honestly. We do not accept referral fees from communities or placement firms.