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By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
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V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Elderly mom just approved for Medicaid. Only been in nursing home since last August penalized her for lot she gave grand daughter 3 yrs ago as a gift before applying for medicaid for large amount of penalty
Tony - although your mom is now "approved" & qualifies for Medicaid - as she is within medicaid income & asset limits plus shows medical "need" - she is "ineligible" for Medicaid to pay until the # of days set by transfer penalty passed. Approved but Ineligible. It's confusing terminology.....
Btw sometimes a hardship waiver can be done.
You may find that all info on mom from August 2011 forward get reviewed in detail by the state. Think if other surprises possible...
Transfer penalty basically is a math (fraction) problem: - The lot grannie gifted has a value. Usually tax assessor value. Most counties have have all this on-line. Let's say $85,000.00. This is the numerator (top of fraction) - your state medicaid program has a fixed daily reinbursement day rate for room & board that medicaid pays the NH. Some states is pretty low - like $ 170. Other states pay much higher maybe $300 a day. Whatever daily R&B is is the denominator.
So 85k & $200 day rate is 425 day transfer penalty in which grannie will be ineligible for Medicaid to pay. The facility will get a notice of ineligibility.
If they were admitted "Medicaid Pending", they have been paying all monthly income to the facility, so that figure can be subtracted from the penalty. But family is going to have to figure out how to private pay the rest. August - Feb is 7 months, at least 50k I'd bet. The facility will more than likely require someone to sign off to be financially responsible with a binding contract on repayment in order for her to stay there.
If family does nothing, facility can ask court for an emergency ward of the state order. Grannie will have a court appointed guardian who controls all & without any family input. The bill is still there & NH will do a collection on whomever seems likely to have ability to pay or have judgement placed.
Sometimes family moves the elder back to a family members house for care. The outstanding bill is still there so they face collections and are likely toast on getting into another facility as all is within their medical & medicaid history
Or grandaughter can sign the property back to grannie and it gets under contract & listed at fair market value to be sold by a Realtor ASAP. Grannie does a spend down and requalifies for Medicaid.
From what I was told when checking out the nursing home option is that anything that has changed hands in the last 7 (or maybe 5, not sure) years, they will look at that as an attempt to defraud the system. I moved into my mom and dad's home 2 years ago to care for them and found that I cannot change it over into my name, sell it, or have them give it to me as a gift. I found out more by going on the Medicaid website and there is a lot of good info and laws that we need to know about it. Hope this helps. Maybe someone else here will have more detailed info for you.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
It's confusing terminology.....
Btw sometimes a hardship waiver can be done.
You may find that all info on mom from August 2011 forward get reviewed in detail by the state. Think if other surprises possible...
- The lot grannie gifted has a value. Usually tax assessor value. Most counties have have all this on-line. Let's say $85,000.00. This is the numerator (top of fraction)
- your state medicaid program has a fixed daily reinbursement day rate for room & board that medicaid pays the NH. Some states is pretty low - like $ 170. Other states pay much higher maybe $300 a day. Whatever daily R&B is is the denominator.
So 85k & $200 day rate is 425 day transfer penalty in which grannie will be ineligible for Medicaid to pay. The facility will get a notice of ineligibility.
If they were admitted "Medicaid Pending", they have been paying all monthly income to the facility, so that figure can be subtracted from the penalty. But family is going to have to figure out how to private pay the rest. August - Feb is 7 months, at least 50k I'd bet. The facility will more than likely require someone to sign off to be financially responsible with a binding contract on repayment in order for her to stay there.
If family does nothing, facility can ask court for an emergency ward of the state order. Grannie will have a court appointed guardian who controls all & without any family input. The bill is still there & NH will do a collection on whomever seems likely to have ability to pay or have judgement placed.
Sometimes family moves the elder back to a family members house for care. The outstanding bill is still there so they face collections and are likely toast on getting into another facility as all is within their medical & medicaid history
Or grandaughter can sign the property back to grannie and it gets under contract & listed at fair market value to be sold by a Realtor ASAP. Grannie does a spend down and requalifies for Medicaid.