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How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
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Acknowledgment of Disclosures and Authorization
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.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
Share a few details and we will match you to trusted home care in your area:
my father has lived with us for 15 years, he has sever dementia. I have P.O.A. I want to make sure all his assets are secure without the facility taking every penny. I need answers.
My mother's nursing home never asked to see her bank statement! Why do they want to see his? Have they told you why they want this information?
His money needs to be spent on his care and being in the nursing home very likely means that all of his assets will be spent and will need to apply for medicaid at some point. When and if that takes place medicaid will do a five year check back on his bank statements.
You "want to make sure all his assets are secure without the facility taking every penny." The facility won't "take" the money. They provide care, security, activities, food, shelter and take the weight of the world off your shoulders. In return, they are paid. What are you saving the money for? Yourself? The money is your fathers and should be used for his care.
For NH you basically have 3 paths for payment: LTC insurance, Medicaid or private pay. He won't qualify to get LTC insurance. Private pay is whatever the facility has set and you will have to sign off on a contract as to your being financially responsible for his care. They won't ask to see bank statements as you have a legally binding contract. Then there's Medicaid.
Depending on the state, about 50% - 70% of residents stays are being paid for Medicaid. Medicaid is totally a "needs based" entitlement. They will need to do two things: show the "need" for skilled nursing care; and show the "need for financial assistance to pay for skilled nursing care, that means basically impoverished with about 2K in assets and whatever amount your state has set for monthly income. Like for TX when I applied for my mom, the income max was $ 2,064.00. Google your states NH Medicaid program for details as each state administers their Medicaid program uniquely.
Since Medicaid is a needs based program, your dad will HAVE to provide anywhere from 3 to 5 years of financial information. Within that period, IF any of his funds have been used for things other than his care and needs, there will be a transfer penalty imposed on his eligibility for Medicaid payment to NH. If you are paying yourself for having dad in your home, you better have a personal services contract in place and have been paying taxes on that income, otherwise you will have issues with his Medicaid application.
Dad has $, you as his POA can go and pay from his account for an elder law attorney to see what if any options may be available to him. If he is at the point of being on the brink of needing a facility, you will be very limited in what you can do with his funds that are within Medicaid's acceptance.
Get out there and look at several facilities to see the costs and which take Medicaid and if there is waiting list for Medicaid beds. Often the nicer facilities have a very limited # of Medicaid beds and the waiting list is based on private pay residents who have been there 1 - 2 or more years paying full tilt. Nobody from off the street ever gets to the top of the waiting list.
Really if he needs a NH soon, you have extremely limited choices as to his $.
Also for NH Medicaid, if the NH takes residents as "Medicaid Pending", they can require that you provide to them the documents required by Medicaid so they (the NH) can review to determine IF they will accept your elder Medicaid Pending. then in turn the NH sends the documents along with their bill to the state.
Admissions knows how to do a quick look though to see if there are any glaring issues. LIke if dad who lives with you & gets SS, had 50K 3 years ago and now only 1K ……there is going to be an issue. Like for my mom. she was in IL before NH, so there was a consistent pattern of her spend-down that totally made sense for where her $ went that was acceptable.. NH does a vetting - not as detailed as what Medicaid does but still does one - as they don't want issues with them not qualifying and then billing & payment problems.
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.
His money needs to be spent on his care and being in the nursing home very likely means that all of his assets will be spent and will need to apply for medicaid at some point. When and if that takes place medicaid will do a five year check back on his bank statements.
Depending on the state, about 50% - 70% of residents stays are being paid for Medicaid. Medicaid is totally a "needs based" entitlement. They will need to do two things: show the "need" for skilled nursing care; and show the "need for financial assistance to pay for skilled nursing care, that means basically impoverished with about 2K in assets and whatever amount your state has set for monthly income. Like for TX when I applied for my mom, the income max was $ 2,064.00. Google your states NH Medicaid program for details as each state administers their Medicaid program uniquely.
Since Medicaid is a needs based program, your dad will HAVE to provide anywhere from 3 to 5 years of financial information. Within that period, IF any of his funds have been used for things other than his care and needs, there will be a transfer penalty imposed on his eligibility for Medicaid payment to NH. If you are paying yourself for having dad in your home, you better have a personal services contract in place and have been paying taxes on that income, otherwise you will have issues with his Medicaid application.
Dad has $, you as his POA can go and pay from his account for an elder law attorney to see what if any options may be available to him. If he is at the point of being on the brink of needing a facility, you will be very limited in what you can do with his funds that are within Medicaid's acceptance.
Get out there and look at several facilities to see the costs and which take Medicaid and if there is waiting list for Medicaid beds. Often the nicer facilities have a very limited # of Medicaid beds and the waiting list is based on private pay residents who have been there 1 - 2 or more years paying full tilt. Nobody from off the street ever gets to the top of the waiting list.
Really if he needs a NH soon, you have extremely limited choices as to his $.
Admissions knows how to do a quick look though to see if there are any glaring issues. LIke if dad who lives with you & gets SS, had 50K 3 years ago and now only 1K ……there is going to be an issue. Like for my mom. she was in IL before NH, so there was a consistent pattern of her spend-down that totally made sense for where her $ went that was acceptable.. NH does a vetting - not as detailed as what Medicaid does but still does one - as they don't want issues with them not qualifying and then billing & payment problems.