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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
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?
Which best describes your loved one's social life?
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.
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5 years is the look back period. If sooner they will call it a gift and come after the equity. Just because it seems like it is forgotten amidst all Medicaid mess and time passes they will catch it and come after anyone trying to work the system. I am not implying you are, just wanted to stress how serious they are and they have lots of time to get money back.
Hopefully mom has good equity that can be used for her care until she is broke and then qualifies for Medicaid.
If she transferred house today, then no application till after Spring, 2023 to be beyond the current 5 yr look back. That’s a l....o...n..g long time. And states can tinker with the lookback period of state legislators need to.
With what’s currently happening with SNAP, & if current R group remains in Congress, I’d bet a case of processo that look back will be extended to 7yrs.
If she needs a NH before 2023, and applies for Medicaid the transfer will eventually surface. & what will likely happen is a transfer penalty period would likely be placed against her which means that although she is now impoverished to qualify for Medicaid she is ineligible for Medicaid to pay for her stay till the transfer period is over. If she has entered a facility and is Medicaid Pending that stops and she reverts to private pay to day 1 of entry. If she cannot return to care provided by family in their home, then family will need to pay for her stay. If family ignores the situation then what seems to happen is the facility contacts APS and they get an emergency ward of the state placed on mom. A court appointed guardian takes over all aspects of her care, finances, etc.
Guardian can go hard ball on this and ask APS to look into the possibility of charging you, dpoa, whomever got house with taking advantage / financial exploitation of a vulnerable adult. Really you don’t want to go there.....as these things tend to snowball.
Transfer penalty is basically a math (division) problem. The divisor is unique to whatever your state pays as the daily Medicaid room & board day rate. Avg is around $170 a day. So a house with a tax assessor value of 325k at $170 R&B that’s transferred means 1,912 days (slightly over 5 years) of ineligibility, 200k House 1176 days ineligible.
If heir(s) qualify for any of the Recovery exemptions or exclusions, it might be better for elder to continue to own their vacant home if your state allows that option. Family will need to be able to pay all property costs from day1 of Medicaid - as all elders monthly income is paid to NH - till beyond death and property claims, liens, exemptions, probate, etc issues are dealt with. Sometimes family rent the property but rental income becomes part of the required copay to the facility. None of this is simple and not really a DIY project. Mom is best meeting with an elder law atty to discuss what the options could be for your states laws.
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.
Hopefully mom has good equity that can be used for her care until she is broke and then qualifies for Medicaid.
With what’s currently happening with SNAP, & if current R group remains in Congress, I’d bet a case of processo that look back will be extended to 7yrs.
If she needs a NH before 2023, and applies for Medicaid the transfer will eventually surface. & what will likely happen is a transfer penalty period would likely be placed against her which means that although she is now impoverished to qualify for Medicaid she is ineligible for Medicaid to pay for her stay till the transfer period is over. If she has entered a facility and is Medicaid Pending that stops and she reverts to private pay to day 1 of entry. If she cannot return to care provided by family in their home, then family will need to pay for her stay. If family ignores the situation then what seems to happen is the facility contacts APS and they get an emergency ward of the state placed on mom. A court appointed guardian takes over all aspects of her care, finances, etc.
Guardian can go hard ball on this and ask APS to look into the possibility of charging you, dpoa, whomever got house with taking advantage / financial exploitation of a vulnerable adult. Really you don’t want to go there.....as these things tend to snowball.
Transfer penalty is basically a math (division) problem. The divisor is unique to whatever your state pays as the daily Medicaid room & board day rate. Avg is around $170 a day. So a house with a tax assessor value of 325k at $170 R&B that’s transferred means 1,912 days (slightly over 5 years) of ineligibility, 200k House 1176 days ineligible.
If heir(s) qualify for any of the Recovery exemptions or exclusions, it might be better for elder to continue to own their vacant home if your state allows that option. Family will need to be able to pay all property costs from day1 of Medicaid - as all elders monthly income is paid to NH - till beyond death and property claims, liens, exemptions, probate, etc issues are dealt with. Sometimes family rent the property but rental income becomes part of the required copay to the facility. None of this is simple and not really a DIY project. Mom is best meeting with an elder law atty to discuss what the options could be for your states laws.