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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.
Share a few details and we will match you to trusted home care in your area:
My brother, who is receiving community Medicaid, is currently in rehab; the plan is for him to transfer to long term care at the same facility. Concurrently, his Medicaid recertification is due; how should I handle the recertification - should I phone the DSS worker and explain - or not.
If you receive VA Pension and have no spouse or child, then--if you are in a nursing home and covered by Medicaid--the VA Pension is reduced to $90 per month. Veterans residing in state-run veteran's homes are exempt from this limit. If you have a spouse or child, then you receive the full VA Pension amount and it counts toward the income limits of Medicaid. Note that the “aid and attendance allowance” or “housebound allowance” portion of a Pension payment does not count as “income” for Medicaid purposes. In 2014, the income limit for Medicaid is set at $2,163, but in many states this can be reduced by medical expenditures or having the income paid into a type of simple trust. The income rules are discussed in much more detail in my book, Medicaid Secrets.
Are you referring to VA pensions? For NH situations, the pension will likely not cover the full cost of the NH and they are better going onto Medicaid to pay for NH stay. The funding from VA will be limited to $ 90.00 once they are in a NH on Medicaid. The NH treat the VA $90 like they deal with the personal needs allowance (from $ 35 - 90 a month) allowed to NH residents under Medicaid, so the resident has the full use of the $ 90 plus their PNA under Medicaid. Like for TX the pna is $ 60 a mo & if also VA, they have $ 150.00 a mo to be able to use for their personal allowance.
VA will not pay the pension benefit if they are also on Medicaid for the NH. It makes it tricky for doing the Medicaid application as they currently have the pension but it will go away if & when they get Medicaid. But you have to put it into the application as they may have other money out there and will need to do a spend-down and until they are fully on Medicaid the pension gets paid. The pension is especially good for those who have a spend-down for a couple of years to be able to be on the list for some more select NH (those that have a waiting list for Medicaid beds and the list basically come from their residents who have been there and doing private pay for a couple of years).
If they still have a community spouse or a large spend-down, this seems to be pretty sticky to do just right to maximize the pension situation. I'd really go to see an elder lawyer who has experience with both VA & Medicaid BEFORE the application is done. Good luck.
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.
If you have a spouse or child, then you receive the full VA Pension amount and it counts toward the income limits of Medicaid. Note that the “aid and attendance allowance” or “housebound allowance” portion of a Pension payment does not count as “income” for Medicaid purposes.
In 2014, the income limit for Medicaid is set at $2,163, but in many states this can be reduced by medical expenditures or having the income paid into a type of simple trust. The income rules are discussed in much more detail in my book, Medicaid Secrets.
VA will not pay the pension benefit if they are also on Medicaid for the NH. It makes it tricky for doing the Medicaid application as they currently have the pension but it will go away if & when they get Medicaid. But you have to put it into the application as they may have other money out there and will need to do a spend-down and until they are fully on Medicaid the pension gets paid. The pension is especially good for those who have a spend-down for a couple of years to be able to be on the list for some more select NH (those that have a waiting list for Medicaid beds and the list basically come from their residents who have been there and doing private pay for a couple of years).
If they still have a community spouse or a large spend-down, this seems to be pretty sticky to do just right to maximize the pension situation. I'd really go to see an elder lawyer who has experience with both VA & Medicaid BEFORE the application is done. Good luck.