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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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bpowers518, your Mom can continue to live in her house and still have Medicaid to help with her paying of medical costs. It depends on Mom's condition, your profile didn't say what were her medical issues. Is Mom still mobile and do things for herself? Does she need help every once in awhile? If yes, then Medicaid could send an Aide over to help her once or twice a week for a couple hours each day.
If Mom needs skilled nursing care, then Medicaid would recommend she move to a nursing home to which Medicaid will pay for her care. But Medicare would want to be reimbursed, thus the lien being placed on her house.
Written earlier by Guestshopadmin has some excellent information. As she mentioned, will you or your family be able to maintain and take care of Mom's house while she is in a nursing home? That means, pay the mortgage if there is still a mortgage, pay the homeowner's insurance [if the house is vacant the insurance will be much higher], pay the utilities, keep the yard cut, etc.
Selling the house now might be a good option, as noted earlier, it will give Mom more choices for nursing home care. But please note, it can be expensive. My Mom's nursing home was $12k per month, it all depends on where your live and the cost of living there. Make sure you choose a nursing facility that will take Medicaid later on.
I know this can be so complex. If within the budget, contact an Elder Law Attorney and get suggestions from him/her.
As long as the house is in your Mother's name, you will not have to sell it before going on Medicaid. https://www.skillednursingfacilities.org/resources/medicaid-and-nursing-homes/
You would not have to sell her home - it's an exempt asset for Medicaid during your mother's lifetime. BUT once she is on Medicaid, there will be no money from mother's income to do any repairs on home, any utilities or taxes for home, etc. All of mother's money except a small needs allowance (typically $60-$125) per month will go to the facility and any remaining balance will be paid by Medicaid. That allowance will be enough (maybe) for hair appointments or a cell phone or cable. And a lien will be filed on the home that will need to be satisfied after mother's death for repayment of monies paid by Medicaid on mother's behalf for her care. If an adult child lived with parent for 2 years and cared for parent thus keeping them out of NH, you can make an application to get rid of the lien. But the application is very specific as to care provided and what kind of paperwork you need to get signed in advance of application. If the plan is to keep parent's home for an inheritance, all involved need to be prepared for what may be YEARS of expenses and you really need some legal advice for this. There are several threads with comments by poster igloo572 that explain the process in detail with probate possibility or dealing with independent contractors for your state in MERP (Medicaid Estate Recovery Program). The reality is that most individuals that need Medicaid to cover expenses will not have house or other assets to leave family unless the family is willing to do a lot of work to pay for them. Having the assets to private pay for a facility then transition to Medicaid can give your parent a better choice of nursing homes. Not all facilities accept Medicaid. Not all Medicaid facilities have private rooms. The money from the sale of a home can make a big difference in the quality of life an elder has during the Medicaid transition. The federal and state governments do not simply pick up the tab for Medicaid care of a person at end of life so that assets can be retained by family. No judgement here - if you have big enough assets that this is a question, hire an attorney well-experienced in Medicaid and elder planning to see what your options are. But moving assets usually has to be done before the 5-year look-back on transactions now required by Medicaid - and that's not the kind of planning this question usually involves. Please see a lawyer if you plan to keep house about the ways to best pay for it by family personally.
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 Mom needs skilled nursing care, then Medicaid would recommend she move to a nursing home to which Medicaid will pay for her care. But Medicare would want to be reimbursed, thus the lien being placed on her house.
Written earlier by Guestshopadmin has some excellent information. As she mentioned, will you or your family be able to maintain and take care of Mom's house while she is in a nursing home? That means, pay the mortgage if there is still a mortgage, pay the homeowner's insurance [if the house is vacant the insurance will be much higher], pay the utilities, keep the yard cut, etc.
Selling the house now might be a good option, as noted earlier, it will give Mom more choices for nursing home care. But please note, it can be expensive. My Mom's nursing home was $12k per month, it all depends on where your live and the cost of living there. Make sure you choose a nursing facility that will take Medicaid later on.
I know this can be so complex. If within the budget, contact an Elder Law Attorney and get suggestions from him/her.