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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.
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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Hi - I'm an elder law attorney. I always advise my clients that they need not necessarily pay me to handle their application. They can go to a local Area Agency on Aging (AAA) to help them for free (assuming that the applicant is already financially qualified).
You'll get varying levels of customer service going through an AAA, but plenty get it done just fine.
I rarely think its a good idea to fill out the application on your own only because the applications are usually long and sometimes confusing and errors can lead to a delay in much needed resources.
We initially went to a meeting with an elder care attorney who gave us some free guidance. He later earned a fee for providing a POA. Prior to the meeting we downloaded the application from Medicaid and filled it out. He could tell at a glance what we needed to do. He gave us some initial guidance on Medicaid, but after that we did it ourselves. He gave us some concrete steps to take, and we did the legwork. The most important thing that he did was to tell us how the process worked. After that, it took time to get the financials from the bank. The people at the Medicaid office were very professional and kind. Most of them were very knowledgeable, but once, we interacted with someone who gave us wrong information which threw us for a loop for a while until we countered it with information from the website. Yes, there is paperwork and financials, and numerous calls, but stay organized, keep all your paperwork together and give yourself tasks daily. I asked the Medicaid office the same question you did, and she said that the majority of applications are filed by family members without the aid of an attorney.
Make that initial meeting with an elder care attorney, especially if it’s free. Come prepared with a prefilled out application. Go on the Medicaid website and write questions down about what you don’t understand. My mind goes numb when I read official language, but I found my state’s website was fairly easy to understand. Write down the names of people that you talk to and when.
Thank you.. Very much. My sister and I paid the legal fees for two attorneys for a guardianship instead if having our mom's trust pay, as we needed to conserve mom's resources.
In case you don't know readers, mom's attorney and ours.
Our attorney will charge 5k for Medicaid qualification. We are already into this for 5k just for guardianship. Thank you again.
My Mom had a house that we were having problems selling because of the condition. I hired a lawyer to work with Medicaid with excepting what we could get. If Mom hadn't had the house, I wouldn't have had a problem getting her Medicaid.
The Miller/Qit trusts I would think you need a lawyer to set them up. Money can come from any monies Mom has.
Yes attorney will set up those trusts. I am interested in experiences of those who had to get parent qualified for Medicaid for MC, who did on THEIR OWN WITHOUT USING AN ATTORNEY.
I did it on my own (NY) but mom didn’t have a recent house involved. (She had deeded it to me years ago and I had sold it 6 years prior to applying so it was beyond the lookback). No trusts involved. For income has a pension and SS of $3400 mo. I studied the online instructions on the Medicaid website and got the paperwork together myself, which took a few weeks to get bank statements and pension & insurance info. Then DH and I took it to the Medicaid office for appt with a caseworker. After that the caseworker and I communicated via email & phone and I just had to send her a few more pieces of data. It took a few months but no major problems. This was for Nursing home Medicaid.
For an individual widow or widower LTC Medicaid application, I think if the DPOA has already been in place and they are already signature on banking / financials & have been involved in their parents life, they can totally DIY the paperwork and documentation needed to get thru the “at need” financial aspect of Medicaid and get them in under Medicaid Pending. I did my mom’s Medicaid application for TX and helped hubs deal with his mom’s both in LA and then in TX (post Katrina with his brother) and then deal with annual renewals and then recovery. I think all states do some sort of renewal process & all are required to do a recoup attempt so you have to be able to keep files & documentation going till beyond death for them.
personally imo if you are not organized & already involved in & aware of their financials, they are best served by having an elder law atty refresh all their paperwork, perhaps do a codicil to the will if it’s old and then shepherd their Medicaid application. Then you take over keeping up their renewals and then MERP questionnaire, etc.
But please, please, please you have to also be mindful that for LTC NH Medicaid they must be also “at need” medically for skilled nursing care. This tends to get glossed over as most enter NH as post hospitalization rehab patient coming in with MediCARE paying. But eventually rehab ends so MediCARE coverage ends. And if coming from living at home, or in IL or AL, the medically “at need” strict criteria may flat NOT be there in their health care medical chart. My mom was in IL and moved from IL to NH, MIL was living in 1/2 of a duplex, for both my experience was that the state sent out a 2 person team (RN or NP and a MSW) who do on site 1-on-1 with the elder @ the NH to determine medical “need”. It’s not automatic. MILs was cursory and her NH needed residents & they got her declared legally blind while Medicaid Pending. My mom’s ran into a glitch as RXs from her gerontologist & were left out of her NH file, so the Medicaid medical appeals process had to be done. Which documentation wise really has to be done by the facility, although I had to actually file the appeal document. Nothing is ever simple....
Remember LTC NH Medicaid is “at need” BOTH financially & medically.
I followed the checklist provided by the Medicaid social worker and submitted to him. My neighbored received her approval letter about three weeks later for nursing home care. She was not trying to shelter assets in trusts and was very low income.
Thank you all. She is medically in need. Currently private pay in Memory Care. Your points are important and well taken. Thank you for bringing that up.
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.
You'll get varying levels of customer service going through an AAA, but plenty get it done just fine.
I rarely think its a good idea to fill out the application on your own only because the applications are usually long and sometimes confusing and errors can lead to a delay in much needed resources.
Hope this helps!
We initially went to a meeting with an elder care attorney who gave us some free guidance. He later earned a fee for providing a POA. Prior to the meeting we downloaded the application from Medicaid and filled it out. He could tell at a glance what we needed to do. He gave us some initial guidance on Medicaid, but after that we did it ourselves. He gave us some concrete steps to take, and we did the legwork. The most important thing that he did was to tell us how the process worked. After that, it took time to get the financials from the bank. The people at the Medicaid office were very professional and kind. Most of them were very knowledgeable, but once, we interacted with someone who gave us wrong information which threw us for a loop for a while until we countered it with information from the website. Yes, there is paperwork and financials, and numerous calls, but stay organized, keep all your paperwork together and give yourself tasks daily. I asked the Medicaid office the same question you did, and she said that the majority of applications are filed by family members without the aid of an attorney.
Make that initial meeting with an elder care attorney, especially if it’s free. Come prepared with a prefilled out application. Go on the Medicaid website and write questions down about what you don’t understand. My mind goes numb when I read official language, but I found my state’s website was fairly easy to understand. Write down the names of people that you talk to and when.
In case you don't know readers, mom's attorney and ours.
Our attorney will charge 5k for Medicaid qualification. We are already into this for 5k just for guardianship. Thank you again.
The Miller/Qit trusts I would think you need a lawyer to set them up. Money can come from any monies Mom has.
I studied the online instructions on the Medicaid website and got the paperwork together myself, which took a few weeks to get bank statements and pension & insurance info. Then DH and I took it to the Medicaid office for appt with a caseworker. After that the caseworker and I communicated via email & phone and I just had to send her a few more pieces of data. It took a few months but no major problems. This was for Nursing home Medicaid.
personally imo if you are not organized & already involved in & aware of their financials, they are best served by having an elder law atty refresh all their paperwork, perhaps do a codicil to the will if it’s old and then shepherd their Medicaid application. Then you take over keeping up their renewals and then MERP questionnaire, etc.
But please, please, please you have to also be mindful that for LTC NH Medicaid they must be also “at need” medically for skilled nursing care. This tends to get glossed over as most enter NH as post hospitalization rehab patient coming in with MediCARE paying. But eventually rehab ends so MediCARE coverage ends. And if coming from living at home, or in IL or AL, the medically “at need” strict criteria may flat NOT be there in their health care medical chart. My mom was in IL and moved from IL to NH, MIL was living in 1/2 of a duplex, for both my experience was that the state sent out a 2 person team (RN or NP and a MSW) who do on site 1-on-1 with the elder @ the NH to determine medical “need”. It’s not automatic. MILs was cursory and her NH needed residents & they got her declared legally blind while Medicaid Pending. My mom’s ran into a glitch as RXs from her gerontologist & were left out of her NH file, so the Medicaid medical appeals process had to be done. Which documentation wise really has to be done by the facility, although I had to actually file the appeal document. Nothing is ever simple....
Remember LTC NH Medicaid is “at need” BOTH financially & medically.