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All I can picture is a $300,000 ADA RV being proposed as the best way to get Mom from the Medicaid nursing home to her doctor appointments. It’s kinda crazy.
Who is going to pay to store, maintain, register, insure, fuel, and drive this thing?
Please clarify what you are proposing to do. Cutting edge medical equipment generally requires medical professionals to operate it.
your buying an Ambulance?? Because that is all I can picture? A hoyer lift is probably not going to work in an RV, and the bathrooms are pretty small to be handicapped out fitted. And they are kinda small for a wheelchair moving about. Who is really for? Is she planning alot of trips? How old is she? And by the way I love your music Nikki Sixx!!
Some states have a maximum value for a vehicle. I would use the money for a good facility instead of one that takes Medicaid. I wouldn't want a roommate
And there is...Moms monthly income more than the Medicaid cap allows? Some States don't allow for Miller/Qualifying Income Trusts.
And the house, Igloo, isn't there a cap on that too? Really, my Moms house was maybe worth 100k. But owning a house worth $500k or more could be sold for a persons care. $500 at $10 a month would pay for someone's care for 4 years. Why should that be exempt especially when there is no surviving spouse.
My question is why an RV. Does Mom want to travel? Is she also going to hire a Nurse or CNA?
Yes there is a maximum property value for their home to be an exempt asset. It was 500/550K & 759/850K upper east coast states last time I researched. The last property tax assessor value for land & improvements will likely be used to determine the “value”. A State may also require homestead exemption. I don’t know if a “vehicle” can get one.
fwiw lil factoid I do know that a boat if over 30’ length overall can be considered a home or qualify as a second home…. You’d be a live-a-board and need to be in a slip on a pier with power & a document from harbor master & have Coast Guard paperwork current. 30’ LOA and over considered a yacht and will have at least 1 bathroom (not just a head) & a kitchen area.
If this is about keeping assets from LTC Medicaid spend down, it makes imo no sense to do for what you describe buying LTC Medicaid for all states will have a maximum allowable value on a (1) home and may require it to have a homestead exemption on the property and a (1) vehicle. Vehicles tend to be 30K range. Homes 550K and on east coast higher in 750/850K range. Should elder keep home or car it goes from exempt asset to nonexempt after they die and heirs will have to deal with an estate recovery attempt (MERP) by the state which has exemptions and exclusions but it not necessarily simple to do and could take months or couple of years to do,
a lot of hoops to ever make this work if you could even get a Class A or Class C RV retrofitted to specific medical needs plus pay for a driver and trained medical professionals as needed. Winnebago does portable clinics and those run M+ to outfit. They roll out after a Hurricane in my area to do outreach & the nonprofits who sponsor them seem to have to do major fundraising to get them rolling & stay updated. I’m remembering they have an issue on how their grey water has to legally be dealt with so you cannot use the normal “flushing” stations.
Please also realize if the elder goes onto LTC Medicaid so they are in a facility and somehow are able to keep the RV as an exempt asset, going on LTC Medicaid means that have to do a copay of basically almost all their monthly income - like their Ss$- as a copay to the Nh. They will have no-none-nada of $ anymore to pay for any of the Rv costs….. no $ for insurance, upkeep, maintenance, lot rental, etc. Someone in the family will have to pay all this from day 1 of Medicaid till beyond their death as that puppy will become an asset of their estate. I guess in theory it could sit in a family members backyard letting kudzu grow over it & letting those tires rot.
They cannot donate or gift it either as that triggers a penalty. Gotta ask, out of curiosity whose idea is this? And why?
Seems that Mom has some money. Why would you want to spend it down like this to be able to get her on Medicaid where she will have to go to a NH that excepts Medicaid. Why not just find her a nice AL.
We need more info why you think this is a good idea.
If she spends it on a physical asset it may count against her if/when she applies for Medicaid. Every state has their own unique rules for Medicaid, therefore I would consult with a Medicaid Planner for her state who can give you a legally acurate answer -- something we on this forum can't do.
FYI in most states Medicaid only cover LTC. If your mom needs LTC then an RV isn't going to help her. Not sure what you mean by "cutting edge medical technology"... can you provide more information?
I don't think this will work. If she has the funds to pay for that type of vehicle, she should be paying for her own care, not getting on Medicaid. You are allowed to keep one vehicle but there are restrictions in some states on the value. You should consult a elder care attorney familiar with Medicaid or Medicaid planner to see if that will work.
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").
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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.
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APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
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If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
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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.
Who is going to pay to store, maintain, register, insure, fuel, and drive this thing?
Please clarify what you are proposing to do. Cutting edge medical equipment generally requires medical professionals to operate it.
And by the way I love your music Nikki Sixx!!
And the house, Igloo, isn't there a cap on that too? Really, my Moms house was maybe worth 100k. But owning a house worth $500k or more could be sold for a persons care. $500 at $10 a month would pay for someone's care for 4 years. Why should that be exempt especially when there is no surviving spouse.
My question is why an RV. Does Mom want to travel? Is she also going to hire a Nurse or CNA?
fwiw lil factoid I do know that a boat if over 30’ length overall can be considered a home or qualify as a second home…. You’d be a live-a-board and need to be in a slip on a pier with power & a document from harbor master & have Coast Guard paperwork current. 30’ LOA and over considered a yacht and will have at least 1 bathroom (not just a head) & a kitchen area.
LTC Medicaid for all states will have a maximum allowable value on a (1) home and may require it to have a homestead exemption on the property and a (1) vehicle. Vehicles tend to be 30K range. Homes 550K and on east coast higher in 750/850K range. Should elder keep home or car it goes from exempt asset to nonexempt after they die and heirs will have to deal with an estate recovery attempt (MERP) by the state which has exemptions and exclusions but it not necessarily simple to do and could take months or couple of years to do,
a lot of hoops to ever make this work if you could even get a Class A or Class C RV retrofitted to specific medical needs plus pay for a driver and trained medical professionals as needed. Winnebago does portable clinics and those run M+ to outfit. They roll out after a Hurricane in my area to do outreach & the nonprofits who sponsor them seem to have to do major fundraising to get them rolling & stay updated. I’m remembering they have an issue on how their grey water has to legally be dealt with so you cannot use the normal “flushing” stations.
Please also realize if the elder goes onto LTC Medicaid so they are in a facility and somehow are able to keep the RV as an exempt asset, going on LTC Medicaid means that have to do a copay of basically almost all their monthly income - like their Ss$- as a copay to the Nh. They will have no-none-nada of $ anymore to pay for any of the Rv costs….. no $ for insurance, upkeep, maintenance, lot rental, etc. Someone in the family will have to pay all this from day 1 of Medicaid till beyond their death as that puppy will become an asset of their estate. I guess in theory it could sit in a family members backyard letting kudzu grow over it & letting those tires rot.
They cannot donate or gift it either as that triggers a penalty.
Gotta ask, out of curiosity whose idea is this? And why?
We need more info why you think this is a good idea.
Medicaid is a tax-payer supported program, we shouldn't be paying for those who are trying to take advantage by hiding their assets.
FYI in most states Medicaid only cover LTC. If your mom needs LTC then an RV isn't going to help her. Not sure what you mean by "cutting edge medical technology"... can you provide more information?