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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?
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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.
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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
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As others have said: You can't have a home and be on Medicaid. So you will have to sell it and use the money for care until you spend down to the amount (usually around $2000) that makes you eligible for Medicaid. OR - and I am not knowledgeable about this - there may be a way to set up a trust. Either way, the best thing to do it to consult the Office of Public Assistance and an attorney.
Talk to an Elder Tax attorney they will be the best person for your question. I have seen multiple ways of doing this such as having your mom gift a family member the property and don't forget the requirements are $2000 in monthly assets so it has to be pretty low! Best wishes,
Medicaid asset and income rules vary by state. See an experienced elder law attorney in your state (www.naela.org, the National Academy of Elder Law Attorneys, has an interactive list).
You won't like my answer, but why would you want to keep an asset instead of selling it to pay the people who take care of your relative? If there is no living spouse, you should sell the assets and pay for the care. Maybe there would not be such an issue with funding medicaid if people would realize that we need to liquidate the relatives assets and pay for the care. It is really only fair to tax payers as well as future generations who need to utilize medicaid.
Igloo, I am glad you answered, since I didn't really understand the why of this question. The easiest way to consider a home an asset would be to sell it. Then, of course, the person wouldn't be able to qualify for Medicaid because they had too much money. I think we need a better explanation for this question.
Also if the property needs to be sold, it must be sold at FMV - fair market value. So no transferring within family at zero or below FMV. Look at the tax assessor statement to see what the county sets for value.
If assessor amount is whack, you need to get the property appraised. I'd suggest you get it inspected first and then that report goes to the appraiser. If there is foundation issues, you might want to get an residential engineers report done as well. All of these 3 need to be done by registered professionals as there will need to be some sort of seal placed on report. Those comps done by Realtors are nice but not "legal". Maybe $ 300 - 700 ea for inspection & appraisal. Residential engineers are more pricey and could take weeks to get scheduled.
All needs to be done transparent & correctly done as property items are filed at the courthouse and will show up…… eventually.
LPomm - the "asset" just what is it? If it's a homestead, Medicaid allows for their home to be an exempt asset for Medicaid. But second homes, land or other non-homestead property are non exempt assets and will keep them ineligible for qualifying for Medicaid. I'm assuming the Medicaid applicant is a widow or widower so no community spouse living at the homestead…..
About the homesteaded exempt property, although it's ok by Medicaid for the NH/AL on Medicaid resident to own it, they will have no/none/zero/nada of their $ anymore to pay on the property. Medicaid requires them to do a co-pay or SOC (share of cost) to the NH/AL each month of all their SS and any other monthly income. All they get is a smallish PNA - personal needs allowance which varies by state from $ 35 - 115.
Reality is that someone within the family will need to pay all costs on the property from day 1 of Medicaid till beyond their death and deal with MERP/estate recovery. IF there is still a mortgage, the amount of $ over time could be significant. Keeping the house could make sense if there is a reason for you to keep the property and you have the wallet possibly for years and don't mind some degree of risk. Based on posts on this site, family end up placing maw's house on the market within 6 - 8 mos as family runs out of nice in co-operating with upkeep or paying their share.
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.
Best wishes,
I have read you question. Most people run the other way,as in, how not to have the home qualify as an asset.
Does anyone else live on/in the property?
What state does the property respond too?
And lastly, are all immediately family members in agreement to this option?
If assessor amount is whack, you need to get the property appraised. I'd suggest you get it inspected first and then that report goes to the appraiser. If there is foundation issues, you might want to get an residential engineers report done as well. All of these 3 need to be done by registered professionals as there will need to be some sort of seal placed on report. Those comps done by Realtors are nice but not "legal". Maybe $ 300 - 700 ea for inspection & appraisal. Residential engineers are more pricey and could take weeks to get scheduled.
All needs to be done transparent & correctly done as property items are filed at the courthouse and will show up…… eventually.
If it's a homestead, Medicaid allows for their home to be an exempt asset for Medicaid. But second homes, land or other non-homestead property are non exempt assets and will keep them ineligible for qualifying for Medicaid. I'm assuming the Medicaid applicant is a widow or widower so no community spouse living at the homestead…..
About the homesteaded exempt property, although it's ok by Medicaid for the NH/AL on Medicaid resident to own it, they will have no/none/zero/nada of their $ anymore to pay on the property. Medicaid requires them to do a co-pay or SOC (share of cost) to the NH/AL each month of all their SS and any other monthly income. All they get is a smallish PNA - personal needs allowance which varies by state from $ 35 - 115.
Reality is that someone within the family will need to pay all costs on the property from day 1 of Medicaid till beyond their death and deal with MERP/estate recovery. IF there is still a mortgage, the amount of $ over time could be significant. Keeping the house could make sense if there is a reason for you to keep the property and you have the wallet possibly for years and don't mind some degree of risk. Based on posts on this site, family end up placing maw's house on the market within 6 - 8 mos as family runs out of nice in co-operating with upkeep or paying their share.