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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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I worked for 36 years assisting clients with Medicaid applications. These are some rules:
Medicaid will look back 5 years at your accounts and question anything that they think is a misuse of funds or undersell of property.
A home is not an asset as long as a spouse or disabled child lives in the home. Medicaid can allow 6 months of coverage if there is the possibility of the client returning home.
Any property sale must be, at a minimum, for the assessed value.
Do not try to hide assets, they will find it and penalize you for it.
If a spouse or disabled child remains in the home, client funds can be used to make repairs or upgrades. You should work closely with the case manager.
If the client does not have a burial plan, Medicaid allows the use of the patient's funds to pay for a pre-need burial/cremation. You can also set up a burial account in the bank - SSA and SSI recipients have different amounts allowed, but it is minimal.
Whole life insurance policies have a cash value and are counted as assets in most cases because Medicaid only allows a client to have a certain amount set aside.
A client is expected to pay all but roughtly $40.00 towards their cost of care per month if there are no other assets. The $40.00 is for personal spending.
Your best bet, if you have assets, is to consult with an elder law attorney.
Contact an elder / trust attorney. Work with a bookkeeper or accountant or tax preparer. Contact Medicaid directly and ask them.
A social worker at a facility may be able to assist you. I have a contact who specializes in this type of work (gov't benefits) although I do not know if we can provide referrals on this site.
I understand everyone advice is always to get an attorney. But I bet you are asking because you can't afford the attorney. I would call medicaid directly and speak with them. Get a list of questions ready before hand. Im sure more questions will arise naturally over the course of the conversation. Be prepared to sit on hold. Usually the morning is the best time to call regardless of your state. Evening hours after people would be off if they’re day job or before going to an evening shift is the worst time of day to call. If they say they don't have an answer tell them you need a supervisor or someone from whatever department can answer your questions. If need be Tell them your not seeking any legal advice you are trying to understand how it works. I would be persistent because someone there absolutely can answer your questions and that will atleast get you started.
I had wonderful help with someone that works for the ADRC. She told me exactly how the spend down worked and how to document everything. It is a very paper intense procedure but needed to be done so that I had some money to live on.
If you are married and it’s your wife who will be at need for a facility while you remain living in the home as a “Community Spouse”, the regulations on this are pretty complex plus so much of it depends on your State laws (esp for property rights) and how yiur State runs its Medicaid system. It is not a DIY and is best done by a CELA level of elder law attorney and that has as a part of their practice to do the shepherding of your wf application.
Really truly not a DIY.
just too too many moving parts for you as a spouse who is also doing caregiving duties in addition to being a husband.
OldArkie, do you not have an elder law attorney helping you with all of this? They should make it pretty smooth and easy for you, and they would be the best to advise you on this subject.
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.
Medicaid will look back 5 years at your accounts and question anything that they think is a misuse of funds or undersell of property.
A home is not an asset as long as a spouse or disabled child lives in the home.
Medicaid can allow 6 months of coverage if there is the possibility of the client returning home.
Any property sale must be, at a minimum, for the assessed value.
Do not try to hide assets, they will find it and penalize you for it.
If a spouse or disabled child remains in the home, client funds can be used to make repairs or upgrades. You should work closely with the case manager.
If the client does not have a burial plan, Medicaid allows the use of the patient's funds to pay for a pre-need burial/cremation. You can also set up a burial account in the bank - SSA and SSI recipients have different amounts allowed, but it is minimal.
Whole life insurance policies have a cash value and are counted as assets in most cases because Medicaid only allows a client to have a certain amount set aside.
A client is expected to pay all but roughtly $40.00 towards their cost of care per month if there are no other assets. The $40.00 is for personal spending.
Your best bet, if you have assets, is to consult with an elder law attorney.
Work with a bookkeeper or accountant or tax preparer.
Contact Medicaid directly and ask them.
A social worker at a facility may be able to assist you.
I have a contact who specializes in this type of work (gov't benefits) although I do not know if we can provide referrals on this site.
Gena / Touch Matters
Really truly not a DIY.
just too too many moving parts for you as a spouse who is also doing caregiving duties in addition to being a husband.