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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 think that unfortunately, the elder care attorney with whom you spoke didn't give you the best advice. Igloo's is better.
Ask the local bar association for a list of elder law attorneys, contact them and ask how much experience they've had with Medicaid.
Or search your state's bar association website and look for the elder law practice area, see if any list Medicaid experience as part of the practice area.
I spoke with an elder care atty in NJ who suggested I contact Plan NJ, an organization who handles pooled trust in NJ. I contacted them and was told they were no longer accepting anyone over 65 but she would check with a supervisor. No one got back to me in spite of me leaving 2 more voice mail messages over 2 weeks. In the end, my only choices were to allow the distributions (probably around 50-75k) which would throw my mother off Medicaid until it was spent down or pay the state. I contacted the local office in the county where my mother resides and was given much the same information. For me, paying the state will be the most beneficial course of action for my mother to ensure that she can remain in the same room of the dementia unit at the facility.
I'd suggest you contact asap the executor of the estate that your parent is getting the $ from to see when they are planning on doing the distribution of funds and ask if there is any possibility of delaying distribution for a bit. Usually executor has quite abit of discretion as to this. If there's quite a few getting $, it could be that everybody has to get their paperwork back to atty. or executor before any distribution done anyways, so a delay of a few weeks is fine.
Why? Cause you as the dpoa want to meet with an elder law atty. to see if something creative can be done with the $ - like a Medicaid compliant SNT - and get the paperwork at the ready so that when the $ flows through all can be done within the month received. So that they start the month within Medicaid income limits & then end the month within Medicaid limits. So the bequest never becomes an asset over medicaid limits for future months. I'm assuming this is a good bit of $ to make all this worthwhile.
If its maybe a modest amount - like under 15/20k or so, it might not be worth all the above effort. In that situation perhaps they might be able to do a fully paid preneed done for funeral, burial (within Medicaid allowed limits maybe 8 -12k) and then spend the rest on dental (easily thousands) or new better than provided by Medicaid wheelchair, new eyeglasses, hearing aids, extra clothing (if you have someplace to store these apart from the NH).
The new $$$ has to be fully spent within a month otherwise they go over medicaid income / asset caps. The situation happens often, this site has a ? just like yours every few months that's posted. Totally solvable with a bit of planning. Good luck & let us know what happens. We all learn from each other!
Don't know how much money is involved here but if it's more than the amount the person can have in resources (say over $2000, when added to.other assets), talk to an elder law attorney. This lump sum payment could possibly be put into some type of trust to be used for extra needs not covered by Medicaid, like new clothes or other items. Don't automatically think you will have to see it swallowed up and counted as income that may make the patient ineligible for benefits for a while.
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.
Ask the local bar association for a list of elder law attorneys, contact them and ask how much experience they've had with Medicaid.
Or search your state's bar association website and look for the elder law practice area, see if any list Medicaid experience as part of the practice area.
Why? Cause you as the dpoa want to meet with an elder law atty. to see if something creative can be done with the $ - like a Medicaid compliant SNT - and get the paperwork at the ready so that when the $ flows through all can be done within the month received. So that they start the month within Medicaid income limits & then end the month within Medicaid limits. So the bequest never becomes an asset over medicaid limits for future months. I'm assuming this is a good bit of $ to make all this worthwhile.
If its maybe a modest amount - like under 15/20k or so, it might not be worth all the above effort. In that situation perhaps they might be able to do a fully paid preneed done for funeral, burial (within Medicaid allowed limits maybe 8 -12k) and then spend the rest on dental (easily thousands) or new better than provided by Medicaid wheelchair, new eyeglasses, hearing aids, extra clothing (if you have someplace to store these apart from the NH).
The new $$$ has to be fully spent within a month otherwise they go over medicaid income / asset caps. The situation happens often, this site has a ? just like yours every few months that's posted. Totally solvable with a bit of planning.
Good luck & let us know what happens. We all learn from each other!