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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.
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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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Medicaid filed, but there is a penalty because she gave away money to family. In the meantime we are Medicaid pending and have paid out money to keep her in the nursing home.
Not exactly....... The transfer penalty will be a period of days in which although mom now qualifies for medicaid as she is now impoverished, she is ineligible for medicaid to pay due to the penalty. Penalty is a # of days ineligiblilty and usually starts the countdown from the date of the Medicaid application. The $ family or you are paying to the NH now and your moms income (like her SS each month) she is paying the NH now is paying for her staying (usually at private pay rate) at the NH while the # of days of ineligibility go to zero. It is not deducted per se from the penalty period. Say moms NH Shady Acres is 5k a mo, penalty is 90 days, so mom / family will need to private pay the NH for those 90 days she is in the NH. Btw NH will get the notice of moms ineligibility as well. Mom will still each mo have her SS& any other monthly income to pay towards the 5K and then family pays the rest if mom is to remain at Shady Acres. Then on day 91, medicaid will kick in. Mom still must continue to have her SS and any other monthly income be paid to Shady as per medicaid SOC (share of cost or copay rules) but family responsibility to pay the "gap" stops. For a smaller penalty period (30-100 days imo) this approach probably can work for families.
Mindy, ?'s for you..... You say it's "still pending", so mom is / has filed a formal in writing appeal to the penalty determination??? So she's gotten a letter from Medicaid stating the penalty $ amount & penalty period but she's appealing and there's a hearing date in the future? so she's technically "Medicaid Pending" till appeals over...??. OR has it been that the Medicaid caseworker has contacted mom who entered the nH "medicaid pending" or you as to ?s regarding moms application and there appears there will be a penalty but the exact amount & # of days is still TbD??? They are somewhat different situations, which is it? Is transfer real property or more $ that was gifted? What is the $ amount looking like?...15k.... 150k? Lots more?
You know the Penalty is basically a math problem from Medicaid's viewpoint. Each state has a specific $ amount it pays a NH for the room & board of a Medicaid resident as each state administers its Medicaid program uniquely but within federal guidelines. The $ amt paid by Stats is called the "Diversion Penalty Divisor". Like for my late mom in a NH on Medicaid, it was about $ 160 a day R&B (which is low r&b). That's the DPD. So say mom gifted her home with assessor value of 100k to her son 3 years before her application. That's basically a penalty period of 625 days for a state with $160 R&B, so over 2 years till Medicaid can pay.
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.
Say moms NH Shady Acres is 5k a mo, penalty is 90 days, so mom / family will need to private pay the NH for those 90 days she is in the NH. Btw NH will get the notice of moms ineligibility as well. Mom will still each mo have her SS& any other monthly income to pay towards the 5K and then family pays the rest if mom is to remain at Shady Acres. Then on day 91, medicaid will kick in. Mom still must continue to have her SS and any other monthly income be paid to Shady as per medicaid SOC (share of cost or copay rules) but family responsibility to pay the "gap" stops. For a smaller penalty period (30-100 days imo) this approach probably can work for families.
Mindy, ?'s for you..... You say it's "still pending", so mom is / has filed a formal in writing appeal to the penalty determination??? So she's gotten a letter from Medicaid stating the penalty $ amount & penalty period but she's appealing and there's a hearing date in the future? so she's technically "Medicaid Pending" till appeals over...??.
OR
has it been that the Medicaid caseworker has contacted mom who entered the nH "medicaid pending" or you as to ?s regarding moms application and there appears there will be a penalty but the exact amount & # of days is still TbD???
They are somewhat different situations, which is it?
Is transfer real property or more $ that was gifted?
What is the $ amount looking like?...15k.... 150k? Lots more?
You know the Penalty is basically a math problem from Medicaid's viewpoint. Each state has a specific $ amount it pays a NH for the room & board of a Medicaid resident as each state administers its Medicaid program uniquely but within federal guidelines. The $ amt paid by Stats is called the "Diversion Penalty Divisor". Like for my late mom in a NH on Medicaid, it was about $ 160 a day R&B (which is low r&b). That's the DPD. So say mom gifted her home with assessor value of 100k to her son 3 years before her application. That's basically a penalty period of 625 days for a state with $160 R&B, so over 2 years till Medicaid can pay.