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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.
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I got hurt at work and workers comp paid for all my bills from injury. then I got cancer and had to go on Medicaid and disability, I'm going to receive PPI money from workers comp. Do I have to pay my PPI money to Medicaid?
Vicki - I'm not sure if this would apply to you as I don't know how PPI is viewed BUT there is a thing called SECONDARY PAYER ACT that might matter. It is in law for MediCARE but I bet some states may also do this for MedicAID.
The Medicare Secondary Payer Act (MSP), is about Medicare being reimbursed for any payments they made for medical expenses for a Medicare covered individual in which another individual, business or other entity was later found responsible for and made a financial settlement to the Medicare covered individual. The regs on this came out in 2012. It's going to be a nightmare for self-insured's to comply with.
How Secondary works is like this…say there is an accident which pays you later on for damages & expenses. What the medical charges total, what Medicare paid for and what the settlement paid is critical to determine how much everyone gets. If it was a lawsuit, you need to see the attorney who handled the claim or lawsuit. It may be that the attorney will need to set up a trust account (kinda like how earnest $ is held when you buy a house) that the $ in the settlement goes to; and from the account the $ due to Medicare comes from and is not released to you until Medicare sends her attorney a letter that the reimbursement is settled in full and then the balance released to her. If an attorney wasn’t involved (like if was a product liability claim and you just filled out a form), then you would need to contact MSP compliance dept of the insurance company. This is for Medicare as Medicare is totally federal so the rules are uniform for the US.
But you are on Medicaid and so how the state runs their Medicaid program is going to matter. It may be that the $ you get is going to kick you off Medicaid as your asset limit will be exceeded by the new $ you get in the settlement. But the state may just want part of the funds paid to zero out what Medicaid paid for you.
If you haven't gotten the $$ yet, or deposited the check, i would suggest that you contact an attorney to see if that instead of you getting the $ (which is going to be income and reported to IRS) that you instead use the $ to set up a special needs trust of all the $ for you. Special needs trusts if done right are totally outside of Medicaid assets & income limits as the trust "owns" the $ not you. Then you can draw from the trust for your life time or till the trust de-funds (runs out of $) for those extra things you need that Medicaid does not pay for or pays for minimal equipment. Like instead of the cheap walker you can get a more expensive one or a better much more expensive hearing aid, etc. All this comes from trust $.
Good luck. Let us know what the attorney says too - thanks.
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.
The Medicare Secondary Payer Act (MSP), is about Medicare being reimbursed for any payments they made for medical expenses for a Medicare covered individual in which another individual, business or other entity was later found responsible for and made a financial settlement to the Medicare covered individual. The regs on this came out in 2012. It's going to be a nightmare for self-insured's to comply with.
How Secondary works is like this…say there is an accident which pays you later on for damages & expenses. What the medical charges total, what Medicare paid for and what the settlement paid is critical to determine how much everyone gets. If it was a lawsuit, you need to see the attorney who handled the claim or lawsuit. It may be that the attorney will need to set up a trust account (kinda like how earnest $ is held when you buy a house) that the $ in the settlement goes to; and from the account the $ due to Medicare comes from and is not released to you
until Medicare sends her attorney a letter that the reimbursement is settled in full and then the balance released to her. If an attorney wasn’t involved (like if was a product liability claim and you just filled out a form), then you would need to contact MSP compliance dept of the insurance company. This is for Medicare as Medicare is totally federal so the rules are uniform for the US.
But you are on Medicaid and so how the state runs their Medicaid program is going to matter. It may be that the $ you get is going to kick you off Medicaid as your asset limit will be exceeded by the new $ you get in the settlement. But the state may just want part of the funds paid to zero out what Medicaid paid for you.
If you haven't gotten the $$ yet, or deposited the check, i would suggest that you contact an attorney to see if that instead of you getting the $ (which is going to be income and reported to IRS) that you instead use the $ to set up a special needs trust of all the $ for you. Special needs trusts if done right are totally outside of Medicaid assets & income limits as the trust "owns" the $ not you. Then you can draw from the trust for your life time or till the trust de-funds (runs out of $) for those extra things you need that Medicaid does not pay for or pays for minimal equipment. Like instead of the cheap walker you can get a more expensive one or a better much more expensive hearing aid, etc. All this comes from trust $.
Good luck. Let us know what the attorney says too - thanks.