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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.
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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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My mother is in a rehab facility and her Medicare is running out. We are waiting on a decision regarding TennCare and Medicaid. What do you do until this is approved?
Ideally mom would be in a rehab facility that also is a NH (so does LTC) and mom would after Medicare rehab benefit runs out would then become "Medicaid Pending" resident of the NH section. She or you as her DPOA does the Medicaid application with the supporting documentation & then the NH submits it along with their bill to the state.
The NH should have a list of the supporting documentation needed to accompany the application. It will be quite a lot…. like her annual awards statement from SS that reads the exact amount she will get paid for 2017; plus any life insurance policies; months or years of bank statements; citizenship info; details on any real property she owns. You just have to go down the list and find the item and then copy a couple of sets and then attached them to the Medicaid application. My mom's was over 100 pages….. but a good third of this was her super old school life insurance policy that was over 30 legal size pages. NH if they take Medicaid will have a list of documents needed as they may look them over in advance to determine IF they will accept her as Medicaid Pending.
Under Medicaid Pending, mom would need to pay all of her monthly income (like her SS or any other monthly #$ like a retirement or annuity) to the facility as the co-pay or SOC (Share of Cost) requirement of Medicaid participation. Now she is allowed a small PNA - personal needs allowance. PNA varies by state from $ 35 - $ 115. so mom gets to keep the PNA. Often the NH will highly suggest that they become the rep payee for her income and all the $ goes to them directly with the PNA going into an on site at the NH personal trust account. BUT mom DOES NOT HAVE TO DO THIS. So if mom has a checking account, you or her can just write a check to the Nh each mon for the copay. I did it this way & mom's first NH was kinda peeved but just too bad; her 2nd NH was totally whatever works for you, we're fine with it.
Now mom would likely transition from 1 room to another, but perhaps just stay in the same room. It kinda depends on how the LTC is set up. My mom's first NH had a wing just for rehab which was much newer and much much "nicer" but my mom's 2nd and eons better NH had all residents in the same type of room.
If this is a rehab only facility, then you have to asap speak with a discharge planner to see where she could move to as Medicaid Pending.
IF there is any way mom can continue to "progress" in rehab so that she can possibly qualify for more days (up to 100 day max), pls, pls, please try to do this. Medicare pays way way more than Medicaid & a facility will want a Medicare paid bed filled. Id clearly speak with her therapists and social worker as to where mom is in her progress.
Remember whatever you do always always sign each & every page or signature clearly as her DPOA and have copies of the DPOA paperwork to attach if needed to any agreement. AND make sure you get a copy of any & all contracts. Do not leave or pay an advance without getting copies of all. At 5K - 15K a mo for NH, if things should go askew, that is a lot of $ to possibly be held responsible for. You have to always do whatever to CYA on these costs imo. Get copies of any paperwork.
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 NH should have a list of the supporting documentation needed to accompany the application. It will be quite a lot…. like her annual awards statement from SS that reads the exact amount she will get paid for 2017; plus any life insurance policies; months or years of bank statements; citizenship info; details on any real property she owns. You just have to go down the list and find the item and then copy a couple of sets and then attached them to the Medicaid application. My mom's was over 100 pages….. but a good third of this was her super old school life insurance policy that was over 30 legal size pages. NH if they take Medicaid will have a list of documents needed as they may look them over in advance to determine IF they will accept her as Medicaid Pending.
Under Medicaid Pending, mom would need to pay all of her monthly income (like her SS or any other monthly #$ like a retirement or annuity) to the facility as the co-pay or SOC (Share of Cost) requirement of Medicaid participation. Now she is allowed a small PNA - personal needs allowance. PNA varies by state from $ 35 - $ 115. so mom gets to keep the PNA. Often the NH will highly suggest that they become the rep payee for her income and all the $ goes to them directly with the PNA going into an on site at the NH personal trust account. BUT mom DOES NOT HAVE TO DO THIS. So if mom has a checking account, you or her can just write a check to the Nh each mon for the copay. I did it this way & mom's first NH was kinda peeved but just too bad; her 2nd NH was totally whatever works for you, we're fine with it.
Now mom would likely transition from 1 room to another, but perhaps just stay in the same room. It kinda depends on how the LTC is set up. My mom's first NH had a wing just for rehab which was much newer and much much "nicer" but my mom's 2nd and eons better NH had all residents in the same type of room.
If this is a rehab only facility, then you have to asap speak with a discharge planner to see where she could move to as Medicaid Pending.
IF there is any way mom can continue to "progress" in rehab so that she can possibly qualify for more days (up to 100 day max), pls, pls, please try to do this. Medicare pays way way more than Medicaid & a facility will want a Medicare paid bed filled. Id clearly speak with her therapists and social worker as to where mom is in her progress.
Remember whatever you do always always sign each & every page or signature clearly as her DPOA and have copies of the DPOA paperwork to attach if needed to any agreement. AND make sure you get a copy of any & all contracts. Do not leave or pay an advance without getting copies of all. At 5K - 15K a mo for NH, if things should go askew, that is a lot of $ to possibly be held responsible for. You have to always do whatever to CYA on these costs imo. Get copies of any paperwork.
Good luck and keep your sense of humor going.