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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.
Share a few details and we will match you to trusted home care in your area:
If she is going into a Nursing Home on Medicaid all her money goes there too. So he can stay in the house, but he has to pay all the taxes utilities and upkeep out of his own pocket. When she dies, of course Medicaid may put a lien on the house. Since he is old himself, he should apply for a hardship exemption that would allow him to stay there, in view of the fact he cared for her all those years.
Two things he needs to look into: the caregiver exemption to estate recovery and that he is heir. He should look to clearly find out just how the caregiver exemption is done for MERP (Medicaid Estate Recovery) for W. V. and do whatever to get this done so that when it needs to be filed, he will be ready. Each state's Medicaid program is run uniquely and so is it's MERP.
Like for TX, they need to have a letter stating what care services were needed and required to keep the elder from going into a facility earlier and the letter has to be from the elder's MD or social worker on their letterhead with state licensing info. This could be simple to get or could be difficult. The exemption with supporting documentation needs to be filed within 90 days of the date in which the heir or the contact person for the elders Medicaid application is notified of MERP.
Also her will needs to have him as the heir to her estate - so he needs to make sure her will states that & that the will is valid. He may need to do probate to get the transfer done; or if your state allows he could do a muniment or small estates affidavit to transfer the property to his name. Really he should contact an attorney to make sure all is ok, valid and set for him to be the heir with minimal issues.
Sadly the laws are pretty complex in this area and the possible variables are endless. The first thing to do would be to talk with someone with experience in the state this is happening in as the Medicaid laws are generally different by state. The other thing would be to make an assessment of the scenario to see where things stand. For example: 1- The MIL's house only comes into play after her other assets have been used up to pay for the NH and she's wanting to be qualified for Medicaid. 2- If he lived with her to postpone her eventual need for a NH for a few years, there is often consideration given there. 3- Does he have any disabilities. 4- Is she qualified for veteran benefits (if either she or her husband were in the military during a time of war) 5- Doe she have a trust and how is her assets held
There are probably 10 other valuable questions an expert would ask you but the point is that many people act-first/research later and it's very costly to do it that way. Lastly the $500-1,000 you (or someone) pays an expert for help is a bargain in comparison to the cost of a bad decision.
Both good answers above. If he is heir to the house it should be fairly straight forward to get the transfer done. However who are the other heirs and how will they feel about this?
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.
He should look to clearly find out just how the caregiver exemption is done for MERP (Medicaid Estate Recovery) for W. V. and do whatever to get this done so that when it needs to be filed, he will be ready. Each state's Medicaid program is run uniquely and so is it's MERP.
Like for TX, they need to have a letter stating what care services were needed and required to keep the elder from going into a facility earlier and the letter has to be from the elder's MD or social worker on their letterhead with state licensing info. This could be simple to get or could be difficult. The exemption with supporting documentation needs to be filed within 90 days of the date in which the heir or the contact person for the elders Medicaid application is notified of MERP.
Also her will needs to have him as the heir to her estate - so he needs to make sure her will states that & that the will is valid. He may need to do probate to get the transfer done; or if your state allows he could do a muniment or small estates affidavit to transfer the property to his name. Really he should contact an attorney to make sure all is ok, valid and set for him to be the heir with minimal issues.
1- The MIL's house only comes into play after her other assets have been used up to pay for the NH and she's wanting to be qualified for Medicaid.
2- If he lived with her to postpone her eventual need for a NH for a few years, there is often consideration given there.
3- Does he have any disabilities.
4- Is she qualified for veteran benefits (if either she or her husband were in the military during a time of war)
5- Doe she have a trust and how is her assets held
There are probably 10 other valuable questions an expert would ask you but the point is that many people act-first/research later and it's very costly to do it that way. Lastly the $500-1,000 you (or someone) pays an expert for help is a bargain in comparison to the cost of a bad decision.