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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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MI choice is still a Medicaid waiver program. For people with low income and assets, your state programs vary depending on how they are funded. Texas medicaid waivers are limited. I’m very glad your mom has a great facility and care in MI,.
My Mom only gets a very small amount from Social Security each month. In Michigan there is a program called MI Choice, which my Mom qualified for. My Mom is married, but my Dad makes no contribution to her care. He signed off her care to me the daughter and also the legal guardian. Dad really has minimal assets, no home only his car which he still owes on. Dad Does get SS and pension. My Mom was in a nursing home and was and still is on Medicaid and Medicare, until MI Choice. 2 1/2 years ago she qualified for MI Choice and now lives in a beautiful memory care facility with her own private room. If you do not live in Michigan, see if your state has a similar program. Check with the Alzheimer’s association.
You are what is considered a “community spouse” and the rules for CS situations are very different than for an individual widow or widower LTC Medicaid. You are NOT expected to impoverish yourself. You are allowed to have your own assets, this varies by state. Most at at 120k for maximum in CS exempt assets, excluding a home and a car.
I’m guessing that if your just having only SS for $, there’s no real savings, investments, etc. You all are just making ends meet. If this is the situation, you have got to get the maximum CSRA or MMNA. Community spouse resource allowance Monthly maintenance needs allowance or assessment what it’s called & run depends on your states Medicaid mgmt.
Think of it as kinda like alimony for you, the CS.
Hubs once in a NH on Medicaid will be required under Medicaid rules to have all his monthly income be paid to the NH as the required copay of SOC (share of cost). All he gets is a smallish personal needs allowance, maybe $50-60 a mo. What the CSRA / MMNA does is waive his copay to instead go to you so you have funds to continue to live in the community in addition to whatever you own monthly income is. You want to get the maximum you can. You may need an elder law atty to get this done. If you have a mortgage, or your own medical costs, these are used to show your need for the max CSRA.
there have been family of a CS who have posted where their mom had almost all of the NH dads copay to the NH was $50. Their mom got basically all his monthly income waived over to her, as she had RX expenses and an old HELOC to pay.
also remember for Medicaid it’s 1 auto only that’s exempt. If your like most couples, you have two. Think it over, if it’s best to sell both and get a newer & more dependable car. Or just sell the crappier one at Fair Market Value. No gifting of the 2nd car to one of your kids or grandkids. They have to buy it at FMV Blue Book value unless you can have some sort of verification it’s worth less. Like it was in an accident, or flat doesn’t run.... get a mechanic or used car dealer to give you a value on it.
Also if your like most couples, you have it so that your each other’s beneficiary for life insurance. Bad idea once he’s on Medicaid. If you get hit by a bus, & he’s your beneficiary, that $ makes him ineligible for Medicaid. & whose there to deal with this for him??? Atty will have suggestions as to how to deal with life insurance without affecting his Medicaid should you predecease him.
Its good you are starting to think think about this now and before an incident happens.
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.
Hope this helps. Good luck.
I’m guessing that if your just having only SS for $, there’s no real savings, investments, etc. You all are just making ends meet. If this is the situation, you have got to get the maximum CSRA or MMNA.
Community spouse resource allowance
Monthly maintenance needs allowance or assessment
what it’s called & run depends on your states Medicaid mgmt.
Think of it as kinda like alimony for you, the CS.
Hubs once in a NH on Medicaid will be required under Medicaid rules to have all his monthly income be paid to the NH as the required copay of SOC (share of cost). All he gets is a smallish personal needs allowance, maybe $50-60 a mo. What the CSRA / MMNA does is waive his copay to instead go to you so you have funds to continue to live in the community in addition to whatever you own monthly income is. You want to get the maximum you can. You may need an elder law atty to get this done. If you have a mortgage, or your own medical costs, these are used to show your need for the max CSRA.
there have been family of a CS who have posted where their mom had almost all of the NH dads copay to the NH was $50. Their mom got basically all his monthly income waived over to her, as she had RX expenses and an old HELOC to pay.
also remember for Medicaid it’s 1 auto only that’s exempt.
If your like most couples, you have two.
Think it over, if it’s best to sell both and get a newer & more dependable car. Or just sell the crappier one at Fair Market Value. No gifting of the 2nd car to one of your kids or grandkids. They have to buy it at FMV Blue Book value unless you can have some sort of verification it’s worth less. Like it was in an accident, or flat doesn’t run.... get a mechanic or used car dealer to give you a value on it.
Also if your like most couples, you have it so that your each other’s beneficiary for life insurance. Bad idea once he’s on Medicaid. If you get hit by a bus, & he’s your beneficiary, that $ makes him ineligible for Medicaid. & whose there to deal with this for him??? Atty will have suggestions as to how to deal with life insurance without affecting his Medicaid should you predecease him.
Its good you are starting to think think about this now and before an incident happens.