Are you sure you want to exit? Your progress will be lost.
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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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:
She went into hom aug 2013 and is now out of money, Trying to get Medcaid, They want to know where the money is cause never went into my moms bank account, What shall I say or what can we do for her to get accepted
Coondog - what you are dealing with is Medicaid's "Transfer Penalty".
When mom applied for Medicaid, there were specific ? regarding her assets and if any assets had be gifted or transferred within 5 years prior to her application. Did you put the information on the home on the application? If you didn't that possibly will be a whole other issue to deal with in addition to the transfer penalty. Now your mom's house is considered "real" property and as such her name and ID and perhaps even her SS is tied into her ownership on the property. Now the local tax assessor has all this info and it gets dovetailed into the state database which Medicaid can access. So eventually the sale of the home, what is sold for and when, will surface. They know that mom had a home and what it was sold for too. So you really can't try to be creative now after-the-fact on the $ amount.
Basically how a transfer penalty works is: say mom sold the house for 100K.Now mom's state daily room & board reimbursement rate for Medicaid is $ 145.00 a day. So basically mom is ineligible for Medicaid to pay for her NH for 690 days. Mom technically is qualified for Medicaid as she is impoverished but she has to work out the transfer penalty before she will be eligible for Medicaid to pay. Now actually how the transfer penalty is done has other factors & there is a whole formula on this…..like if it was sold below fair value to family that is an issue.
Transfer penalties are super sticky to deal with, I would get an elder law attorney to deal with this and negotiate it for you. Now the NH is going to be an issue and soon. If mom is found ineligible, the NH will get a letter from Medicaid on this (just as you will). Have you received a letter from Medicaid? and what is the amount of time you have to provide this information?. Most of the time, you have just a couple of days to provide the documentation to Medicaid, if not, they will send you a letter that mom's application is denied due to documentation and that there is a transfer penalty inquiry in play. Don't just ignore this…you can buy some time but only if you in writing ask for an extension to get financial documents. Realize that the NH will expect you or whomever signed mom into the NH, to either pay for her stay or sign off on a contract to pay asap if mom is declined Medicaid. If you don't, then NH can do a "30 Day Notice" which you get as well as the state gets and the local Agency on Aging (usually) gets too. Most folks end up either coming up with the money or taking mom back home till the penalty days are done. If you all are low-income or have extenuating situation, then it can be waived but if you have a job, income, etc, you are expected to pay or sign an agreement to private pay the penalty amount. Really I would get an attorney to work it through as you don't want this is morph into other issues.
The NH expects to get paid. Now depending on the contract, they can bill you at the Medicaid rate or at their much higher private pay rate. You need to carefully look at the contract. You do have a copy of the contract, right?
Now the NH won't kick ma to the curb but you have to keep the lines of communications open with the NH. At my mom's first NH, a resident was transferred to another NH and made a ward of the state, as her son refused to deal with her outstanding balance and the transfer penalty.
Just out of curiosity, were you given advice to do this with mom's house $ and by whom?
I don't see that there is any option of what to say but the truth. Mom had money and she gave it away. There will be a penalty with a certain number of days not covered by Medicaid, based on how much the gift was. During that non-covered time the care center will have to be paid from private funds. Can you and your sister cover that, out of the money you received, perhaps?
It is too bad Mom didn't have the advice of a lawyer at the time of the sale. Perhaps seeing a lawyer now would ensure that the penalty is as small as it can be.
Unfortunately, Medicaid will not pay until you pay the money back. There is a good chance the NH will sue you as well. A man in PA had to cough up $99,000 to a nursing home, the judge said "he had the means". You can't hide assets and the government already knows where the money went, they just want you to fess up and pay out.
Does she really need a nursing home? You will either have to pay for her care through the penalty period or pay her fair market value for her home. Too bad you did not get an attorney before the transfer. Was mom competent when the transfer was made? If not, you definitely need an attorney to protect yourselves. I can see this blowing up and possible charges of financial exploitation.
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.
When mom applied for Medicaid, there were specific ? regarding her assets and if any assets had be gifted or transferred within 5 years prior to her application. Did you put the information on the home on the application? If you didn't that possibly will be a whole other issue to deal with in addition to the transfer penalty. Now your mom's house is considered "real" property and as such her name and ID and perhaps even her SS is tied into her ownership on the property. Now the local tax assessor has all this info and it gets dovetailed into the state database which Medicaid can access. So eventually the sale of the home, what is sold for and when, will surface. They know that mom had a home and what it was sold for too. So you really can't try to be creative now after-the-fact on the $ amount.
Basically how a transfer penalty works is: say mom sold the house for 100K.Now mom's state daily room & board reimbursement rate for Medicaid is $ 145.00 a day. So basically mom is ineligible for Medicaid to pay for her NH for 690 days. Mom technically is qualified for Medicaid as she is impoverished but she has to work out the transfer penalty before she will be eligible for Medicaid to pay. Now actually how the transfer penalty is done has other factors & there is a whole formula on this…..like if it was sold below fair value to family that is an issue.
Transfer penalties are super sticky to deal with, I would get an elder law attorney to deal with this and negotiate it for you. Now the NH is going to be an issue and soon. If mom is found ineligible, the NH will get a letter from Medicaid on this (just as you will). Have you received a letter from Medicaid? and what is the amount of time you have to provide this information?. Most of the time, you have just a couple of days to provide the documentation to Medicaid, if not, they will send you a letter that mom's application is denied due to documentation and that there is a transfer penalty inquiry in play. Don't just ignore this…you can buy some time but only if you in writing ask for an extension to get financial documents. Realize that the NH will expect you or whomever signed mom into the NH, to either pay for her stay or sign off on a contract to pay asap if mom is declined Medicaid. If you don't, then NH can do a "30 Day Notice" which you get as well as the state gets and the local Agency on Aging (usually) gets too. Most folks end up either coming up with the money or taking mom back home till the penalty days are done. If you all are low-income or have extenuating situation, then it can be waived but if you have a job, income, etc, you are expected to pay or sign an agreement to private pay the penalty amount. Really I would get an attorney to work it through as you don't want this is morph into other issues.
The NH expects to get paid. Now depending on the contract, they can bill you at the Medicaid rate or at their much higher private pay rate. You need to carefully look at the contract. You do have a copy of the contract, right?
Now the NH won't kick ma to the curb but you have to keep the lines of communications open with the NH. At my mom's first NH, a resident was transferred to another NH and made a ward of the state, as her son refused to deal with her outstanding balance and the transfer penalty.
Just out of curiosity, were you given advice to do this with mom's house $ and by whom?
It is too bad Mom didn't have the advice of a lawyer at the time of the sale. Perhaps seeing a lawyer now would ensure that the penalty is as small as it can be.