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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:
1. Make certain your mother has less than $2,000 in countable assets before the end of the month. That is why the pre-need funeral arrangement was suggested...it is not a countable asset and hopefully brought her assets below $2,000. If she is over $2,000 in assets on July 30th she will be out of luck with respect to eligibility in July regardless of when an application is filed.
2. Income requirements vary by state. What state does your mother live in? Are you sure her income is under the limit if there is one in your state?
3. Medicaid benefits are retroactive to the first of the month your mother is financially and otherwise eligible.
4. Medicaid benefits can be retroactive up to three months. For example, an application filed by the last day in July may be approved for benefits beginning April 1 . 5. Given #4 above, in the short run it does not matter when the application is filed.
6. In any event, the nursing home cannot discharge your mother without providing for "safe discharge" to another facility.
7. If they accept her as a long-term patient they must provide a 30 day discharge notice and then must arrange for safe discharge as noted above.
8. Nursing homes take an aggressive stance with respect to payor source and this is certainly understandable. Work with the facility, keep them updated, be nice, and everything should be fine. If you mother's case is not complicated, and it does not sound as though it is, Medicaid approval should come relatively quickly.
Also for NH Medicaid in some states, the system is for the NH to fill out the individuals application (& do this alongside the dpoa) at the NH & collect all the documents (bank statements, funeral preneed, life insurance stuff, infome awards letters, etc) required by medicaid & then someone at the NH or their corporate office does a quick review of to determine IF they will accept mom as "Medicaid Pending"; and then the NH forwards the residents application, required documentation along with thier (the NH) bill to Medicaid to the state caseworker assigned to this NH.
Its my understanding that a NH does not have to accept resident as Medicaid Pending if in the review they find something that is an obvious red flag issue for Medicaid eligibility. Like house sold within last year or two.
This may not be an option for you, budget-wise, but the best thing I ever did was hire an elder lawyer to do the Medicaid application. I still had to provide a ton of information (SS card, bank statements, etc), but they were on top if it. My mother was approved for 24/7 home care. We did have to pay privately for the few months that it took the application to go through.
The part about NH charging you full rate per month if you don't fill out paperwork makes sense. That's NH going rate I assume. But what about the $900? Do they return the $900 after Medicaid approves? Is Medicaid retroactive to when she was admitted? Are they charging you $900 to do the paperwork? I know nothing about doing this. Just following along and trying to understand.
Is the $ 900 your moms SS monthly income? If so, mom must pay her SS (& any other monthly income like a retirement, pension, annuity in payout status) to the NH as her "SOC" (share of cost in medicaid speak) both while moms in NH as "medicaid pending" or later when she's approved for Medicaid.
When I filed for Medicaid, I went to our local Social Service office. I had a lawyer because a house was involved. I was allowed to deduct the cost of the lawyer from Mom's money. I took everything I could think of with me. I even had five years of bank statements. I was given a list with what I had brought checked off and what I still needed to produce. I was in touch with the rep all the time by email. You have 60 days from time of filing to find a facility. If you haven't then u have to start all over. The facility your Mom is in should be able to help you with the application. Like said they are probably asking for her SS check for now. Don't expect these agencies to follow thru, you have to be on them.
Yes according to my sibling the nursing facility told her if we didn't fill out the application for Medicaid and start the processing they will charge the full amount for a private pay which is over 4000 or if we go ahead and apply they will charge us the 900 until Medicaid is approved the nursing home is submitting the application for us so they are requesting all this information including her bank statements they told us so they can submit it to Medicaid if we knew it would have taken them this long we would have filled the application out ourselves 3weeks ago they stated they could probably get it approved faster since mom is under their care
contacted the office for 3 weeks never got a reply then finally we were told to get a pre need funeral arrangement bank statements got the pre need getting bank statements with POA can they tell us they will charge Several thousands if we don't fill the app out if it is filled out the charge is 900 while pending
I'm not sure that I really understand this. Are you saying that they are going to charge you several thousands if you don't fill the application for medicaid out? Are you saying that if you fill the application for medicaid out that they will charge $900 pending the outcome of the application? Medicaid, not the nursing home, is who should be looking at bank statements.
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.
1. Make certain your mother has less than $2,000 in countable assets before the end of the month. That is why the pre-need funeral arrangement was suggested...it is not a countable asset and hopefully brought her assets below $2,000. If she is over $2,000 in assets on July 30th she will be out of luck with respect to eligibility in July regardless of when an application is filed.
2. Income requirements vary by state. What state does your mother live in? Are you sure her income is under the limit if there is one in your state?
3. Medicaid benefits are retroactive to the first of the month your mother is financially and otherwise eligible.
4. Medicaid benefits can be retroactive up to three months. For example, an application filed by the last day in July may be approved for benefits beginning April 1
.
5. Given #4 above, in the short run it does not matter when the application is filed.
6. In any event, the nursing home cannot discharge your mother without providing for "safe discharge" to another facility.
7. If they accept her as a long-term patient they must provide a 30 day discharge notice and then must arrange for safe discharge as noted above.
8. Nursing homes take an aggressive stance with respect to payor source and this is certainly understandable. Work with the facility, keep them updated, be nice, and everything should be fine. If you mother's case is not complicated, and it does not sound as though it is, Medicaid approval should come relatively quickly.
Its my understanding that a NH does not have to accept resident as Medicaid Pending if in the review they find something that is an obvious red flag issue for Medicaid eligibility. Like house sold within last year or two.
If so, mom must pay her SS (& any other monthly income like a retirement, pension, annuity in payout status) to the NH as her "SOC" (share of cost in medicaid speak) both while moms in NH as "medicaid pending" or later when she's approved for Medicaid.
What have you done so far about chasing up your mother's application?
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