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How are they managing their medications?
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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.
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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my mother receives medicare which only covers temporary home care. how do i go about applying for medicaid benefits when my mothers income exceeds qualifications for medicaid
This site has a couple of articles on how Medicare and Medicaid work and how they are different. Medicaid is an "at-need" program in which they have to be basically at poverty level for income & assets AND also must have the medical necessity for skilled services. Not all states provide at home or community services via Medicaid, so you need to find out what your state does. In many states, Medicaid is geared to paying for skilled nursing services in a NH setting.
Do you understand how Medicaid works as far as the difference in "income" and "assets". Assets by & large have to be spent down before and in order for Medicaid compliance. Assets are like savings, investments, cash value insurance or other policies with a cash value. There are exempt assets for Medicaid like a car and their home (but upon death the house becomes non-exempt and subject to possible estate recovery through each state's MERP system.)
How does your mom's "income" exceed Medicaid in her state and is the income from a guaranteed income source? This will imho make a big difference in what you can do. Say mom lives in TX and TX Medicaid has as their limit $ 2,094.00 for income. If the situation is where mom has $ 800 in SS a month and then has a fixed and guaranteed retirement of $ 2,000.00 a month, then mom has $ 2,800.00 a month in "income". Mom has already spent-down her savings, and cashed in her whole life insurance policy and has only $ 1,500.00 in the bank - so mom is OK and under the $ 2K in "assets" that is set by the state for Medicaid. The problem is she is $ 706 a mo over income limit for Medicaid ($ 2,800 - 2,094 = $ 706). No matter what mom does she is always $ 706 over each & every month for income. What mom can do if that is her situation is establish a Miller Trust (or Guaranteed Income Trust). Miller is totally legit and done all the time. What happens basically in Miller is that her income goes into the trust each month and the trust is set up so that the beneficiary of the trust is the state medicaid program and upon her death all the $ in the trust goes to the state to offset her costs to Medicaid. Family gets no benefit from the $ in the Miller Trust. Miller is not a DIY project as it really needs to be done by an elder law attorney who know how to do it so that is works for the laws in your state and is done to be flexible and adaptable for changes in income. The key to Miller is that the income MUST BE from a guaranteed source. Mom also does need to have the medical necessity & need for skilled services too and all that aspect you have to work out with her MD's. Good luck.
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.
Do you understand how Medicaid works as far as the difference in "income" and "assets". Assets by & large have to be spent down before and in order for Medicaid compliance. Assets are like savings, investments, cash value insurance or other policies with a cash value. There are exempt assets for Medicaid like a car and their home (but upon death the house becomes non-exempt and subject to possible estate recovery through each state's MERP system.)
How does your mom's "income" exceed Medicaid in her state and is the income from a guaranteed income source? This will imho make a big difference in what you can do. Say mom lives in TX and TX Medicaid has as their limit $ 2,094.00 for income. If the situation is where mom has $ 800 in SS a month and then has a fixed and guaranteed retirement of $ 2,000.00 a month, then mom has $ 2,800.00 a month in "income". Mom has already spent-down her savings, and cashed in her whole life insurance policy and has only $ 1,500.00 in the bank - so mom is OK and under the $ 2K in "assets" that is set by the state for Medicaid. The problem is she is $ 706 a mo over income limit for Medicaid ($ 2,800 - 2,094 = $ 706). No matter what mom does she is always $ 706 over each & every month for income.
What mom can do if that is her situation is establish a Miller Trust (or Guaranteed Income Trust). Miller is totally legit and done all the time. What happens basically in Miller is that her income goes into the trust each month and the trust is set up so that the beneficiary of the trust is the state medicaid program and upon her death all the $ in the trust goes to the state to offset her costs to Medicaid. Family gets no benefit from the $ in the Miller Trust. Miller is not a DIY project as it really needs to be done by an elder law attorney who know how to do it so that is works for the laws in your state and is done to be flexible and adaptable for changes in income. The key to Miller is that the income MUST BE from a guaranteed source. Mom also does need to have the medical necessity & need for skilled services too and all that aspect you have to work out with her MD's. Good luck.