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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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3 months before Mom ran out of money for her AL I contacted Medicaid. In my state you only have 90 days to spend down the money to 2k, get them all necessary paperwork and get them placed. I started in April. I chose to place Mom in LTC on May 1st using up the rest of her money to pay May and June. That took her under the 2k. I provided all info needed, confirmed it with her caseworker and Medicaid started paying July 1st.
In my State, to keep Mom in her AL she would have had to pay privately for at least 2 yrs to be able to apply for Medicaid and stay in the AL. Then staying depends on if the AL has reached the % of residents they allow on Medicaid. If they have then the resident will need to go to LTC.
Please please make sure that the facility will accept LTC Medicaid for payment and if there are qualifiers.
I’m not aware of IL ever being covered by LTC Medicaid.
For AL, it’s done on a waiver program and if an AL participates in the waiver, it will be for a limited # of beds. Often there will not be an open on Medicaid waiver bed available and the elder will need to private pay till they eventually do a spend down to get to the Medicaid 2k in assets max allowed and secure an open bed. Realize there might be a gap between these 2...... comprende? Tends to be a year, 18 mo to 2 yrs of Private pay till $ waiver bed opens up. Ask how many others are ahead of your mom on the waiver list.
Our experience was the facility was the one that dealt with the LTC Medicaid application and got all the documents from DPOA and then the facility turned all in to the state with thier bill once they went into a Medicaid bed. If they are wanting the info now, to me, implies that they are going to be monitoring as to when shes likely to hit the 2k asset max and plan to get a bed ready ahead of that or get her to do some kind of big legit spend like 6 -8 weeks ahead of that point. They also will look at the documents and see if they detect anything that might just pose a transfer penalty. Make sure you only give them a xerox of the documents and keep a list of what they got.
my moms first NH billing office was like Geatons.
Also you may be asked to have the facility become mom’s representative payee for her SS monthly income or other retirement. It may be implied that this just must be done. It does not have to be. That SS$ Can continue to go into her checking account and you write a check to the place for her monthly fee. Should mom need to move to a different facility, trying to get rep payee status changed will be difficult as SSA does not recognize DPOA and she will likely not be quite competent and cognitive to either just go to the SsA office or answer questions over the phone with a SSA rep.
Did facility clearly explain Medicaids required copay of her income once she applies for it? If she has debts, you need to give some though as to what the plan is to deal with her debt.
Thank you, Geaton! When you initiated the spend down, did you go through Medicaid or the facility? I received a lengthy application from the facility asking for all my mother's financial information such as bank accounts, SSN. Is this normal or do we go straight to Medicaid? Not sure what to do. Thanks again!
Once we got MIL into a facility during Medicaid spend down (i.e. the facility knew she was pending approval) we just paid the facility invoices out of pocket. Eventually we were notified by Medicaid that she then qualified and the facility sent invoices reflecting it. This was the first facility my MIL was in and they turned out to be terrible communicators -- they "assumed" we understood the process, which caused all kinds of problems I won't bore you with. This was several years ago and I'm trying to remember...we were just flooded with letters, communications and forms -- felt overwhelming. Make sure you are in frequent and friendly communication with the facility bookkeeping and admin. Let them know you are not familiar with the process.
Medicaid sends you a letter outlining what the spend-down amount/status is. The info doesn't come from the facility, in my experience. Every year I have to reapply for my MIL on the anniversary of when we first applied, even if nothing financially has changed.
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.
3 months before Mom ran out of money for her AL I contacted Medicaid. In my state you only have 90 days to spend down the money to 2k, get them all necessary paperwork and get them placed. I started in April. I chose to place Mom in LTC on May 1st using up the rest of her money to pay May and June. That took her under the 2k. I provided all info needed, confirmed it with her caseworker and Medicaid started paying July 1st.
In my State, to keep Mom in her AL she would have had to pay privately for at least 2 yrs to be able to apply for Medicaid and stay in the AL. Then staying depends on if the AL has reached the % of residents they allow on Medicaid. If they have then the resident will need to go to LTC.
I’m not aware of IL ever being covered by LTC Medicaid.
For AL, it’s done on a waiver program and if an AL participates in the waiver, it will be for a limited # of beds. Often there will not be an open on Medicaid waiver bed available and the elder will need to private pay till they eventually do a spend down to get to the Medicaid 2k in assets max allowed and secure an open bed. Realize there might be a gap between these 2...... comprende? Tends to be a year, 18 mo to 2 yrs of Private pay till $ waiver bed opens up. Ask how many others are ahead of your mom on the waiver list.
Our experience was the facility was the one that dealt with the LTC Medicaid application and got all the documents from DPOA and then the facility turned all in to the state with thier bill once they went into a Medicaid bed. If they are wanting the info now, to me, implies that they are going to be monitoring as to when shes likely to hit the 2k asset max and plan to get a bed ready ahead of that or get her to do some kind of big legit spend like 6 -8 weeks ahead of that point. They also will look at the documents and see if they detect anything that might just pose a transfer penalty. Make sure you only give them a xerox of the documents and keep a list of what they got.
my moms first NH billing office was like Geatons.
Also you may be asked to have the facility become mom’s representative payee for her SS monthly income or other retirement. It may be implied that this just must be done. It does not have to be. That SS$ Can continue to go into her checking account and you write a check to the place for her monthly fee. Should mom need to move to a different facility, trying to get rep payee status changed will be difficult as SSA does not recognize DPOA and she will likely not be quite competent and cognitive to either just go to the SsA office or answer questions over the phone with a SSA rep.
Did facility clearly explain Medicaids required copay of her income once she applies for it? If she has debts, you need to give some though as to what the plan is to deal with her debt.