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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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Longer than we'd like, but it depends on the state where you live and their backlog. Expect at least a month and maybe as long as three months. You can call for updates, however, and to make sure no more documentation is needed. Take care, Carol
You are working with the government, so brace yourself. Hopefully your loved one's care is medicaid approval pending. Be patient. If everything is in order you will be approved.
With Mom I did Medicaid in 2000 when she was diagnosed with colon cancer. It did not take more than a month. It could be different now, longer wait due to health care changes. Be sure to sign OMB on Medicaid, it is for the Elderly for medical expenses. Still with health care now the way it is it could be a month or month and half. I think it should just go through for the Elderly. they only have themselves and us family that care for them but they should always be first no questions. My opinion, I get on the soap box on elder care, sorry.
It depends on each state. Most have a 45 day review cycle from the day the NH or LTC submitted the paperwork to get an approval.
One real sticky is not getting in all the items requested (on the list the NH provided to you) at the same time. This makes a huge differerence for the NH to turn in the paperwork to the state caseworker. Little things like the front and back of each of the bank statements - even if the back is only a reconciliation form.Each & every page of the insurance, funeral and burial policies. So if say the life insurance policy has 30 pages but 17 of those are all kinda generic BS, it doesn't matter, you need to copy all 30 pages and include it. Not doing it causes the caseworker (this is usually a low wage state employee or contract labor) to check "none compliant" then it goes back to another department for a letter to be sent to you requesting that information. You have just a short period of time to respond and fax over the document(s).
The NH should be able to give you the date they submitted and the name and phone number of the caseworker assigned to their NH. You call them to see what they need clarification on. For my mom, they couldn't figure out whether her insurance was term or whole-life. The policy was old, and the old-school ones run dozens of pages without stating TERM - they state payable on death as per face value. The caseworker doesn;t have time or expertise to evaluate the policy. He has 3 boxes to check: term, whole, no insurance & until one of those is checked off the application is in limbo.
Hopefully when you submitted your paperwork you had guidance to review before turning it in. I live in Indiana and my county did not have a back log and my mother was approved ONE week. To be honest, I had my paperwork completed correctly the first time because I had gone to an attorney several months before to get mom's finances in order and she gave me a check list of what was needed and a sample application. So, I was very organized. Unfortunately mother was killed in a rehab facility the day after she was approved but the State did take the application back 6 months for me so I was able to get 6 months back of the cash I had personally paid the facility..!!!!!! I understand as long as paperwork is in order, and back log is not bad it can move pretty fast, but each state and county and office is different. Maybe keep calling? Blessings, Bridget
I worked for the welfare dept in ny city, if there is a way to put in an application online do so but make sure you make copies of everything that can help your 45 day case worker expidite the application. I.e., social security verification letters, bank assets, etc. mortage payments or rental payments. The faster the better, because when the interview comes through, n=based on the fact that you have all these documents covered, you should be apporved immediately. Always if it is an emergency situation, apply for emergency medicaid
For the NH application with my mom & MIL, the application HAD to go thru the NH/LTC facility as they are the one being reinbursed directly by the state under the Medicaid program. Same with my aunts years back.
If you're applying for food stamps or other welfare programs, like AFDC, those you can apply for online as the food stamp debit card and other welfare payments go to the person who applied for them to use. For the elderly once they go into a NH all the other "welfare" like food stamps stop as there should be no need for it.
My goodness, something must be wrong cause I went through an elder care attorney back at the end of October 2010 to submit medicade paperwork for my Mom who is in a nursing home. I have yet to hear from either Medicade or the attorney. I have called the attorney every couple of months to see what is happening and they just say it can take a long time but when it it finally approved the money will be retroactive. I am slowly running out of ways to pay for her care and her social security and pension cover only a small portion of the monthly cost. I am going to make another phone call, does anyone have any suggestions for my next step. Thanks, Joyce PS the attorney was highly recommended and seems very competent as she drew up my Mom's trust and other important legal docs with no problem.
JRW: If you are using your mothers assets to pat for her care, you could be in the "spend down" period and once you run out of funds you will be approved. I have heard of it going back 3 months but not a year. I would call and DEMAND a meeting. Something is fishy here. Blessings, Bridget
Bridget, Thanks for your input. My mother's assests were put into a trust in 2010. I was told that I would not have to delve into the trust but I am now having to use some of that money to cover costs. Have done the " "spend down" with regard to what she had in the bank, home & auto were sold. Very inexpensive manufactured home which I didn't get much for. Used that money to pay NH costs and also what I got for the car put to NH also. I have e-mailed the lawyer and will follow up once again with a phone call. I live 3000 miles away from where Mom lives....big pain in the you know what!
My bad, I just assumed that your mom was at the point where she was under the Medicaid asset ceiling, which is give or take, about $ 2K a mo., so the paperwork for the application was routine (a royal stack of paperwork but routine).
Is it the case that your mom has assets that she is needing to spend down or have converted to a Miller trust or some other Medicaid compliant annuity that needs to be set up before the application is turned in that could be taking some time?? Is it the case that the attorney set up a trust & living will and changed all her assets so they are now in the trust's name?? - This could take a bit of time. If there is a penalty phase that needs to pass (because of the transfer of assets) before the application is submitted, that could account for a delay. Is there alot of assets?
But 10 months is really too long without a meeting with the attorney.
I'd suggest you send a letter return registered mail to the attorney, stating when you last met, what you thought was supposed to happen, that you have tried to contact him several times since then with no satisfactory reply. In the second paragraph state that you are at almost at the point that there is no more money for private pay for her care and you need to know where the application stands, when it was submitted/if it was submitted and what he anticipates will be her approval date and you need to meet with him within the next 30 days. keep it short and amicable rather than be all huffy about it. Good luck.
Igloo572...not sure if you were answering me, but it sounds like you were referring to my comments. Living so far away from the attorney and Mom I have to do everything via e-mail or by phone. I am getting frustrated, because I paid $2500 to have it done right, through someone with a good reputation. The trust was done and funded in August. This was initially done because I was applying for assistance from the VA (dad was a veteran). BTW haven't heard back from them either. They sent pending letters up until March. No word since.
Back to the Medicade. I sent a pretty strong message (but nice) to the lawyer. I will follow up with a certified letter and a phone call. Now I need to write the NH a check for next month's care. Thank for your help! Joyce
You might want to post your situation as a totally new post because most are responding to Patty52's question. Do your question somewhat differently in both the "veterans assistance" group and the "financial matter's" group.. There are a couple of folks on this site who know quite a bit about how VA works. I'm not one of them.
remember to do the Return Registered Mail (the green post-card sized one) when you send whatever certified via snail mail.
(sorry-having keyboard problems)-to continue...they went to the state with me and corresponded with the state about approval. I paid them Mom's income less her monthly stipend. They waited the 3-4 months to be paid by the state for everything else. I did not have to make up the difference. I guess every nursing home could be different?
applied for medicaid through an elder lawyer (he openned up a trust fund) Been waiting for medicaid for the past 4 months. Nothing yet. The lawyes says that the process takes too long......nothing else. He is a very responsible and caring lawyer. Do you know how long this really takes?
I am disabled and awaiting entrance to Otterbein Senior Lifestyle Choices. I have been told that every thing has been approved but they need some number to submit to the insurance co. I am ready to move and get the advantages of professional help for my condition. How long should it take for this "number" to be supplied so we can proceed?
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.
Take care,
Carol
One real sticky is not getting in all the items requested (on the list the NH provided to you) at the same time. This makes a huge differerence for the NH to turn in the paperwork to the state caseworker. Little things like the front and back of each of the bank statements - even if the back is only a reconciliation form.Each & every page of the insurance, funeral and burial policies. So if say the life insurance policy has 30 pages but 17 of those are all kinda generic BS, it doesn't matter, you need to copy all 30 pages and include it. Not doing it causes the caseworker (this is usually a low wage state employee or contract labor) to check "none compliant" then it goes back to another department for a letter to be sent to you requesting that information. You have just a short period of time to respond and fax over the document(s).
The NH should be able to give you the date they submitted and the name and phone number of the caseworker assigned to their NH. You call them to see what they need clarification on. For my mom, they couldn't figure out whether her insurance was term or whole-life. The policy was old, and the old-school ones
run dozens of pages without stating TERM - they state payable on death as per face value. The caseworker doesn;t have time or expertise to evaluate the policy. He has 3 boxes to check: term, whole, no insurance & until one of those is checked off the application is in limbo.
Good luck.
I understand as long as paperwork is in order, and back log is not bad it can move pretty fast, but each state and county and office is different. Maybe keep calling?
Blessings,
Bridget
If you're applying for food stamps or other welfare programs, like AFDC, those you can apply for online as the food stamp debit card and other welfare payments go to the person who applied for them to use. For the elderly once they go into a NH all the other "welfare" like food stamps stop as there should be no need for it.
PS the attorney was highly recommended and seems very competent as she drew up my Mom's trust and other important legal docs with no problem.
Blessings,
Bridget
Thanks for your input. My mother's assests were put into a trust in 2010. I was told that I would not have to delve into the trust but I am now having to use some of that money to cover costs. Have done the "
"spend down" with regard to what she had in the bank, home & auto were sold. Very inexpensive manufactured home which I didn't get much for. Used that money to pay NH costs and also what I got for the car put to NH also. I have e-mailed the lawyer and will follow up once again with a phone call. I live 3000 miles away from where Mom lives....big pain in the you know what!
Is it the case that your mom has assets that she is needing to spend down or have converted to a Miller trust or some other Medicaid compliant annuity that needs to be set up before the application is turned in that could be taking some time??
Is it the case that the attorney set up a trust & living will and changed all her assets so they are now in the trust's name?? - This could take a bit of time. If there is a penalty phase that needs to pass (because of the transfer of assets) before the application is submitted, that could account for a delay. Is there alot of assets?
But 10 months is really too long without a meeting with the attorney.
I'd suggest you send a letter return registered mail to the attorney, stating when you last met, what you thought was supposed to happen, that you have tried to contact him several times since then with no satisfactory reply. In the second paragraph state that you are at almost at the point that there is no more money for private pay for her care and you need to know where the application stands, when it was submitted/if it was submitted and what he anticipates will be her approval date and you need to meet with him within the next 30 days. keep it short and amicable rather than be all huffy about it. Good luck.
Back to the Medicade. I sent a pretty strong message (but nice) to the lawyer. I will follow up with a certified letter and a phone call. Now I need to write the NH a check for next month's care. Thank for your help! Joyce
You might want to post your situation as a totally new post because most are responding to Patty52's question. Do your question somewhat differently in both the "veterans assistance" group and the "financial matter's" group.. There are a couple of folks on this site who know quite a bit about how VA works. I'm not one of them.
remember to do the Return Registered Mail (the green post-card sized one) when you send whatever certified via snail mail.