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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.
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Any money or property given within the 5 year look-back is subject to a transfer penalty by Medicaid. The transfer penalty varies by state as it is based on each states Medicaid reimbursement rate. For Texas it's about $ 145.00 a day which is low, while other states have it at over $ 300 a day. So a 10K car is about 70 days of NH private pay in TX, while in another state it could be only 35 days. There is a whole specific formula for it and loco to figure out.
Whatever the case, imho you really should meet with an elder care attorney to go over your parents situation and also update any legal and add on whatever else might be helpful. They will know how Medicaid is being reviewed in your state and what may or may not be an issue. When I did this with my mom it was well over a dozen years ago and way before NH was even a thought. The attorney suggested in addition to the usual DPOA, MPOA, to do a "Guardianship in Case of Incapacity" as his experience was that often the elder will in a fit of pique or moment of hatefulness...do the "I'm changing my POA" routine. It provides for a trump card to pull out to keep that from happening and really I would have not known how important it would be if the attorney had not suggested it. I've been executrix twice and think I'm pretty pro-active but really good legal is important even if you are savvy in dealing with governmental regulations.
For tangible property, like a home or car, ownership and changing of ownership is just keystrokes away from being found out as all that data is in the state's centralized database from the local or county tax assessor. For bank accounts and other financials, it could take longer for Medicaid to find out but most states have a program that ferrets out transfers. Some states are switching from Medicaid review being done by state employees and are using contracts. HMS is a big player in doing contracts and they have extremely sophisticated systems to look at compliance, fraud and oversight. If there is something, they will find it.
The only asset that seems to be under the radar that I've heard of is oil & gas & mineral revenue (this probably because of how ownership get's recorded & revenues paid) or of course, if they hoarded cash and there was no banking ever done. 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.
Whatever the case, imho you really should meet with an elder care attorney to go over your parents situation and also update any legal and add on whatever else might be helpful. They will know how Medicaid is being reviewed in your state and what may or may not be an issue. When I did this with my mom it was well over a dozen years ago and way before NH was even a thought. The attorney suggested in addition to the usual DPOA, MPOA, to do a "Guardianship in Case of Incapacity" as his experience was that often the elder will in a fit of pique or moment of hatefulness...do the "I'm changing my POA" routine. It provides for a trump card to pull out to keep that from happening and really I would have not known how important it would be if the attorney had not suggested it. I've been executrix twice and think I'm pretty pro-active but really good legal is important even if you are savvy in dealing with governmental regulations.
For tangible property, like a home or car, ownership and changing of ownership is just keystrokes away from being found out as all that data is in the state's centralized database from the local or county tax assessor. For bank accounts and other financials, it could take longer for Medicaid to find out but most states have a program that ferrets out transfers. Some states are switching from Medicaid review being done by state employees and are using contracts. HMS is a big player in doing contracts and they have extremely sophisticated systems to look at compliance, fraud and oversight. If there is something, they will find it.
The only asset that seems to be under the radar that I've heard of is oil & gas & mineral revenue (this probably because of how ownership get's recorded & revenues paid) or of course, if they hoarded cash and there was no banking ever done. Good luck.