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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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I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
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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:
They can't come after you for payment as long as you didn't sign paperwork at the NH stating YOU would be financially responsible for her. The other possibility is if mom is denied Medicaid or penalized due to gifting of assets to you. Depending on the state you live in, it is possible the NH can sue the giftee to recover the costs incurred while mom was Medicaid pending. As far as kicking her out, they can't force you personally to take her and they can't dump her to the curb. They would need to discharge her to a safe environment. Often this is to the hospital for some minor illness, and then refusal to take her back (bed is taken). They would likely contact state APS which would work on finding a safe solution for mom.
They can if you sign off on her admissions paperwork to be financially responsible for her should her Medicaid application get denied.
Please pls pls get a copy of all the paperwork AND also do your “signature” as Jane Smith Jones as DPOA for Anna Maria Smith. Ya need to already be her POA to do this. If the POA has not even been done, then get mom to somehow sign off on her paperwork. Even if it takes the better part of an hour to do. Do not let the admissions personnel rush any of this.
So I’ve got to ask….. what is your worry on mom being ineligible for LTC Medicaid??? Is it that she may not meet the medically at need criteria for care in a skilled nursing care facility? OR is it that you know or have a pretty good idea that mom has gifted or transferred some assets of hers between now and back to Summer of 2017? They r very very different problems to deal with. SO… Do you anticipate issues with her application?
Also mom is expected to do a copay to the NH of basically almost all her mo income - like her Social Security check- to the NH. Her first month it will be prorated to the date of entry / date of filing of Medicaid application. Even if she is technically “Medicaid Pending” she is till expected to do the copay. Some states cannot require the copay till after they are fully determined t be eligible but that monthly copay will still be due. If your state runs it this way, do NOT spend any of her income….. it will be expected to be paid to the NH in full eventually even if it’s 4 months from now.
In theory a LTC application should take 3 mos for processing. My moms took 5.5 months a lot was due to her having a medical “at need” getting resolved first and then her financials got reviewed. If there is a financial issue, like a car or auto or land gifting transfer, those get found out very quickly and they get ineligible quickly. So, again, do you anticipate having an eligibility problem for your mom?
if mom entered the NH as a post hospitalization discharge for rehab, then Medicare is paying till she’s off rehab benefits. If this is her situation, do whatever you can to reinforce to her that she needs to do whatever to be participating in her rehab as it gives her /pmore time to have Medicare coverage and you more time to gather together & evaluate her financials for Medicaid.
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.
Please pls pls get a copy of all the paperwork AND also do your “signature” as Jane Smith Jones as DPOA for Anna Maria Smith. Ya need to already be her POA to do this. If the POA has not even been done, then get mom to somehow sign off on her paperwork. Even if it takes the better part of an hour to do. Do not let the admissions personnel rush any of this.
So I’ve got to ask….. what is your worry on mom being ineligible for LTC Medicaid??? Is it that she may not meet the medically at need criteria for care in a skilled nursing care facility?
OR
is it that you know or have a pretty good idea that mom has gifted or transferred some assets of hers between now and back to Summer of 2017?
They r very very different problems to deal with.
SO…
Do you anticipate issues with her application?
Also mom is expected to do a copay to the NH of basically almost all her mo income - like her Social Security check- to the NH. Her first month it will be prorated to the date of entry / date of filing of Medicaid application. Even if she is technically “Medicaid Pending” she is till expected to do the copay. Some states cannot require the copay till after they are fully determined t be eligible but that monthly copay will still be due. If your state runs it this way, do NOT spend any of her income….. it will be expected to be paid to the NH in full eventually even if it’s 4 months from now.
In theory a LTC application should take 3 mos for processing.
My moms took 5.5 months a lot was due to her having a medical “at need” getting resolved first and then her financials got reviewed. If there is a financial issue, like a car or auto or land gifting transfer, those get found out very quickly and they get ineligible quickly. So, again, do you anticipate having an eligibility problem for your mom?
if mom entered the NH as a post hospitalization discharge for rehab, then Medicare is paying till she’s off rehab benefits. If this is her situation, do whatever you can to reinforce to her that she needs to do whatever to be participating in her rehab as it gives her /pmore time to have Medicare coverage and you more time to gather together & evaluate her financials for Medicaid.
Do not sign anything with your own name.
Is mom being transferred to a NH after hospitalization or is she going directly from home?
Do you have Power of Attorney for her?