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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.
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Is there a reason for your father's refusal to do paperwork? Have you been contacted? If so, the contact will give you this information. Is there any dementia evident or diagnosed for either your father or your mother? Who helped with the initial entry papers when your mother entered the nursing home? Is she there permanently or for rehab? Do you have POA for either of your parents, or are they fully capable? If your parents are fully capable the Nursing home will contact them whether through administration or Social Worker to assist them with paperwork. If there is some failure mentally for either or both of your parents, and especially if for both, a Social Worker may ask the next of kin (if you or another) to apply for temporary guardianship or conservatorship to work out payment and finances. If you feel incapable of helping you may want to suggest they contact the state to have court appointed conservatorship, in which case the family would not have say in what happens with placement and such ongoing. I cannot find in your profile enough information to tell exactly what is going on so if you are able to give us a bit more information that will help.
Father is simply refusing to complete initial admission paperwork. Mom will be in short term rehab for 6-8 weeks. After 20 days, he will need to pay 165 dollars per day copay. He is balking, and simply refusing. He is mentally capable. There is no viable POAs, as he is my mom's POa and she is his POA. I believe he has the money to pay, but simply does not want to part with it.
What financial papers specifically? I've reviewed every set of documents for my father's rehab visits (and palliative care then hospice care) and don't recall specific financial documents, although it's been more than a few years. In fact, I don't even recall being asked to provide financial document support when he transferred from rehab to palliative care, although the administrator did ask for a check to be held in abeyance during his stay. I'm sure she verified it with our bank.
If it is Medicaid financial statement and other application documents I am sure it is overwhelming for dad. Would you or someone else be able to help him?
Right now , she is in rehabilitation....20 days are being covered by supplemental insurance but starting on day 21, he needs to pay 165 copy per day. The nursing home needs the initial admission paperwork completed but that includes ALL financial information
Sounds like they need assurance he can pay the $165 a day & have information handy should she need medicaid & no one in the family is able or willing to navigate that process. FYI $165 a day copay equals $1,155 a week or $4950-$5115 a month (30/31 days in each month). Is your dad aware of the cost?
Popsicles, I've never experienced or heard of a facility asking for all the data you enumerated ("bank accounts..cds, stocks, life insurance information...information on cars they own, property etc"), unless this is a facility that's entirely private pay.
What level of care does your mother need? Will your mother be on a private pay basis?
The only time this has been raised with me was by a social worker who wanted to review my father's financial portfolio to determine and "advise us" as to what level of care would be affordable. Since he only needed rehab, which Medicare and Medigap paid for, her demand (not request) was entirely out of order, and I told her so.
I would encourage him to hire an attorney to help him with the process.
I did not have to provide any of this type of information for my dad to go to rehab. I think that they are over stepping their bounds.
Dad will need to pay her bills, but he doesn't need to provide personal financial information.
Do they not have a supplemental insurance policy? That is potentially the red flag for the facility, if you have assets you should have supplemental insurance in place.
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.
Have you been contacted? If so, the contact will give you this information.
Is there any dementia evident or diagnosed for either your father or your mother?
Who helped with the initial entry papers when your mother entered the nursing home? Is she there permanently or for rehab? Do you have POA for either of your parents, or are they fully capable?
If your parents are fully capable the Nursing home will contact them whether through administration or Social Worker to assist them with paperwork.
If there is some failure mentally for either or both of your parents, and especially if for both, a Social Worker may ask the next of kin (if you or another) to apply for temporary guardianship or conservatorship to work out payment and finances. If you feel incapable of helping you may want to suggest they contact the state to have court appointed conservatorship, in which case the family would not have say in what happens with placement and such ongoing.
I cannot find in your profile enough information to tell exactly what is going on so if you are able to give us a bit more information that will help.
Medicare Paet B shiukd be covering the first 20 days, I believe.
Do they have a supplement that will pay the differernce after day 20? Can he cover the copay out of their funds?
The facility wants to know that they will get paid and that they will not be left holding the bag.
What level of care does your mother need? Will your mother be on a private pay basis?
The only time this has been raised with me was by a social worker who wanted to review my father's financial portfolio to determine and "advise us" as to what level of care would be affordable. Since he only needed rehab, which Medicare and Medigap paid for, her demand (not request) was entirely out of order, and I told her so.
I did not have to provide any of this type of information for my dad to go to rehab. I think that they are over stepping their bounds.
Dad will need to pay her bills, but he doesn't need to provide personal financial information.
Do they not have a supplemental insurance policy? That is potentially the red flag for the facility, if you have assets you should have supplemental insurance in place.