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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.
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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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They said I did not meet by spend-down amount the surgery cost and accompanying cost for one month was more than $40,00.00, How in the world I did not meet my spend-down?
There are Medicaid-mandated cut off dates in our state. The amount of money or resources can stay the same, yet we can be disqualified for a specific month because either a payment to someone or a transfer to a specified account did not happen in time. On paper, this appears to be excess resources for that month. Then Medicaid can determine it does not owe because the patient had not spent down resources to the amount Medicaid said must be spent. If you were in surgery or recovery i.e. bedrest, physical therapy etc. and your funds didn't get spent or transferred in time, our state initially says there is too much money on the date and moment the services were rendered.
Since all monies must be moved quickly within such a short time frame, I call it playing Medicaid hop-scotch. A sick or injured person is even more hard-pressed to meet this timing requirement. Monies have to quickly get to the right account or payments made to make sure it does not appear to be leftover monies that month. If dates don't match up in our state Medicaid can then come back after it paid, and say the bill was "incorrectly paid" so now it goes back to the patient. This is logistical problem. If yours is a logistical problem, ask Medicaid if it can be resolved. If not, I would try to get a fair hearing and have all dates and documents in hand. If you physically just couldn't keep up at some point it's worth a try. Since you were previously eligible, something must have changed the Medicaid scenario, even if you had no changes on your side.
You mean spend-down, I'm sure. If your assets are above a certain amount, then you don't qualify for Medicaid when you have more than this amount. I don't know why it was just for one month. You'll need to discuss this with a Medicaid worker, who will have all the files in front of him/her.
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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On paper, this appears to be excess resources for that month. Then Medicaid can determine it does not owe because the patient had not spent down resources to the amount Medicaid said must be spent. If you were in surgery or recovery i.e. bedrest, physical therapy etc. and your funds didn't get spent or transferred in time, our state initially says there is too much money on the date and moment the services were rendered.
Since all monies must be moved quickly within such a short time frame, I call it playing Medicaid hop-scotch. A sick or injured person is even more hard-pressed to meet this timing requirement. Monies have to quickly get to the right account or payments made to make sure it does not appear to be leftover monies that month. If dates don't match up in our state Medicaid can then come back after it paid, and say the bill was "incorrectly paid" so now it goes back to the patient. This is logistical problem.
If yours is a logistical problem, ask Medicaid if it can be resolved. If not, I would try to get a fair hearing and have all dates and documents in hand. If you physically just couldn't keep up at some point it's worth a try. Since you were previously eligible, something must have changed the Medicaid scenario, even if you had no changes on your side.