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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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In dealing with my mom’s financial situation, we consulted with three elder care attorneys. This Medicaid stuff gets so complicated! 1st attorney never mentioned it, 2nd one was going to do a Trust, 3rd one said she didn’t know what it would accomplish for us!
Best of luck finding an attorney that’s honest & knows what they’re doing!
Please talk to an elder care lawyer. Most reputable ones will give you at least a free 30 minute consultation. Write down your questions in advance, to maximize that free time.
If, as I assume, you are asking about a qualified income trust, you may get lots of responses on this forum, and many of them may well be on point, and maybe some even from lawyers/retired lawyers.....but you need your own lawyer.
Also, at least in Florida, they have a guidance sheet about these trusts, from Department of Children and Family Services, which manages Medicaid here.
My understanding is that Miller is really used for 1 scenario..... that the LTC Medicaid applicant is over the monthly income maximum for Medicaid for your state but does not have enough income to private pay; and they have an income source that is eligible / qualifies for Miller (like SS) and are eligible for LTC Medicaid in all other aspects (so are medically “at need” and are good on their assets limits).
Your state has to allow for these type of Trusts to exist, not all do. beneficiary of Miller is the state, not heirs or family. So should they die and there is $ left, it goes to the state first & foremost.
there was a post on Miller in FL couple years back, as I recall the cost was abt. $850.00; the elder had SS - which is “qualified” - that went into the Miller and they also had a pension - which was not “qualified” as it could not be guaranteed - which remained outside of the Miller. Both income sources were paid to the NH for the required Medicaid copay.
Advantage. is they will be eligible for LTC Medicaid. Cause if there’s not a Miller in place, they will be totally private pay for care & if they don’t have enough on their own, then you or other family will have to fund the gap.
Not sure of disadvantages. The advantage would be that the extra money is put in the trust so the person qualifies. As the person's passing, the trust reverts to 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.
Best of luck finding an attorney that’s honest & knows what they’re doing!
If, as I assume, you are asking about a qualified income trust, you may get lots of responses on this forum, and many of them may well be on point, and maybe some even from lawyers/retired lawyers.....but you need your own lawyer.
Also, at least in Florida, they have a guidance sheet about these trusts, from Department of Children and Family Services, which manages Medicaid here.
Your state has to allow for these type of Trusts to exist, not all do.
beneficiary of Miller is the state, not heirs or family.
So should they die and there is $ left, it goes to the state first & foremost.
there was a post on Miller in FL couple years back, as I recall the cost was abt. $850.00; the elder had SS - which is “qualified” - that went into the Miller and they also had a pension - which was not “qualified” as it could not be guaranteed - which remained outside of the Miller. Both income sources were paid to the NH for the required Medicaid copay.
Advantage. is they will be eligible for LTC Medicaid. Cause if there’s not a Miller in place, they will be totally private pay for care & if they don’t have enough on their own, then you or other family will have to fund the gap.