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How are they managing their medications?
Does their living environment pose any safety concerns?
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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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What you do is allow the AL to become payee but I would not do that with an AL. I did do it when Mom was receiving help from Medicaid in a NH. Mom was declining fast so I knew this would be the last place she would be living in.
With you, is SS covering the stay in the AL? Do you still need to write a check to the AL for what SS does not cover? If you are still writing a check for what the SS does not cover, I would not allow the AL to become payee. If she is on Medicaid and you feel this is the last place she will reside, then I might allow the AL to become payee.
Always remain responsible for your own money. imo. In this case, remain 100% responsible for whomever you are caring for.
No one will care more than yourself where the money goes.
You may have problems accessing/using the personal needs account held and kept by the AL or NH. If not used, it accrues. It is by law a small percentage of the SS check. Someone needs to be accountable for these funds, however small.
For ease in making the payments monthly, you can have the bank automatically pay the AL.
When my grandmother was in assisted living, she still had her checkbook and did her own banking. I'm sure her SS was not going directly to her AL as there would seem to be no reason since she was cognitively still quite sharp.
The lady I help currently is in a full 24/7 care situation in a nursing home on Medicaid. I believe I have the option to have her SS go directly to the facility, but I don't do it that way. Her funds still get directly deposited to the checking account she's always used and I write a check for her monthly fee (a.k.a. Patient Liability).
Maybe give a little more info on the situation and you'll get more specific answers.
This is in an AL & not a NH, right? If you did this it would then mean the AL (if it’s an independent or if it’s part of a group then their corporate office) would become the representative payee for her SS income. So her SSA income totally controlled by the facility. It’s a standard form for SSA.
BUT it might become problematic….
Often admissions at a NH will routinely suggest or heavily imply that their becoming the rep payee needs / must be done either b/c the resident is on LTC Medicaid & that is not true. sometimes it seems the NH is concerned that the resident / family does not have the $ to private pay, so having their SSA mo income go directly to the place ensures they get paid something. I’m kinda surprised that a AL would do this, but perhaps AL are now following NH in this as a standard request.
For some of us who are POA for family or an elder, having the facility become the new payee can make it simpler as no check writing or banking involved. But for others, continuing to have elders income get direct deposited into their old bank account and then they or you as POA write a check or ACH each mo is just as easy. I wrote a check ea mo to my mom NH for her required Medicaid copay like what MysteryShopper does. It’s just a other bill that you make sure to pay on time!
In my opinion, there is are a couple huge HUGE drawbacks to having a facility become the SSA rep payee….. - if your elder needs to move from this place to another one, they will need to do a withdrawal of the old rep payee paperwork filed to SSA and a new rep payee paperwork done. This may not be at all simple. SSA does NOT, again does NOT, recognized POA but will want the elder to do themselves whatever needed to get the paperwork through SSA. If your elder has dementia, this will not be easy. It could end up being a real challenge….. meanwhile the new facility isn’t getting paid as the old place still getting SSA $…… unhappiness all around. & - if your elder goes onto Medicaid & their SS paid to NH, the personal needs allowance that Medicaid allows for them keep & not required to be a copay to the NH, will all be placed in a NH personal trust account. So if you as POA want to get some of the PNA $ - like you want to go buy $200 of clothing - then you will have to go to the business office to sign a ledger to get a withdrawal from her PNA Trust account. For my moms 1st NH the business office was only open M-F and till noonish, I live in another state and getting in b4 noon wasnt really feasible, so it was eons good that my moms PNA built up ea mo in her old checking account & I did a big siege every 2-3 months. You do need to be mindful that their bank balance cannot exceed whatever your state has as the maximum for assets. For most it’s $2,000.
Really figure out what truly works best. All of our situations are unique!
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.
With you, is SS covering the stay in the AL? Do you still need to write a check to the AL for what SS does not cover? If you are still writing a check for what the SS does not cover, I would not allow the AL to become payee. If she is on Medicaid and you feel this is the last place she will reside, then I might allow the AL to become payee.
In this case, remain 100% responsible for whomever you are caring for.
No one will care more than yourself where the money goes.
You may have problems accessing/using the personal needs account held and kept by the AL or NH. If not used, it accrues. It is by law a small percentage of the SS check. Someone needs to be accountable for these funds, however small.
For ease in making the payments monthly, you can have the bank automatically pay the AL.
The lady I help currently is in a full 24/7 care situation in a nursing home on Medicaid. I believe I have the option to have her SS go directly to the facility, but I don't do it that way. Her funds still get directly deposited to the checking account she's always used and I write a check for her monthly fee (a.k.a. Patient Liability).
Maybe give a little more info on the situation and you'll get more specific answers.
If you did this it would then mean the AL (if it’s an independent or if it’s part of a group then their corporate office) would become the representative payee for her SS income. So her SSA income totally controlled by the facility. It’s a standard form for SSA.
BUT it might become problematic….
Often admissions at a NH will routinely suggest or heavily imply that their becoming the rep payee needs / must be done either b/c the resident is on LTC Medicaid & that is not true. sometimes it seems the NH is concerned that the resident / family does not have the $ to private pay, so having their SSA mo income go directly to the place ensures they get paid something. I’m kinda surprised that a AL would do this, but perhaps AL are now following NH in this as a standard request.
For some of us who are POA for family or an elder, having the facility become the new payee can make it simpler as no check writing or banking involved. But for others, continuing to have elders income get direct deposited into their old bank account and then they or you as POA write a check or ACH each mo is just as easy. I wrote a check ea mo to my mom NH for her required Medicaid copay like what MysteryShopper does. It’s just a other bill that you make sure to pay on time!
In my opinion, there is are a couple huge HUGE drawbacks to having a facility become the SSA rep payee…..
- if your elder needs to move from this place to another one, they will need to do a withdrawal of the old rep payee paperwork filed to SSA and a new rep payee paperwork done. This may not be at all simple. SSA does NOT, again does NOT, recognized POA but will want the elder to do themselves whatever needed to get the paperwork through SSA. If your elder has dementia, this will not be easy. It could end up being a real challenge….. meanwhile the new facility isn’t getting paid as the old place still getting SSA $…… unhappiness all around.
&
- if your elder goes onto Medicaid & their SS paid to NH, the personal needs allowance that Medicaid allows for them keep & not required to be a copay to the NH, will all be placed in a NH personal trust account. So if you as POA want to get some of the PNA $ - like you want to go buy $200 of clothing - then you will have to go to the business office to sign a ledger to get a withdrawal from her PNA Trust account. For my moms 1st NH the business office was only open M-F and till noonish, I live in another state and getting in b4 noon wasnt really feasible, so it was eons good that my moms PNA built up ea mo in her old checking account & I did a big siege every 2-3 months. You do need to be mindful that their bank balance cannot exceed whatever your state has as the maximum for assets. For most it’s $2,000.
Really figure out what truly works best. All of our situations are unique!