Are you sure you want to exit? Your progress will be lost.
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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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:
My suggestion is as a very first step find her last tax assessor/ collector tax bill to see exactly how the property is viewed by assessor for being able to get a homestead exemption.
if the tax bill is divvied up to be have the parcel / PPIN only partially viewed as able to have the exemption, (like her lower level is) then the other part that isn’t would be - in my understanding of LTC Medicaid rules - an nonexempt asset of hers. It’s not a home but a building that is owner occupied with rental units that are their own asset for her. Nonexempt assets for almost all States is limited to $2,000.00. Two thousand dollars except for CA, IL & NYS as those 3 allow above the 2K. There may be other that do it to, but those 3 for sure are over the 2K. That tax assessor bill will give you and indication of just how over the 2K asset limit the rental % of the structure is. I’d guess she would need to subdivide the property and sell the rental part and then spend down that $ till she’s impoverished enough for LTC Medicaid eligibility.
If the whole property isn’t able to get homestead exemption, I just don’t see Medicaid allowing her to continue to own it, benefit from her ownership and be eligible. Too too too much in assets.
Plus dealing with rental as additional income less property costs each & every month will always be a sticky for Medicaid. Not only the initial filing but for the renewals. Income has max for LTC Medicaid. For most States it’s $2742. There is legit & legal way - via a Miller Trust - that might can be done when individuals are “over-resourced” in income. But Miller is limited to income sources that are “guaranteed income”, like SSA, state and federal retirements & pensions. Rental $ is not “guaranteed income” so she wasn’t ever be able to pull off doing a Miller.
That you are a CPA will help cause if State even allows it, there, imho, more than likely will need to be a super detailed break down on all the rental costs all-in and by for the sq footage of the entire building. I bet caseworker can’t view it as a home but a building. If the caseworker needs it detailed and 3rd party verification as your family, it will be quite a lot of work & $. I bet they will want to see her past IRS filings on its being rental & with filing history & with taxes paid on it . Plus how costs / P&L done too. If she’s been casual on taxes, it will be an issue.
as an aside on this, you do realize that even if she were to get onto LTC Medicaid, that 3 things will happen.. 1. she will have to have Almost all her income go as a copay / Share of Cost to the NH every month. All she will ever have as $ will be her States personal needs allowance which avg $50 or $60 a month, so… 2. some in the family will have to pay all property costs. Not just on her home but all property costs as rent is not ever assured. It can be done but someone has to have the wallet to do and pay and report to the State whatever expenses till beyond her grave… 3. …. as the State is required to attempt a recovery of all costs Medicaid paid for her care. Done via MERP. And you a POA or as a heir will have to be able to financially ride this out whatever the time and whatever the co$t$ are on a property that is not in your name. So it runs risk.
Now some folks are 100% good on risk and have the wallet and sense of humor needed for possible years. But most are not. It’s something to think about.
Medicaid may be administered differently in different states, but if I recall correctly, in my state rental property contiguous to the home was an exempt asset up to a certain value and number of units. So, an owner occupied duplex would be an exempt asset.
(I do doubt that reserves would be allowed to accumulate in a fund to pay for repairs.)
The income would be countable.
If your Medicaid worker says differently, consult an appropriate lawyer.
This is a question for a Medicaid caseworker. Rental property is income. But only the net income. Meaning that taxes and water bill would be taken from the gross amt. Maybe even the cost of wear and tear. Like where I live, painting and re-carpeting have to be done every so many years.
You list the home, but you also listen rental income under income. I agree with NYdaughterinlaw that you need expert advice when you are doing this. Call Medicare and ask for a Medicaid Advisor for your question. I hope igloo is around and can weigh in on this as she is very savvy regarding medicaid applications, but as long as you follow your qualifications application and answer all question about income and what is owned you should be fine. Medicaid's interest in the property owned is generally a question regarding clawback in future when any home is sold and there is recovery of money put into the senior's care. Best of luck. Call a CPA.
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.
I did see that you are one. Sine you're posing this question, perhaps you'll need an elder law attorney.
"You need to seek the advice of an elder law attorney in your state who has experience on the rules and regulations of Medicaid."
I would agree. Every state is different. Federal tax laws change.
It's a maze that requires a professional.
You want to protect yourself. And not have any penalties outstanding down the road that you are financially responsible to pay.
if the tax bill is divvied up to be have the parcel / PPIN only partially viewed as able to have the exemption, (like her lower level is) then the other part that isn’t would be - in my understanding of LTC Medicaid rules - an nonexempt asset of hers. It’s not a home but a building that is owner occupied with rental units that are their own asset for her. Nonexempt assets for almost all States is limited to $2,000.00. Two thousand dollars except for CA, IL & NYS as those 3 allow above the 2K. There may be other that do it to, but those 3 for sure are over the 2K. That tax assessor bill will give you and indication of just how over the 2K asset limit the rental % of the structure is. I’d guess she would need to subdivide the property and sell the rental part and then spend down that $ till she’s impoverished enough for LTC Medicaid eligibility.
If the whole property isn’t able to get homestead exemption, I just don’t see Medicaid allowing her to continue to own it, benefit from her ownership and be eligible. Too too too much in assets.
Plus dealing with rental as additional income less property costs each & every month will always be a sticky for Medicaid. Not only the initial filing but for the renewals. Income has max for LTC Medicaid. For most States it’s $2742. There is legit & legal way - via a Miller Trust - that might can be done when individuals are “over-resourced” in income. But Miller is limited to income sources that are “guaranteed income”, like SSA, state and federal retirements & pensions. Rental $ is not “guaranteed income” so she wasn’t ever be able to pull off doing a Miller.
That you are a CPA will help cause if State even allows it, there, imho, more than likely will need to be a super detailed break down on all the rental costs all-in and by for the sq footage of the entire building. I bet caseworker can’t view it as a home but a building. If the caseworker needs it detailed and 3rd party verification as your family, it will be quite a lot of work & $. I bet they will want to see her past IRS filings on its being rental & with filing history & with taxes paid on it . Plus how costs / P&L done too. If she’s been casual on taxes, it will be an issue.
as an aside on this, you do realize that even if she were to get onto LTC Medicaid, that 3 things will happen..
1. she will have to have Almost all her income go as a copay / Share of Cost to the NH every month. All she will ever have as $ will be her States personal needs allowance which avg $50 or $60 a month, so…
2. some in the family will have to pay all property costs. Not just on her home but all property costs as rent is not ever assured. It can be done but someone has to have the wallet to do and pay and report to the State whatever expenses till beyond her grave…
3. …. as the State is required to attempt a recovery of all costs Medicaid paid for her care. Done via MERP. And you a POA or as a heir will have to be able to financially ride this out whatever the time and whatever the co$t$ are on a property that is not in your name. So it runs risk.
Now some folks are 100% good on risk and have the wallet and sense of humor needed for possible years. But most are not. It’s something to think about.
You need to seek the advice of an elder law attorney in your state who has experience on the rules and regulations of Medicaid.
(I do doubt that reserves would be allowed to accumulate in a fund to pay for repairs.)
The income would be countable.
If your Medicaid worker says differently, consult an appropriate lawyer.
I agree with NYdaughterinlaw that you need expert advice when you are doing this.
Call Medicare and ask for a Medicaid Advisor for your question.
I hope igloo is around and can weigh in on this as she is very savvy regarding medicaid applications, but as long as you follow your qualifications application and answer all question about income and what is owned you should be fine.
Medicaid's interest in the property owned is generally a question regarding clawback in future when any home is sold and there is recovery of money put into the senior's care.
Best of luck. Call a CPA.