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:
What happened depends on the bills AND her finances AND how she is about to or was admitted to facility, which I’m assuming is a NH / SNC. If she’s in AL, my experience that is totally private pay unless she is in a handful of states with AL wavier program & no eons long waiting list
If she entered NH as a post hospitalization rehab admission, then she likely is having her stay covered under MediCAREs rehab benefit. MediCARE covers rehab usually at 100% for 20/21 days and if she’s still ”progressing” then at 80% up to 100 days with the 20% either private paid or covered hopefully by her secondary health insurance. If this is her situation, imho, you HAVE TO like manana find out what her “progress” status is ASAP. If she’s still in rehab phase, do whatever cheerleading needed to keep her good on her “progress” and on Medicare rehab benefit. Cause once off Medicare rehab, the facility will need a financial responsibility contract done by her, you, someone. If she is actually truly impoverished, she can file to be LTC Medicaid Pending admission if this place takes Medicaid & has an open bed.
Usually their over the 2k in non exempt assets, so not yet eligible for LTC Medicaid so need to do a spend down. I’m assuming that her monthly income with whatever savings she has is covering her monthly bill at the facility; so she’s in “spend down” mode. The issue will be at what point will she hit being “at need”. By “at need” it means that she has exhausted her savings and any other sources of $ and can apply for Medicaids LTC skilled nursing care program.
There is imho kinda no way around you or whomever is her DPOA to go thru her paperwork to determine her financial standing.
if she has a home & still a mortgage (horrors!), if mortgage isn’t paid on time, then after a period of time (usually 3 mos), she will get a default letter which puts home into foreclosure process. There isn’t 1 answer on how to deal with this as a lot of factors as to whether she is better off trying to sell it vs letting it foreclose.
If she owns her home, she can sell it & use $ to private pay for care. However Medicaid for most states do NOT require elder to sell their homestead; they can continue to own it BUT due to Medicaids required copay / share of cost, will have no $ to pay a penny on property in their name. So all costs shift to family to pay and then later deal with Estate Recovery (MERP) post death. Whether to keep or sale, to me is interdependent on if family has the wallet & sense of humor to afford home for an unknown period of time and likelihood of exemption and exclusions to MERP, but it can be done.
Homesteads & elders $ & Medicaid in my experience depends on your states administrative code as to what’s allowed. Like for TX Medicaid, if there is a mortgage, you can ask for a limited # of mos waiver to have some of their monthly income go to paying the mortgage on the property THAT has an active Realtor MLS type of listing (no FSBO nonsense). When property sold, $ then becomes a “spend down” & they fall off Medicaid as House sale $ takes them over Medicaid limits. House kinda has to sell in this period of time and the waiver incentivize this to happen. To me it’s a good idea as house sale provides $ for private pay while a foreclosure is total loss. TX Medicaid also allows for some property costs paid by family to be deducted from Medicaid tally, which too makes sense as it’s better for property taxes to be paid then to have it get into the whole county tax lien / tax sale quagmire. Each state adminsters its Medicaid program uniquely but under overall federal guidelines. So what’s what for NJ may not be the same for TX. It’s why often best to have atty experienced with your states Medicaid program to do application.
If other debt, like credit cards, car note, shes gonna just default on. If she has a funeral or burial or life insurance premiums still, you need to try to pay those or they cancel.
If she will be on Medicaid, her money can only go for her care. If private pay needing Medicaid in near future I don't think her money can be used for anything but her care. Bills will have to go unpaid since family is not responsible for them.
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.
If she entered NH as a post hospitalization rehab admission, then she likely is having her stay covered under MediCAREs rehab benefit. MediCARE covers rehab usually at 100% for 20/21 days and if she’s still ”progressing” then at 80% up to 100 days with the 20% either private paid or covered hopefully by her secondary health insurance. If this is her situation, imho, you HAVE TO like manana find out what her “progress” status is ASAP. If she’s still in rehab phase, do whatever cheerleading needed to keep her good on her “progress” and on Medicare rehab benefit. Cause once off Medicare rehab, the facility will need a financial responsibility contract done by her, you, someone. If she is actually truly impoverished, she can file to be LTC Medicaid Pending admission if this place takes Medicaid & has an open bed.
Usually their over the 2k in non exempt assets, so not yet eligible for LTC Medicaid so need to do a spend down. I’m assuming that her monthly income with whatever savings she has is covering her monthly bill at the facility; so she’s in “spend down” mode. The issue will be at what point will she hit being “at need”. By “at need” it means that she has exhausted her savings and any other sources of $ and can apply for Medicaids LTC skilled nursing care program.
There is imho kinda no way around you or whomever is her DPOA to go thru her paperwork to determine her financial standing.
if she has a home & still a mortgage (horrors!), if mortgage isn’t paid on time, then after a period of time (usually 3 mos), she will get a default letter which puts home into foreclosure process. There isn’t 1 answer on how to deal with this as a lot of factors as to whether she is better off trying to sell it vs letting it foreclose.
If she owns her home, she can sell it & use $ to private pay for care. However Medicaid for most states do NOT require elder to sell their homestead; they can continue to own it BUT due to Medicaids required copay / share of cost, will have no $ to pay a penny on property in their name. So all costs shift to family to pay and then later deal with Estate Recovery (MERP) post death. Whether to keep or sale, to me is interdependent on if family has the wallet & sense of humor to afford home for an unknown period of time and likelihood of exemption and exclusions to MERP, but it can be done.
Homesteads & elders $ & Medicaid in my experience depends on your states administrative code as to what’s allowed. Like for TX Medicaid, if there is a mortgage, you can ask for a limited # of mos waiver to have some of their monthly income go to paying the mortgage on the property THAT has an active Realtor MLS type of listing (no FSBO nonsense). When property sold, $ then becomes a “spend down” & they fall off Medicaid as House sale $ takes them over Medicaid limits. House kinda has to sell in this period of time and the waiver incentivize this to happen. To me it’s a good idea as house sale provides $ for private pay while a foreclosure is total loss. TX Medicaid also allows for some property costs paid by family to be deducted from Medicaid tally, which too makes sense as it’s better for property taxes to be paid then to have it get into the whole county tax lien / tax sale quagmire. Each state adminsters its Medicaid program uniquely but under overall federal guidelines. So what’s what for NJ may not be the same for TX. It’s why often best to have atty experienced with your states Medicaid program to do application.
If other debt, like credit cards, car note, shes gonna just default on.
If she has a funeral or burial or life insurance premiums still, you need to try to pay those or they cancel.