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How are they managing their medications?
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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.
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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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It’s very important to realize that Medicaid - although a joint federal & state program- is administered uniquely by EACH state under overall federal guidelines. What ever state they reside in is whose Medicaid rules to abide by. AND also whose state laws come into play for both Medicaid decisions and property laws, probate, etc.
The big issue imo will likely be that if mom owns LE deeded / titled property in say Albany, NY and mom now lives in Tampa, FL, the NYS property will be considered a non-exempt asset for FL Medicaid. Whether it is in a LE or in her name or a LLC she’s % owner in, it doesn’t matter; what matters is that it’s an asset of hers in some way in another state that isn’t FL, which is her state of residency. LE have the extra layer of reminder man interest to deal with for even more fun .....
Their home is an exempt asset by & large for Medicaid BUT the home (or farm, or ranch) has to be in the state that they are a resident of and applying for that states Medicaid. So property in NYS will more than likely need to be sold with the proceeds from the sale used in a spend down before she will be approved for FL Medicaid.
Some states do allow for a property in another state IF placed on the market with MLS type of Realtor listing to be ok for “Medicaid Pending” status for a limited period of time. So no FSBO nonsense. You need to clearly find out from FL Medicaid on their rules for out of state assets. If it’s allowed, it likely will have strict time constraints. Like she has 90 days / 6 mos. to sell property and then use proceeds from the sale to spend down and maybe reimbursed the state for Medicaid costs while “Pending”. Not all facilities take residents as “Pending”, if that’s whats what for NH in your area then it’s private pay till they are Medicaid approved. Otherwise until she sells all out of state assets no Medicaid will be approved.
Realize that once she applies for Medicaid, it basically allows an all access pass to her financial & medical history. Ownership will surface.
Also realize that if she’s in a facility under “Medicaid Pending”, all her monthly income must be paid to the NH as the required copay or SOC (share of cost). She will have no nada none $ to ever pay on any of the NYS property costs.
I’d suggest you get an NAELA or CELA level of elder law attorney to review your mom’s situation. There’s going to be FL attorneys who work with law firms in NY and vice versa as so many folks from NYS retire to FL.
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.
The big issue imo will likely be that if mom owns LE deeded / titled property in say Albany, NY and mom now lives in Tampa, FL, the NYS property will be considered a non-exempt asset for FL Medicaid. Whether it is in a LE or in her name or a LLC she’s % owner in, it doesn’t matter; what matters is that it’s an asset of hers in some way in another state that isn’t FL, which is her state of residency. LE have the extra layer of reminder man interest to deal with for even more fun .....
Their home is an exempt asset by & large for Medicaid BUT the home (or farm, or ranch) has to be in the state that they are a resident of and applying for that states Medicaid. So property in NYS will more than likely need to be sold with the proceeds from the sale used in a spend down before she will be approved for FL Medicaid.
Some states do allow for a property in another state IF placed on the market with MLS type of Realtor listing to be ok for “Medicaid Pending” status for a limited period of time. So no FSBO nonsense. You need to clearly find out from FL Medicaid on their rules for out of state assets. If it’s allowed, it likely will have strict time constraints. Like she has 90 days / 6 mos. to sell property and then use proceeds from the sale to spend down and maybe reimbursed the state for Medicaid costs while “Pending”. Not all facilities take residents as “Pending”, if that’s whats what for NH in your area then it’s private pay till they are Medicaid approved. Otherwise until she sells all out of state assets no Medicaid will be approved.
Realize that once she applies for Medicaid, it basically allows an all access pass to her financial & medical history. Ownership will surface.
Also realize that if she’s in a facility under “Medicaid Pending”, all her monthly income must be paid to the NH as the required copay or SOC (share of cost). She will have no nada none $ to ever pay on any of the NYS property costs.
I’d suggest you get an NAELA or CELA level of elder law attorney to review your mom’s situation. There’s going to be FL attorneys who work with law firms in NY and vice versa as so many folks from NYS retire to FL.