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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.
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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.
Remember, this assessment is not a substitute for professional advice.
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Someone in the family should try to have the application finalized. If mom died with a will, then whomever was named as the executor as per the will, would be the one. Even if probate never gets opened. As it shows mom's intent for who was to take care of any issues post death. Otherwise it should be whomever in the family - likely the DPOA - who did the Medicaid application and her NH admissions paperwork.
For my MIL, she too died before being approved for Medicaid. She had no assets or property, so no probate was opened. But my BIL dogged getting her application done and Medicaid was approved almost a year later. She was Medicaid pending about 5 months and then had a couple of hospitalization stays and then the last one discharged to an in-unit hospice where she died within 3 weeks. Her application had transfer penalty inquiry issues related to her writing checks to caregivers for smallish amounts (under $100) so they could go and buy her liquor. The NH sent BIL and the brothers (my hubs & another BIL) bills for the full 5 months at private pay rates too. And they did "we're turning it over to collections….. getting an atty to sue for the $" drama. NH can collect successfully from family IF family somehow signed the admissions paperwork to indicate they would be responsible OR if you all live in a filial responsibility state (although it's rare, it's still a pretty good threat).
I'd suggest you find all the paperwork when she was admitted and carefully review to see if you or others signed responsibility. If so, then you really need to do whatever to follow up the application and get her approved. 2 months is probably 15K so it's enough to interest turning it over to debt colletions.
The situation your family finds themselves in is pretty common. I think it's like half of admissions pass away within the first 6 - 8 months. Most of the time NH is essentially without any $ paid or any way to force family to pay unless family unwittingly signed responsibility. My mom's admission paperwork was about 2 dz pages and I made sure every single signature was clearly done in my limited capacity as DPOA. Otherwise the NH would have done whatever they could to have been held me responsible if Medicaid hadn't been approved. Good luck in all this.
The nursing home will want to be paid from the estate as it is settled. The children would NOT be responsible for the bill in most cases. IF someone signed her in and signed the form for financial responsibility, they might have a problem.
In most states there are laws on the books that make the children financially responsible. While it is rare for those laws to be enforced...they are enforceable. A couple years back Pennsylvania sued a man for his mother's nursing home bill...and the court ordered him to pay it!
Some states even have criminal penalties for children that do no live up to the fealty responsibilities defined in the law.
If the GOP passes their excuse for a health care bill...our parents and grandparents in nursing homes are going to lose Medicaid ... bet those states start to come in earnest for the children to pay
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.
For my MIL, she too died before being approved for Medicaid. She had no assets or property, so no probate was opened. But my BIL dogged getting her application done and Medicaid was approved almost a year later. She was Medicaid pending about 5 months and then had a couple of hospitalization stays and then the last one discharged to an in-unit hospice where she died within 3 weeks. Her application had transfer penalty inquiry issues related to her writing checks to caregivers for smallish amounts (under $100) so they could go and buy her liquor. The NH sent BIL and the brothers (my hubs & another BIL) bills for the full 5 months at private pay rates too. And they did "we're turning it over to collections….. getting an atty to sue for the $" drama. NH can collect successfully from family IF family somehow signed the admissions paperwork to indicate they would be responsible OR if you all live in a filial responsibility state (although it's rare, it's still a pretty good threat).
I'd suggest you find all the paperwork when she was admitted and carefully review to see if you or others signed responsibility. If so, then you really need to do whatever to follow up the application and get her approved. 2 months is probably 15K so it's enough to interest turning it over to debt colletions.
The situation your family finds themselves in is pretty common. I think it's like half of admissions pass away within the first 6 - 8 months. Most of the time NH is essentially without any $ paid or any way to force family to pay unless family unwittingly signed responsibility. My mom's admission paperwork was about 2 dz pages and I made sure every single signature was clearly done in my limited capacity as DPOA. Otherwise the NH would have done whatever they could to have been held me responsible if Medicaid hadn't been approved. Good luck in all this.
Some states even have criminal penalties for children that do no live up to the fealty responsibilities defined in the law.
If the GOP passes their excuse for a health care bill...our parents and grandparents in nursing homes are going to lose Medicaid ... bet those states start to come in earnest for the children to pay