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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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Just did this…I waited until mom was close to the $2000 left in assets for our state of Virginia. Our community has a medicaid specialist..she made the process fast and easy! At MC I kept the admin office aware monthly how fast moms finances were dwindling…they notified the LTC SNF and everything fell into place fast..mom got moved to SNF and medicaid kicked in 2 weeks later! I might add my 91 yr old moms much happier in SNF then she ever was in MC..Better care, more staff and people like her..Lewy Body..she looks so relaxed now…lovely!
I went to Social Services and sat with a Medicaid caseworker who helped me fill out the application then gave me a list of things needed to complete the application. If your sister has nothing but Social Security and maybe a pension the application should be easy.
In my state, you have 90 days from application to spenddown assets and get needed info to Medicaid. You do not wait till money is gone. I applied in April. Mom had enough money for May and June. June I proved Mom was spent down and the caseworker had all the info needed. Medicaid started July 1st. I like being on top of things. I would not have put Moms application in the hands of a NH.
The LTC Medicaid application has 2 aspects for eligibility: financial AND medical. As,others have posted, the application has a ton of personal financial information that is absolutely required to be submitted. This is the responsibility of the applicant, their POA or family member. Although the SW at a facility can be helpful in filling out an application.
For example, the application will have to have her info on her “awards letter” from SSA and any other retirement. These are the letters that come in Nov/Dec that indicates the exact payment she will get from SSA for the incoming year. Medicaid absolutely has to have this to determine financial eligibility and set the Share of Cost $ amount. Getting these type of details is on the PoA and family to find, not a staffer at a NH.
The NH will have more responsibility for the “medically at need for skilled nursing care” part of the LTC Medicaid Application. As the NH will have her current chart, and should have gotten her old medical & hospitalization chart info to add to her health history. If she enter the NH as a post hospitalization rehabilitation patient, the NH has all her records needed to show “need”. If there is a problem with her being medically at need, so an appeal has to happen, the DON at the NH will be the one to run with getting this done. Although technically the POA will sign off on the appeal.
No, they are not required to apply for Medicaid for a resident, but they can be helpful. I applied for Medicaid for my father, and the finance person was very helpful to me in coordinating all of the paperwork. I was the one who filled out the paperwork though. I had access to his bank statements and other personal information, and whoever applies for Medicaid for someone will need access to that information. If the nursing home doesn’t have access to that, and no other family member or person does either, what they should do is contact the state for assistance. If family is around, they likely will push it on the family to do something. But if family can’t access the bank records, then they will have to contact the state for assistance.
In my home state (MN) a designated representative can fill out a Medicaid app for someone, so it doesn't have to the PoA or legal guardian. BUT whoever fills it out has to have essential and private information, like SSN, access to bank statements, knowledge of assets, property, vehicles, recent medical bills, etc.
So, the broad answer is that it may depend on the Medicaid rules for the applicant's home state plus whoever has access to the needed info AND can do the follow-up if Medicaid asks for more proofs or corrections until they have all the info needed.
No, the SNF is not your sister's guardian, conservator or POA. Moreover, if currently Sis is covered by Medicare for some specified amount of time there is a chance she would go to private pay. While she may not have funds meaning they cannot collect debt from her, she may be owner of a home? Which would mean clawback by Medicaid after her death, or by a lien placed by the SNF facility.
Who is the POA for your sister? Is your sister competent in her own behalf? We need information about her, her diagnosis and prognosis.
She cannot stay in a facility that is private care once her funds run out unless they accept Medicaid. If your sister has no POA and has no money then the SNF needs to report her to APS (or you do) as a senior at risk if she is unable to function mentally to help herself.
I caution you NOT to accept temporary of other guardianship. To be let out of guardianship, an ONEROUS task, you have to be dismissed from it by a judge, and they will NOT do so, often even if you are too ill to function. Do not accept any responsibility and tell anyone calling from institution to social services that you are not physically, mentally, emotionally or intellectually prepared to take on responsibility for your sister and they will have to seek guidance THEMSELVES from other family members or from APS and request guidance and guardianship of the state.
You have given us very little information. If there is more we need to know to advise you I hope you will let us know.
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.
In my state, you have 90 days from application to spenddown assets and get needed info to Medicaid. You do not wait till money is gone. I applied in April. Mom had enough money for May and June. June I proved Mom was spent down and the caseworker had all the info needed. Medicaid started July 1st. I like being on top of things. I would not have put Moms application in the hands of a NH.
For example, the application will have to have her info on her “awards letter” from SSA and any other retirement. These are the letters that come in Nov/Dec that indicates the exact payment she will get from SSA for the incoming year. Medicaid absolutely has to have this to determine financial eligibility and set the Share of Cost $ amount. Getting these type of details is on the PoA and family to find, not a staffer at a NH.
The NH will have more responsibility for the “medically at need for skilled nursing care” part of the LTC Medicaid Application. As the NH will have her current chart, and should have gotten her old medical & hospitalization chart info to add to her health history. If she enter the NH as a post hospitalization rehabilitation patient, the NH has all her records needed to show “need”. If there is a problem with her being medically at need, so an appeal has to happen, the DON at the NH will be the one to run with getting this done. Although technically the POA will sign off on the appeal.
So, the broad answer is that it may depend on the Medicaid rules for the applicant's home state plus whoever has access to the needed info AND can do the follow-up if Medicaid asks for more proofs or corrections until they have all the info needed.
Moreover, if currently Sis is covered by Medicare for some specified amount of time there is a chance she would go to private pay. While she may not have funds meaning they cannot collect debt from her, she may be owner of a home? Which would mean clawback by Medicaid after her death, or by a lien placed by the SNF facility.
Who is the POA for your sister?
Is your sister competent in her own behalf?
We need information about her, her diagnosis and prognosis.
She cannot stay in a facility that is private care once her funds run out unless they accept Medicaid. If your sister has no POA and has no money then the SNF needs to report her to APS (or you do) as a senior at risk if she is unable to function mentally to help herself.
I caution you NOT to accept temporary of other guardianship. To be let out of guardianship, an ONEROUS task, you have to be dismissed from it by a judge, and they will NOT do so, often even if you are too ill to function. Do not accept any responsibility and tell anyone calling from institution to social services that you are not physically, mentally, emotionally or intellectually prepared to take on responsibility for your sister and they will have to seek guidance THEMSELVES from other family members or from APS and request guidance and guardianship of the state.
You have given us very little information. If there is more we need to know to advise you I hope you will let us know.