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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.
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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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You are so right that SS isn't going to cover repairs on a home. We have a building built in 1879; you can imagine the amount of upkeep on such a thing. I wonder if you have considering, if you are of an age, selling this home and moving to a condo, even to a smaller rental easy to access and so on? The amount of help you can get on Medicaid, dependent on State (Michigan really is good for this) is not enough, either, as you mention. And you have little control over the contractor and what is done; the work must be needed for your safety and other restrictions.
As to getting your case manager, I can only say "keep trying and feel lucky you actually HAVE ONE; You are going to have to be the squeaky wheel.
So, again: Your options? 1. Get hold of that case manager and see what can be done 2. Plan for long term care that is not in-home; that is, facility care 3. Consider selling the home and downsizing to a less expensive smaller and more accessible place that is something you can have maintained by others.
I can't see many other options. Hope others have more input for you.
Ok there’s not much detail in the OPs post…. But I’m guessing the elderly owner of the house is now in a facility - like a NH - and they have filed for or are on their States LTC Medicaid program and the OP is family & has just discovered Medicaid Share of Cost requirements.
So Cheryl is this it??? if so, the State required copay of the elders monthly income - like their SSA - is a firm and fixed part of the LTC Medicaid custodial care program which pays for room&board costs. The only way around it is IF there is a spouse continuing to live in the home OR the elder had a genuine dependent of theirs living in the home prior to their entering a facility. Otherwise it’s on the elders family to pay all property costs of the home - allowed to remain an exempt asset while alive - that still is in the elders name till beyond their death. It’s beyond their death as the State is required to attempt to recover all cost paid from the now nonexempt asset and that is an after death action and will take time to slog through whether it’s done within probate filing or done by exemption filings or a combo of these. If you as the POA and the family cannot afford the property costs, and afford it for possibly years, it may be best to get the property inspected and appraised and sell it firmly “as is” as close to its appraised value; then the elder uses the $ to private pay for care.
fwiw families getting gobsmacked by the Share of Cost requirements come up fairly often on this site. There is little the caseworker can do as SOC is required. Once on LTC Medicaid all the elder gets to retain from their entire month income is whatever smallish amount your State has as their Personal Needs Allowance. It tends to be $50 - $75 a mom for the majority of States and more designed for paying for the elders in the facility beauty or barber shoppe costs and some clothing replacement.
Try habitats for humanity or go on Next Door.com and ask for help from your Neighbors . I Know we Have snow angels On Next door that will dig out the elderly .
You really don't give much info. If the person in LTC is on Medicaid, there is no SS or pension. It all should be going towards their care. If paying privately then you maybe able to use the SS to do some repairs. But I doubt if you can get any free help if owner is not living in the house. My Aunt, years ago, was able to get a grant for new windows and a heater. Think she got a roof too. The catch was, she needed to live in that house for another 10 years. If she left or died the cost of the repairs would be due.
Why do u need to talk to a case manager? If you plan on selling the home, it has to be at Market Value. Have an accessor come in and look at the house from the studs out. That way u will know what to ask for the house. You sell it "as is" and a little higher than Market Value, you can always go down. I allowed my realtor to access it and all she did was compare. Moms house was in very sad condition and Medicaid honored the price she set. I got a lawyer to negotiate if needed with Medicaid. As the house sat, it deteriated. It did not sell until after her death.
Public Services do not just start taking care of a persons home because they’re old. And if she is in actual ltc or nh, she’s not at home and probably not going to go home.
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.
As to getting your case manager, I can only say "keep trying and feel lucky you actually HAVE ONE; You are going to have to be the squeaky wheel.
So, again: Your options?
1. Get hold of that case manager and see what can be done
2. Plan for long term care that is not in-home; that is, facility care
3. Consider selling the home and downsizing to a less expensive smaller and more accessible place that is something you can have maintained by others.
I can't see many other options.
Hope others have more input for you.
So Cheryl is this it??? if so, the State required copay of the elders monthly income - like their SSA - is a firm and fixed part of the LTC Medicaid custodial care program which pays for room&board costs. The only way around it is IF there is a spouse continuing to live in the home OR the elder had a genuine dependent of theirs living in the home prior to their entering a facility. Otherwise it’s on the elders family to pay all property costs of the home - allowed to remain an exempt asset while alive - that still is in the elders name till beyond their death. It’s beyond their death as the State is required to attempt to recover all cost paid from the now nonexempt asset and that is an after death action and will take time to slog through whether it’s done within probate filing or done by exemption filings or a combo of these. If you as the POA and the family cannot afford the property costs, and afford it for possibly years, it may be best to get the property inspected and appraised and sell it firmly “as is” as close to its appraised value; then the elder uses the $ to private pay for care.
fwiw families getting gobsmacked by the Share of Cost requirements come up fairly often on this site. There is little the caseworker can do as SOC is required. Once on LTC Medicaid all the elder gets to retain from their entire month income is whatever smallish amount your State has as their Personal Needs Allowance. It tends to be $50 - $75 a mom for the majority of States and more designed for paying for the elders in the facility beauty or barber shoppe costs and some clothing replacement.
You really don't give much info. If the person in LTC is on Medicaid, there is no SS or pension. It all should be going towards their care. If paying privately then you maybe able to use the SS to do some repairs. But I doubt if you can get any free help if owner is not living in the house. My Aunt, years ago, was able to get a grant for new windows and a heater. Think she got a roof too. The catch was, she needed to live in that house for another 10 years. If she left or died the cost of the repairs would be due.
Why do u need to talk to a case manager? If you plan on selling the home, it has to be at Market Value. Have an accessor come in and look at the house from the studs out. That way u will know what to ask for the house. You sell it "as is" and a little higher than Market Value, you can always go down. I allowed my realtor to access it and all she did was compare. Moms house was in very sad condition and Medicaid honored the price she set. I got a lawyer to negotiate if needed with Medicaid. As the house sat, it deteriated. It did not sell until after her death.