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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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My nephew lives with my mom whom am applying for her to get on title 19. He pays nothing just there at night to make her dinner and make sure she is safe at night. Do I need to list him as living with her
What is the address on his drivers license? Does he get mail at the address? If yes then that is his legal address. Paid caregivers that do overnights do not say that the clients home is where they live.
Like to add, if mom should get beyond what the nephew can do for caregiving AND she ends up going into a NH and files for LTC Medicaid to pay her custodial care costs, nephews being listed at living in her home for a period of time prior to her entering a NH can work in his and moms POA favor.
Why? Well it’s bc LTC Medicaid kinda expects that if the elder now in a NH (& filed for LTC Medicaid) continues to keep their home, then if someone is living in it (while elder is living in a NH) rather than having it be vacant, then they should be paying rent. & FMV rent! Rent would be income added to whatever other income she has (eg her SS retirement income) less some degree of property management costs. So renting means PoA has to suss out property costs out, tax filings for rental, and dealing with addl income reporting which effects moms eligibility for LTC Medicaid. But if the person was living there prior to mom ever going into a facility, then they are should be ok to stay without paying rent. Nephew should have his drivers license and other items done to show he is a legal resident of the address. He is not a tenant or a squatter but a non rent paying resident at the property.
Whether or not nephew can file in the future an exemption to Medicaid estate recovery, as he’s a heir as er moms will, that will be dependent on just how your State runs that after death Medicaid program. That’s more of an experienced with Medicaid probate & elder law atty question to answer for you.
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.
Does he get mail at the address?
If yes then that is his legal address.
Paid caregivers that do overnights do not say that the clients home is where they live.
Why? Well it’s bc LTC Medicaid kinda expects that if the elder now in a NH (& filed for LTC Medicaid) continues to keep their home, then if someone is living in it (while elder is living in a NH) rather than having it be vacant, then they should be paying rent. & FMV rent! Rent would be income added to whatever other income she has (eg her SS retirement income) less some degree of property management costs. So renting means PoA has to suss out property costs out, tax filings for rental, and dealing with addl income reporting which effects moms eligibility for LTC Medicaid. But if the person was living there prior to mom ever going into a facility, then they are should be ok to stay without paying rent. Nephew should have his drivers license and other items done to show he is a legal resident of the address. He is not a tenant or a squatter but a non rent paying resident at the property.
Whether or not nephew can file in the future an exemption to Medicaid estate recovery, as he’s a heir as er moms will, that will be dependent on just how your State runs that after death Medicaid program. That’s more of an experienced with Medicaid probate & elder law atty question to answer for you.
If there is a question that asks who lives with your mom then you list who lives with her.