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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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Based on some of your answers below, she hasn't been in a facility and using Medicaid to pay for LTC she has been using Medicaid benefits to cover the supplemental insurance and maybe Medicare premium cost? I'm not sure they will ask to be repaid for that depending on the state anyway I think that is more income based and the only change will be if her monthly income (SS + annuity?) is over the cutoff she will loose the benefit covering her Medicare premium and the supplemental portion so she will have to start paying those premiums again but I'm not sure it makes a difference as far as them coming after reimbursement for time she didn't have the income.
They will ask her to repay if she received benefits she wasn’t eligible for which is a possible scenerio here since she is still receiving Medicaid benefits after receiving the inheritance.
If you are able to help her find a supplemental insurance once Medicaid cuts her off she should be able to purchase any plan she chooses.
There is a rule about being cancelled from your prior coverage that lets you basically start over, so she has that as a benefit. Find a Medicare insurance broker, they do exist, I used one.
Supplemental plans often cost less than annual deductibles for advantage plans. Oh yes, no preexisting exclusions apply when she has been cancelled, as long as it is NOT for nonpayment.
Good luck, this sounds like your aunt is in for a bit of a spanking, did she falsify documents? Or is it now renewal time and she's contemplating? Just nosey.
no, she didn't falsify any documents. she legitimately became eligible for Medicaid six years ago. Then about eighteen months ago she inherited a good bit of money from her brother which included a lucrative annuity. She informed Medicaid of the situation in writing and they haven't responded. I know that she informed them because I sent the information myself. She's heard nothing back. There's no fraud here except that she can't be eligible and I worry that when they catch up to her she may have a hefty bill to pay. I don't really know though because I know nothing about this sort of thing.
Is Medicaid paying for Moms care in the AL? Or, is she just receiving Medicaid for health insurance?
My nephew is on Medicaid as a suppliment to his Medicare. He is allowed more than 2k in his bank account. He is allowed to work. Longterm care has stricter criteria.
she will likely be required to pay 100% of her own medical care until she has spent it down to $2,000 again.
it might take them a while to get back to her, so she needs to save that money because once that decision comes down it will be retroactive to the date she received the money. Then she will owe the NH for the time interval.
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.
There is a rule about being cancelled from your prior coverage that lets you basically start over, so she has that as a benefit. Find a Medicare insurance broker, they do exist, I used one.
Supplemental plans often cost less than annual deductibles for advantage plans. Oh yes, no preexisting exclusions apply when she has been cancelled, as long as it is NOT for nonpayment.
Good luck, this sounds like your aunt is in for a bit of a spanking, did she falsify documents? Or is it now renewal time and she's contemplating? Just nosey.
My nephew is on Medicaid as a suppliment to his Medicare. He is allowed more than 2k in his bank account. He is allowed to work. Longterm care has stricter criteria.
As katiekate said, keep that money, you don't know how they will deal with it and you don't want to get caught out and she looses her coverage.
she will likely be required to pay 100% of her own medical care until she has spent it down to $2,000 again.
it might take them a while to get back to her, so she needs to save that money because once that decision comes down it will be retroactive to the date she received the money. Then she will owe the NH for the time interval.