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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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You need to understand how Medicaid works. In my case, all my Mom had was her house. She lived on SS and a small pension totaling an income of 1700 a month. The income cap in NJ for Medicaid is 2100 or 2200 a month. She has 48k in savings that helped to pay for her stay in an AL and private pay for 2 months in LTC. Which took her down to $185 in her bank account way under the 2 k allowed in NJ.
A person receiving Medicaid for their care in a LTC facility is allowed a house and a car. The problem comes when they are not allowed to use their income to pay a mortgage, upkeep or utilities because the income is used to offset their care cost. If the house/car are sold, they have to be sold at Market value. Any money that u pay out of pocket, Medicaid may not allow to be reimbursed. I was told to keep meticulous records and even then, I might not be reimbursed.
Medicaid has a five year look back. If you feel that Mom may need LTC within that time then the house must sell for Market Value. And that money must be put aside for Mom. Any expenditures have to be for Mom. She shouldn't give you or anyone else any large amounts of money either as gifts or loans. It could cause penalties. (there may be a way around this but a lawyer would be needed) Really, its hard to protect assets within that 5 yr period.
If you do buy, keep in mind the price must be fair market value, no discount. Otherwise Medicaid will penalise grandma an amount that is equal to whatever the amount discounted.
Patti, GardenArtist mentions proximity of this transaction to application for Medicaid, which is very important to your questions. Please know that in some states the "lookback" time period can be as long as 5 years. Is your mom going into the nursing home soon? Is she applying for Medicaid in order to afford the NH? Or are you and she just thinking into future possibilities? If going into a NH and applying for Medicaid is not imminent I would discuss the best strategy with an elder law/estate planning attorney. It will be money well spent.
Patti, it would help if you'd provide more information. But, just basically:
1. Is your mother sole owner of the house, i.e., is hers the only name on the Deed?
2. I assume you want to buy on land contract b/c you don't have the funds or during this pandemic can't get a mortgage to buy it outright? But you want to remove it from recovery options by Medicaid? Or the nursing home, assuming that your mother lacks funds to pay for her care?
3. I assume you also know that you would still be considered as "buying", not "owning" the property?
4. If title is still vested in your mother's name, she still owns it, SUBJECT to your purchased interest. At least that's to the best of my knowledge; it's been years since I've dealt with land contracts.
I'm close to the edge of my knowledge on how this relates to Medicaid, which is what I assume concerns you, but I BELIEVE it would still be considered an asset of your mother's, and thus subject to eventual recovery if Mom needs Medicaid.
Is this what you were thinking about? If not, please explain as it's easier to answer when more details are given.
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.
A person receiving Medicaid for their care in a LTC facility is allowed a house and a car. The problem comes when they are not allowed to use their income to pay a mortgage, upkeep or utilities because the income is used to offset their care cost. If the house/car are sold, they have to be sold at Market value. Any money that u pay out of pocket, Medicaid may not allow to be reimbursed. I was told to keep meticulous records and even then, I might not be reimbursed.
Medicaid has a five year look back. If you feel that Mom may need LTC within that time then the house must sell for Market Value. And that money must be put aside for Mom. Any expenditures have to be for Mom. She shouldn't give you or anyone else any large amounts of money either as gifts or loans. It could cause penalties. (there may be a way around this but a lawyer would be needed) Really, its hard to protect assets within that 5 yr period.
1. Is your mother sole owner of the house, i.e., is hers the only name on the Deed?
2. I assume you want to buy on land contract b/c you don't have the funds or during this pandemic can't get a mortgage to buy it outright? But you want to remove it from recovery options by Medicaid? Or the nursing home, assuming that your mother lacks funds to pay for her care?
3. I assume you also know that you would still be considered as "buying", not "owning" the property?
4. If title is still vested in your mother's name, she still owns it, SUBJECT to your purchased interest. At least that's to the best of my knowledge; it's been years since I've dealt with land contracts.
I'm close to the edge of my knowledge on how this relates to Medicaid, which is what I assume concerns you, but I BELIEVE it would still be considered an asset of your mother's, and thus subject to eventual recovery if Mom needs Medicaid.
Is this what you were thinking about? If not, please explain as it's easier to answer when more details are given.