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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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In some states income property is allowed as long if they are producing substantial revenues. You should sit down with an elder law attorney and do some planning that works in your state and your situation.
TJ - there is no one simple approach to Medicaid as each state can manage its Medicaid program. For couple's Medicaid it can be pretty complicated as only the applicant (like your mom) will need to meet Medicaid's pretty strict "at need" eligibility and dad would be considered the "community spouse" so should be able to maintain income & assets and not impoverish himself in the process of mom becoming eligible.
Really for couples working with a NAELA level atty in advance of ever doing the Medicaid application should be the way to go, imho. if your folks have assets (which is sounds like is the case) Dad will more than likely need to shift assets into income or pay off other items to enable him to be in his best community spouse situation. He's probably overwhelmed with his concentration on mom's day to day care to begin with much less figure out future planning. That where an NAELA atty is pretty priceless.
Please please keep in mind that Medicaid is for those who are "at need". If that "income property" is an investment property and not their primary homestead, it's going to be considered an non-exempt asset & will take mom over the asset limit of 2K allowed by Medicaid. She won't be eligible. What often seems to be done is that the property is sold with mom's ownership share used for her spend down but dad's is converted into income (like he gets a Medicaid compliant SPIA - single premium immediate annuity) as his income is not counted for Medicaid. For Medicaid, couples have a max allowed for non-exempt assets - most states have it about 119K. So often investment property sale proceeds feed CS assets to the 119 limit and then the rest go to the SPIA for the CS. Personally I hate annuities, I find them a pox on gullible elderly, but a SPIA for a healthy &/or younger community spouse unable to care at home for their spouse can totally make sense to do both to get mom onto Medicaid yet allow dad to have more funds for his own aging. Whatever the case, none of this is a DIY project. Find a NAELA atty for your folks and make an appointment and help them get their paperwork on assets and income together.
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.
Really for couples working with a NAELA level atty in advance of ever doing the Medicaid application should be the way to go, imho. if your folks have assets (which is sounds like is the case) Dad will more than likely need to shift assets into income or pay off other items to enable him to be in his best community spouse situation. He's probably overwhelmed with his concentration on mom's day to day care to begin with much less figure out future planning. That where an NAELA atty is pretty priceless.
Please please keep in mind that Medicaid is for those who are "at need". If that "income property" is an investment property and not their primary homestead, it's going to be considered an non-exempt asset & will take mom over the asset limit of 2K allowed by Medicaid. She won't be eligible. What often seems to be done is that the property is sold with mom's ownership share used for her spend down but dad's is converted into income (like he gets a Medicaid compliant SPIA - single premium immediate annuity) as his income is not counted for Medicaid. For Medicaid, couples have a max allowed for non-exempt assets - most states have it about 119K. So often investment property sale proceeds feed CS assets to the 119 limit and then the rest go to the SPIA for the CS. Personally I hate annuities, I find them a pox on gullible elderly, but a SPIA for a healthy &/or younger community spouse unable to care at home for their spouse can totally make sense to do both to get mom onto Medicaid yet allow dad to have more funds for his own aging. Whatever the case, none of this is a DIY project. Find a NAELA atty for your folks and make an appointment and help them get their paperwork on assets and income together.
Good luck and keep your sense of humor going….