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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
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Mollymoose, I filled out the form myself. My MIL only owned 1 old vehicle, had $600 in checking account and that's it. House was in foreclosure. Husband was already a ward of the county at that point. I think the paperwork depends on the complexity of the assets, co-mingling of such and what state/county one lives in. I would actually download and look at the form before contacting a lawyer to do it. But thanks for reminding that the NHs financial persona can help with the app!
Have you talked to the financial person at the nursing home? At the one my mom is in, you let them know when the resident will be below $2,000 (the limit for assets in GA). They gave us a list of all info they need. We went in with the info, the employee flipped through it, made copies, completed all paperwork for DFACS/Medicaid or whomever. My brother signed forms when told & I watched. It took about 30-45 min. Couldn’t believe how easy the nursing home made it for us. My brother got a call about two weeks later from DFACS (?), then he got an approval letter in the mail. Mom is allowed to keep $70.00 a month for personal needs from her SS & pension, with Medicaid paying all the rest.
We almost paid a lawyer $2,000 dollars to complete the paperwork so that we wouldn’t have to because we heard the paperwork was a nightmare.
First confirm that the facility actually accepts Medicaid residents! Not all of them do. Depending on your state the app can take a minimum of 3 months to process. Whoever is managing her finances will be able to know how much lead time will be needed. Don't wait until she is completely out of funds and don't worry if the running out of funds doesn't match up exactly with the Medicaid app approval. NHs deal with this all the time.
Download the app from the county in which your mom currently resides (the SNF she is in). It's usually in the Dept. of Health and Human Services for that county. For the app process, you will need to provide current asset information of the applicant. Make sure you make copies of everything you send to them (do not send originals unless they ask for originals).
Depending on the state, there is a 5-year "look back" period so the county can come back a request more info, up to their look-back range. All communications will come through the mail. If you get something in the mail you must open it right away as they have deadlines of about 1 week to return additional info requested.
In the SNF, being on Medicaid means your mom will received the same quality of care and amount of attention, she will be moved to a shared room, as Medicaid does not pay for private rooms. If your mom doesn't yet qualify, the county will inform you of the "spend down" amount, which is how much she is over their limit. If anyone has comingled funds or assets with her, this will need to be explained. If she has any outstanding medical, dental or pharma bills the county will need you to list those as well (and if they were incurred in the 3 months leading up to the app, they will pay for those if I remember correctly). Your mom needs to reapply for Medicaid every year on the anniversary of when she qualified the prior year. It doesn't matter if nothing financially has changed.
Make a copy of the completed app and get it in the mail immediately so that it doesn't "expire". You can call the county and ask for an update, but my MIL lived in a rural area and it wasn't much effort to get the county's attention, but may not be the case if you're in a more urban area.
Depending on the state, it can take a long time for it to go into effect. The NH can advise you. but you can probably go ahead and start the process. Where we live, It covers pretty much everything mom needs. She is left with $62 per month from her SS and annuity income - the facility takes the rest and Medicaid makes up the difference.
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.
We almost paid a lawyer $2,000 dollars to complete the paperwork so that we wouldn’t have to because we heard the paperwork was a nightmare.
Download the app from the county in which your mom currently resides (the SNF she is in). It's usually in the Dept. of Health and Human Services for that county. For the app process, you will need to provide current asset information of the applicant. Make sure you make copies of everything you send to them (do not send originals unless they ask for originals).
Depending on the state, there is a 5-year "look back" period so the county can come back a request more info, up to their look-back range. All communications will come through the mail. If you get something in the mail you must open it right away as they have deadlines of about 1 week to return additional info requested.
In the SNF, being on Medicaid means your mom will received the same quality of care and amount of attention, she will be moved to a shared room, as Medicaid does not pay for private rooms. If your mom doesn't yet qualify, the county will inform you of the "spend down" amount, which is how much she is over their limit. If anyone has comingled funds or assets with her, this will need to be explained. If she has any outstanding medical, dental or pharma bills the county will need you to list those as well (and if they were incurred in the 3 months leading up to the app, they will pay for those if I remember correctly). Your mom needs to reapply for Medicaid every year on the anniversary of when she qualified the prior year. It doesn't matter if nothing financially has changed.
Make a copy of the completed app and get it in the mail immediately so that it doesn't "expire". You can call the county and ask for an update, but my MIL lived in a rural area and it wasn't much effort to get the county's attention, but may not be the case if you're in a more urban area.