Are you sure you want to exit? Your progress will be lost.
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.
Share a few details and we will match you to trusted home care in your area:
Yes, there will be multiple problems with Medicaid.
Now Uncle needs to understand how Medicaid works. Although it is a joint federal & state program, Medicaid is administered or managed uniquely by each state. So how it runs in NY will be somewhat different than for PA. Medicaid since it is state run, requires that the recipient is a legal resident of the state (except in very unusual circumstances like due to a natural disaster). So Uncle will have to become a legal resident of PA. There will a lots of things needed to make this happen too (like have a PA address, bank account, have his SS and other retirement statements showing PA residency, perhaps PA tax filings, etc). As Medicaid is run by each state, the state could require several months or a year of full-time residency in the new state before they will qualify for Medicaid.
Yes, there will be an issue with the property. Under Medicaid rules, by & large, they can have their homestead as an exempt asset for Medicaid for the rest of their lifetime. His home in NY is getting that asset exemption right now for his NY Medicaid status. But once he moves to PA, the property becomes non-exempt as it is in another state so cannot be his homestead anymore. He will need to sell it and fully use the proceeds from the sale as a spend-down before PA Medicaid will pay a penny for his care.
The property is already noted in the NY Medicaid system. It would be safe to assume that all his NY Medicaid details will be provided to any inquiry by PA Medicaid. PA will find out about the property. And as all real property records are recorded by the local tax assessor / courthouse, it will be dovetailed to the state records and the exact amount of the sale or date of the gift recorded. If he gifts it, then usually the gifting amount will be whatever was the last tax assessor value on the property.
The amount of the sale or assessor value will be a "transfer penalty" for Medicaid. In very simplified example, if house $ 120,000.00 assessor value, then will have an 120K transfer penalty by Medicaid before Medicaid will pay for his care. Transfer penalties are day based and have a specific formula based on each states daily room & board reimbursement rate & when transfer / application done. Like for TX Medicaid, the r&b is about $ 145.00 a day, so 120K gifting would mean a transfer penalty of 827 days that he will be ineligible for Medicaid to pay for his stay @ the NH. Now he is qualified for Medicaid as he is now impoverished BUT he is ineligible for Medicaid payment to the NH due to the penalty. And that is a really, really, really long time to have to private pay for care. NH will get the transfer penalty letter too, and will fully expect someone to pay for his stay. There will be something in the admissions contract regarding this. Most of the time family will move them back to live with them for the penalty period as family just cannot private pay for the stay. So think hard about all this before he does something that will totally come back to bite you on the butt if you are the family who all this will fall too.
have Uncle spend some of his money and go with him to see an elder lawyer to find out how to best structure the move to another state. Good luck.
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.
Now Uncle needs to understand how Medicaid works. Although it is a joint federal & state program, Medicaid is administered or managed uniquely by each state. So how it runs in NY will be somewhat different than for PA. Medicaid since it is state run, requires that the recipient is a legal resident of the state (except in very unusual circumstances like due to a natural disaster). So Uncle will have to become a legal resident of PA. There will a lots of things needed to make this happen too (like have a PA address, bank account, have his SS and other retirement statements showing PA residency, perhaps PA tax filings, etc). As Medicaid is run by each state, the state could require several months or a year of full-time residency in the new state before they will qualify for Medicaid.
Yes, there will be an issue with the property. Under Medicaid rules, by & large, they can have their homestead as an exempt asset for Medicaid for the rest of their lifetime. His home in NY is getting that asset exemption right now for his NY Medicaid status. But once he moves to PA, the property becomes non-exempt as it is in another state so cannot be his homestead anymore. He will need to sell it and fully use the proceeds from the sale as a spend-down before PA Medicaid will pay a penny for his care.
The property is already noted in the NY Medicaid system. It would be safe to assume that all his NY Medicaid details will be provided to any inquiry by PA Medicaid. PA will find out about the property. And as all real property records are recorded by the local tax assessor / courthouse, it will be dovetailed to the state records and the exact amount of the sale or date of the gift recorded. If he gifts it, then usually the gifting amount will be whatever was the last tax assessor value on the property.
The amount of the sale or assessor value will be a "transfer penalty" for Medicaid. In very simplified example, if house $ 120,000.00 assessor value, then will have an 120K transfer penalty by Medicaid before Medicaid will pay for his care. Transfer penalties are day based and have a specific formula based on each states daily room & board reimbursement rate & when transfer / application done. Like for TX Medicaid, the r&b is about $ 145.00 a day, so 120K gifting would mean a transfer penalty of 827 days that he will be ineligible for Medicaid to pay for his stay @ the NH. Now he is qualified for Medicaid as he is now impoverished BUT he is ineligible for Medicaid payment to the NH due to the penalty. And that is a really, really, really long time to have to private pay for care. NH will get the transfer penalty letter too, and will fully expect someone to pay for his stay. There will be something in the admissions contract regarding this. Most of the time family will move them back to live with them for the penalty period as family just cannot private pay for the stay. So think hard about all this before he does something that will totally come back to bite you on the butt if you are the family who all this will fall too.
have Uncle spend some of his money and go with him to see an elder lawyer to find out how to best structure the move to another state. Good luck.