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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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It will depend on the type of Medicaid program you are on.
My understanding in general is that IF your on a Medicaid program that is a long-term / continuous type of program AND you applied for it after age 55, THEN a Recovery (recoup of payment made to the program/s on your behalf) is required to be attempted by the state after you die from the assets of your Estate. It is done though MERP uniquely by each state as your states laws affect how Recovery is done for property or probate / after death laws. Recovery is due to Bush era DRA 2005 (deficit Recovery Act). DRA 2005 also re-set the overall guidelines for Medicaid so that all states had to follow a similar set of regulations. So Medicaid for elderly in a NH, or on a waiver at AL or in a community based or in-home provided services all will be creating a debit that will add up to eventually be a debt or lien or claim against you/your estate THAT the state or its outside contractor is required to attempt a recovery of via MERP.
MERP is not necessarily just done for LTC in a NH. It can be any of the long term or continuous Medicaid programs that your state chooses to or is required to include for recovery. AL waivers and mental health services are. Some community based programs - like PACE - need for participants to be “duals” as the program is set up to bill all actions & events either through Medicare AND/OR Medicaid & you can’t just private pay for say your flu shot or monthly health screening. To be a “dual” means you are on both Medicare AND Medicaid.
I can see it happening that an elder signs up for a 3 or 4 days a week community full day program while still living in their home like in 2012-2015 and becoming a “dual” to be in a the program (doesn’t affect their monthly income they just need to be lower household income like on SS); then she moves from her home & into an AL and private paying for the AL from 2o15 till she died in 2018 but neither the elder nor her family realizing that when she died there was that old Medicaid MERP situation lurking as a lien or claim against her estate from the “dual” community based program back in 2012-2105.
Medicaid for those under 55 is not included in MERP. Most under 55 Medicaid is low income children enrolled in CHIP or women in WIC type of programs. I imagine that as they are time limited (like for WIC it covers your pregnancy and a short period afterwards, so maybe 15 months tops for a woman’s WIC), they aren’t viewed the same for health policy & cost effectiveness for recovery like LTC NH cost are as health planning has been done to date. CHIP maybe is 5k-8k a year average cost for a child’s Medicaid costs (well baby checkup, immunizations, bi annual pediatric clinic visit) VS 5k-15k a month for room&board just on its own an elderly person in a NH.
There is Medicaid for healthcare and Medicaid for long term care. Healthcare depends on income to recieve. Medicaid for LTC they take the persons SS and pension to offset the cost. If the person has no assets, then Medicaid can't recoup anything at time of death. If there is a house that hasn't sold, when it does, Medicaid will need to be reimbursed. There is more to the process but I am giving you the basic.
so who is coming after you ...Medicaid long term you applied for and got denied or NH ? my father was in AL/NH for a few months after strokes with medicaid pending, a year ago there were $$ giving to us to help buy house- according to social worker he didn't qualify because of gift giving and there was a penalty. NH trying to charge a private stay, how far can they go to get their money ? is there a way to negotiate or settle for less? Father is home now but does he need to be concern with state or medicaid going after him??? Only the facility he staid at ?
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.
My understanding in general is that IF your on a Medicaid program that is a long-term / continuous type of program AND you applied for it after age 55, THEN a Recovery (recoup of payment made to the program/s on your behalf) is required to be attempted by the state after you die from the assets of your Estate. It is done though MERP uniquely by each state as your states laws affect how Recovery is done for property or probate / after death laws. Recovery is due to Bush era DRA 2005 (deficit Recovery Act). DRA 2005 also re-set the overall guidelines for Medicaid so that all states had to follow a similar set of regulations. So Medicaid for elderly in a NH, or on a waiver at AL or in a community based or in-home provided services all will be creating a debit that will add up to eventually be a debt or lien or claim against you/your estate THAT the state or its outside contractor is required to attempt a recovery of via MERP.
MERP is not necessarily just done for LTC in a NH.
It can be any of the long term or continuous Medicaid programs that your state chooses to or is required to include for recovery. AL waivers and mental health services are. Some community based programs - like PACE - need for participants to be “duals” as the program is set up to bill all actions & events either through Medicare AND/OR Medicaid & you can’t just private pay for say your flu shot or monthly health screening. To be a “dual” means you are on both Medicare AND Medicaid.
I can see it happening that an elder signs up for a 3 or 4 days a week community full day program while still living in their home like in 2012-2015 and becoming a “dual” to be in a the program (doesn’t affect their monthly income they just need to be lower household income like on SS); then she moves from her home & into an AL and private paying for the AL from 2o15 till she died in 2018 but neither the elder nor her family realizing that when she died there was that old Medicaid MERP situation lurking as a lien or claim against her estate from the “dual” community based program back in 2012-2105.
Medicaid for those under 55 is not included in MERP. Most under 55 Medicaid is low income children enrolled in CHIP or women in WIC type of programs. I imagine that as they are time limited (like for WIC it covers your pregnancy and a short period afterwards, so maybe 15 months tops for a woman’s WIC), they aren’t viewed the same for health policy & cost effectiveness for recovery like LTC NH cost are as health planning has been done to date. CHIP maybe is 5k-8k a year average cost for a child’s Medicaid costs (well baby checkup, immunizations, bi annual pediatric clinic visit) VS 5k-15k a month for room&board just on its own an elderly person in a NH.
my father was in AL/NH for a few months after strokes with medicaid pending, a year ago there were $$ giving to us to help buy house- according to social worker he didn't qualify because of gift giving and there was a penalty. NH trying to charge a private stay, how far can they go to get their money ? is there a way to negotiate or settle for less? Father is home now but does he need to be concern with state or medicaid going after him??? Only the facility he staid at ?