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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 didn't mention where you and your Mom are on the elder care timeline. Is your Mom still at home, and you're seeking to qualify for Medicaid programs that keep people out of nursing homes? Is your Mom already in a facility, and you need to spend down before Medicaid will pay? Talk to an elder law attorney in your state who can analyze the situation for you.
You can set aside any excess assets in a pooled trust account for your Mom. Talk with an elder law attorney in your state, who is familiar with the Medicaid application. Funds deposited in a pooled trust account (also known as (d)(4)(C) trusts) can be used for any suitable purpose that assists the account beneficiary. There is no need to spend down, if the Medicaid application is prepared properly.
The trust funds can be used to supplement care that staff in the nursing home are not able to provide, even after Medicaid starts paying for care.
Lift recliner could be used at home or in a nursing facility, lightweight wheelchair for easy transport, motorized wheelchair, ramp for house, stairchair. I am sitting at home thinking of all the things my dad uses. Both my parents used lift recliners so I had 3 of them when I moved dad in with me. I have one in his bedroom, one in family room and one in enclosed sun porch. If I think of anything else, I'll write back. Funeral expenses as mentioned above would be the first purchase i would make.
I don't understand why people worry about spending down. When they r ready for a nursing home, you use the money they have till its gone. You apply for medicaid before money runs out. Yes, find out what medicare will allow to be paid for is wise. But just to get rid of money so medicaid will take over...
Why approach it this way? Seems like your making more work for yourself...
To me, what to do & how is very much interdependent on how much $$ we're talking about. 200k is a lot different than 20k; and if the elder is still living on their own (IL, with family, on their own) or in AL or abt to enter or already in a NH.
Whatever the scenario, I'd suggest that you get all their legal done or updated and they use their $ to do this as part of their spend down; and then get a clear picture of what their financial & health situation is. If they are imminent to go into a NH which costs $10,000.00 a month, then spending $ 23.67 at Target, then running to CVS for $ 34.78 then $43.21 at Walmart is kinda moot & a big waste of your energy & time.
So what's the backstory? You'll get good ideas from the folks on this forum if you provide details.
If you are talking about $20 - $30 per month (as you state in the question) I am going to assume its so you don't go over the $2,000 monthly asset limit because of the personal care need spend she receives each month. How about flowers for her room, or anything else she might enjoy? Something to make her room more comfortable for her visitors, say a nice chair to sit in, while a few hundred dollars, you'd have a few months to not worry about the $2,000 limit.
I've met one family that is using their dad's excess money to pay out of pocket prescription costs as his meds are VERY high priced. That's an easy way to document too. Receipts are good and if receipts are lost, you can ask the pharmacy to print out the year's prescription - handy for income taxes too.
If your Mom is already in a Nursing or Memory Care Facility, continue to pay for her monthly care. It is a good idea to spend a little of her money on things that improve her quality of life. If she likes to get her hair or nails done, continue that. If there are specific clothing items she prefers, you can stock up on a few extra. For people who have large amounts of money and are trying to find a way to spend it to get on Medicaid, there is really no advantage to hurrying up the process. There are states that allow disabled persons to set up special needs trust accounts. That money can be used for things like the additional cost of a private room, ( Most Medicaid programs pay only for a shared room in a facility) Cable TV, Salon Services ( hair, nails, massage) Lunches out ect.... 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.
You can set aside any excess assets in a pooled trust account for your Mom. Talk with an elder law attorney in your state, who is familiar with the Medicaid application. Funds deposited in a pooled trust account (also known as (d)(4)(C) trusts) can be used for any suitable purpose that assists the account beneficiary.
There is no need to spend down, if the Medicaid application is prepared properly.
The trust funds can be used to supplement care that staff in the nursing home are not able to provide, even after Medicaid starts paying for care.
To me, what to do & how is very much interdependent on how much $$ we're talking about. 200k is a lot different than 20k; and if the elder is still living on their own (IL, with family, on their own) or in AL or abt to enter or already in a NH.
Whatever the scenario, I'd suggest that you get all their legal done or updated and they use their $ to do this as part of their spend down; and then get a clear picture of what their financial & health situation is. If they are imminent to go into a NH which costs $10,000.00 a month, then spending $ 23.67 at Target, then running to CVS for $ 34.78 then $43.21 at Walmart is kinda moot & a big waste of your energy & time.
So what's the backstory? You'll get good ideas from the folks on this forum if you provide details.
Good Luck
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