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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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From IL, My grandmother had moved into an assisting living center. My dad has owned the house for 3 years. He wants me to buy it for under market value.
Medicaid does not "take" the house. The state run Medicaid program is not in the real estate market. But Medicaid requires the applicants income and assets to be used first & foremost for their care (before the state will pay for them) for 5 years prior to the Medicaid application. If gran gave your dad the house, rather than sell it (whether to dad or to someone else) and use the $ to pay for her care, then it is a problem for Medicaid compliance.
If funds have been inappropriately done, then the state can place a transfer penalty on the applicant based on the amount of the $. If your gran, transferred or gifted the house to your dad 3 years ago, there will be a penalty on her doing this. The value is usually based on the annual tax assessor value on the property (land and improvements). The assessed value is in the county and the state's database so they will know the amount and when it got moved in ownership. Then that value is worked into the penalty formula based on your state's reimbursement rate for Medicaid room & board @ a NH. So for example, TX reimbursement is $ 145.00 a day and the house was worth 85K and she gifted it for -0- zero dollars. Then the penalty period of time would be about 590 days that gran or her family would have to private pay for her stay in the NH before Medicaid would pay. The NH fully expects to be paid for her stay & if she doesn't then they will send you all a "30 day notice" for her to leave. Once a Notice is done, no other NH will take her either unless she is private pay.
Now if gran has applied for Medicaid and this was not disclosed - this is going to be a problem eventually both for grans's approval and continued re-certification for Medicaid AND for the legal status on the house. Medicaid is required to try to recoup the costs spent on her care by getting any assets gran had. This is done by their ability to place a claim or a lien on the property (how this gets done depends on your state laws). But whether it's a claim or a lien, it will cloud the title on the property when it goes to be sold or you go to get a mortgage to buy it or you all go and use the property as collateral for a loan. The claim or lein will show up in a title search and until it is lifted (paid), you cannot get a warranty deed.
How did your father acquire the house? That is the transaction that would be of interest to Medicaid. What he does with it now should have no relevance to the Medicaid application. It no longer belongs to your grandmother.
Medicaid is not in the business of taking houses. Even when there is an issue, it might create a penalty situation, but Medicaid would not take the house.
Is an attorney who specializes in Elder Law helping with the application? The transfer of the house to your father should be discussed with that lawyer.
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.
If funds have been inappropriately done, then the state can place a transfer penalty on the applicant based on the amount of the $. If your gran, transferred or gifted the house to your dad 3 years ago, there will be a penalty on her doing this. The value is usually based on the annual tax assessor value on the property (land and improvements). The assessed value is in the county and the state's database so they will know the amount and when it got moved in ownership. Then that value is worked into the penalty formula based on your state's reimbursement rate for Medicaid room & board @ a NH. So for example, TX reimbursement is $ 145.00 a day and the house was worth 85K and she gifted it for -0- zero dollars. Then the penalty period of time would be about 590 days that gran or her family would have to private pay for her stay in the NH before Medicaid would pay. The NH fully expects to be paid for her stay & if she doesn't then they will send you all a "30 day notice" for her to leave. Once a Notice is done, no other NH will take her either unless she is private pay.
Now if gran has applied for Medicaid and this was not disclosed - this is going to be a problem eventually both for grans's approval and continued re-certification for Medicaid AND for the legal status on the house. Medicaid is required to try to recoup the costs spent on her care by getting any assets gran had. This is done by their ability to place a claim or a lien on the property (how this gets done depends on your state laws). But whether it's a claim or a lien, it will cloud the title on the property when it goes to be sold or you go to get a mortgage to buy it or you all go and use the property as collateral for a loan. The claim or lein will show up in a title search and until it is lifted (paid), you cannot get a warranty deed.
Medicaid is not in the business of taking houses. Even when there is an issue, it might create a penalty situation, but Medicaid would not take the house.
Is an attorney who specializes in Elder Law helping with the application? The transfer of the house to your father should be discussed with that lawyer.