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My brother has multiple sclerosis. Lives with me and getting harder for me to care for. Does Medicare and Medicaid apply if he goes into a skilled facility? Also does anyone know if any caregiving costs are tax deductible? Thanks
Thank you everyone. I'm overwhelmed with his decline,having a hard time in central illinois getting him placed. Still very short on staff in Skilled care. This forum is very helpful
The caregiving costs being deductible is a good question for the CPA. They usually are not in a setting such as ALF but in Memory care may be. The level is high; that is to say there has to be a whole lot of money spent to make a meaningful deduction; if this person is already on medicaid that is unlikely. As to coverage in the SNF, that also depends. Most SNFs are skilled nursing facilities used by and covered by medical for limited amounts of time while somewhat acute nursing skills are required. Once it becomes permanent admission to Long Term Care (LTC) the medicare doesn't cover and medicaid will cover. It is up to you to speak with each facility if you are the POA. You will be contacted for information on insurance, medicaid, medicare numbers and etc if you are the POA. At that time ask your questions of the facility. If the person at the desk doesn't know ask to speak to a social worker. They can often help. Wishing you good luck.
To have him cared for in a SNF he will need to apply for Medicaid for this purpose. He will keep his Medicare and Medicaid. Medicaid for health is included with Medicaid for NH care.
When it comes to taxes that should be discussed with a tax acct.
If your brother is only on SS, he may not need to pay taxes. And if Medicaid is paying for his care, there will be no caregiving costs. His SS will go to offset the cost of his care and he will get a small amount (my state $50) for personnel needs.
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.
As to coverage in the SNF, that also depends. Most SNFs are skilled nursing facilities used by and covered by medical for limited amounts of time while somewhat acute nursing skills are required. Once it becomes permanent admission to Long Term Care (LTC) the medicare doesn't cover and medicaid will cover. It is up to you to speak with each facility if you are the POA. You will be contacted for information on insurance, medicaid, medicare numbers and etc if you are the POA. At that time ask your questions of the facility. If the person at the desk doesn't know ask to speak to a social worker. They can often help.
Wishing you good luck.
To have him cared for in a SNF he will need to apply for Medicaid for this purpose. He will keep his Medicare and Medicaid. Medicaid for health is included with Medicaid for NH care.
When it comes to taxes that should be discussed with a tax acct.
If your brother is only on SS, he may not need to pay taxes. And if Medicaid is paying for his care, there will be no caregiving costs. His SS will go to offset the cost of his care and he will get a small amount (my state $50) for personnel needs.
By "skf" do you mean a skilled nursing facility?
Does your brother currently have Community Medicaid? Is he applying for Long Term Care Medicaid?
Medicare will continue to be his primary health insurance.
The NH will tell you how much of his care is deductible on his income taxes.