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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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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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In my LO's case, her SS still gets direct deposited into her bank acct that she's used for years. POA can sign checks, so we send NH a payment every month which is the amount of the SS minus the small amount she's allowed to keep every month (Medicaid). This has worked well for quite a long time. The bank statements come to my home and we have online access to the bank acct as well.
I believe we do have the option to sign over the SS to go directly to the NH, but we never really looked into doing that. My thought was that if we had to move LO (or simply wanted to do so) it would be one more hassle to deal with getting her moved and then also having to wonder where her SS money went. Maybe that's not a big deal, but I had the option to keep control of the SS and bank account so I took that route.
More details about the circumstances would be helpful. If your LO is in a facility on private pay and they run out of money, then there are only 3 options: apply for (and hopefully qualify) Medicaid and stay in the facility with little change; or move the LO out and provide care in a home by "someone" with "someone" paying for all the expenses; or the LO remains in the facility with "someone" else paying the monthly bill.
Are you the Financial Power of Attorney for someone in this situation? My MIL is on Medicaid in a good facility in MN. Medicaid takes all but $90 of her SS every month and she doesn't have need to even spend that on anything. The facility expanded their number of Medicaid beds so she is now in a private room receiving all the same care as the private paying residents. Often, Medicaid means having to share a room, and my MIL has shared a room since 2016. The facility is not being compensated enough by the government in our opinion (her SS is $1200 monthly). So, is it wise to apply for Medicaid? If the other 2 options are untenable, then it's the only option.
I was told by my Elder Law attorney not to sign any paperwork with a facility in my name, but to send it to his office for review to prevent financial exposure of myself or either of my parents. If your parent has significant retirement income through SS or a pension income, plus owns property, or assets of significant value, call up or sit down with an Elder Law attorney as soon as possible. Find one in your area or close the facility where your loved one is going, because they'll have familiarity with the behavior of the facility and will competently advise you. In fact, it couldn't hurt to call one up as soon as possible before you sign a single thing with a facility, and have them review the paperwork and advise you, no matter the situation.
If private paying you do not need to do this. But you sign over nothing. You give permission, as the POA, to allow the NH to petition SS to become your LOs payee. Same if there is a pension involved. The NH has to file with the company that oversees the pension to become payee. Not sure if this is mandatory even if on Medicaid. As long as they are being paid, I don't see a problem.
I allowed the NH to become payee because I knew Mom would remain in her NH. I also allowed it because I didn't want the headache of dealing with SS and her pension if they cut off payments too early after death. I figured the NH could deal with that.
With SS you get payments like you do when you work, after the fact. So, your December payment is actually Novembers money. If you die in November, you should not get a December check. If you do, SS will recoup it. For someone like me, I get my check the end of December thats for November. So if I die the beginning of Dec I am still due that check but sometimes SS makes a mistake and stops payments when notified by funeral director of the death. So with a NH, they are due that November payment. So I figured, let them fight for it. 😊
We did not sign my mom's over to the nursing home. Maybe because we had already private paid for almost a year they trusted us and didn't require it? If you set it up that way and later decide to move the person to a different facility, you might have trouble getting the SS changed.
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.
I believe we do have the option to sign over the SS to go directly to the NH, but we never really looked into doing that. My thought was that if we had to move LO (or simply wanted to do so) it would be one more hassle to deal with getting her moved and then also having to wonder where her SS money went. Maybe that's not a big deal, but I had the option to keep control of the SS and bank account so I took that route.
Are you the Financial Power of Attorney for someone in this situation? My MIL is on Medicaid in a good facility in MN. Medicaid takes all but $90 of her SS every month and she doesn't have need to even spend that on anything. The facility expanded their number of Medicaid beds so she is now in a private room receiving all the same care as the private paying residents. Often, Medicaid means having to share a room, and my MIL has shared a room since 2016. The facility is not being compensated enough by the government in our opinion (her SS is $1200 monthly). So, is it wise to apply for Medicaid? If the other 2 options are untenable, then it's the only option.
I allowed the NH to become payee because I knew Mom would remain in her NH. I also allowed it because I didn't want the headache of dealing with SS and her pension if they cut off payments too early after death. I figured the NH could deal with that.
With SS you get payments like you do when you work, after the fact. So, your December payment is actually Novembers money. If you die in November, you should not get a December check. If you do, SS will recoup it. For someone like me, I get my check the end of December thats for November. So if I die the beginning of Dec I am still due that check but sometimes SS makes a mistake and stops payments when notified by funeral director of the death. So with a NH, they are due that November payment. So I figured, let them fight for it. 😊
If you set it up that way and later decide to move the person to a different facility, you might have trouble getting the SS changed.
I think my mother received some small amount as a spending stipend, but as I recall, I dumped that back into her ONE all purpose checking account too.