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
[email protected] 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 I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our
Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our
Terms of Use. for information about our privacy practices.
If it’s strictly medical appeal, just what is the NH doing to provide documents to support that she’s medically “at need” for the hearing?
every state administers it’s Medicaid programs uniquely, but for what it’s worth, for my mom, we had to deal with a medical appeal. She entered the NH coming in from IL. Bypassed the AL phase totally. Her RXs were left off her admit intake medication list paperwork by NH staff. Her health chart was full of items showing needing skilled nursing care. But no RXs caused ineligibility. The NH took the lead in the appeal as she was under their care, although I as dpoa had to sign off for the appeal to be filed (done via email & fax). The medical director of the NH was also mom’s old gerontologist as he had a private practice as well, so her chart & old hospital notes copied over easily. His office staff was on it. Appeal placed the hearing like 5 months out. It took about a month for DON to get medications snafu corrected and they added in couple of other co-morbidities and my mom got an at need medically determination letter from TXDADS like a month after NH DON filed the update. Hearing never happened as all cleared before hearing date & Hearing board sent an all clear letter like week before old hearing date. But for our situation, the NH took the lead and had to as they controlled her care. I’d suggest you ask your atty if NH needs to submit their own document stack to support at need for skilled. Good luck and please let us know what happens, ok.
Im guessing that the State position is that you cannot be viewed to be a “true” full time caregiver. And if order to possibly get around the transfer of your mothers home to you within the 5 yr look back and the property transfer done before a determination of caregiver exemption allowed by your states Medicaid, you have to beyond clearly show to be full time caregiver. And your work history or income taxes filed don’t show a significant decrease that could be accounted for by caregiving.
If you were working over 40 hr week anywhere else probably for BOTH 2 years from the date of mom’s medicaid application signed AND 2 years before the date her property transfer was done, states not gonna view you as possibly full time caregiver so no exemption allowed so therefore her application is determined ineligible as there’s a transfer penalty due to house put into your name as you don’t meet caregiver exemption. Comprende? Yeah, it’s a long sentence....
In my not an atty viewpoint, you have to, HAVE TO show significant income decrease over time due to you stopping being a full time paid professional (your a RN right?) and becoming a nonpaid caregiver. The caregiver exemption to me is awarded/allowed to basically compensate the caregiver for wages & future SS income deceased due to your stopping work to caregive for free.
This type of governmental maze is maddening. We went thru Hur. Katrina. I’m a freelancer & own my own biz. & could get LA federal waiver disaster unemployment. Reams of paperwork filed in post storm New Orleans - fun times with no potable water! About 7 mos in I had a single 2 day job with one of the producers I work with who also had relocated to TX. I like a good citizen reported it and got taken off unemployment. I appealed. Phone in hearing with judge in Dallas & I faxed over bank statements from 1 year preKatrina and post Katrina. Significant decrease obvious & only blip was the single job. She ruled in my favor and I got several mos back unemployment. Had I not faxed documents over to show a continuing decrease in income, I would imo not have won my appeal. I mention this cause if you were working during the caregiving timeframe or showing to still be getting your usual income, well you haven’t shown had a financial setback. Really talk with the atty as to whether this could be an issue to present at the hearing.
Also ask atty, if after the hearing it’s that you’ve screwed the pooch on the appeal, IF you sign the house back to mom IF that could allow her to be eligible for Medicaid AND the state lifts any transfer penalty against her application. Yeah it’s not idea but gets her onto LTC Medicaid and buys you time to come up with a plan on the house & to clearly find out how your state does post death MERP / Estate Recovery. If this atty is MERP clueless, find a probate atty who has dealt with MERP. Good luck and let us know what happens.
Also dress conservative, no noisy or expensive jewelry or purse, wear flats. If you have a nurse brooch watch wear it.