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.
Thanks for updating us below. So few return to do that, and it is so appreciated. Know that what you learn on your long and difficult journey can greatly benefit others who come here for help, and we would more than welcome you to stay on Forum when you have any extra time.
Good luck.
Seems to me from your responses, this NH treated Mom like she had no family. They should have realized that someone would find out. I feel for the employee because they probably just did what theyvwere told to do. I hope that Medicaid fines them big time and can get your money back for you. I hope they are not excepting any Medicaid applications coming from the NH directly.
So wish you good luck.
Would love for you to update us on how this works out, we learn from others.
Medicaid is helping, but pressing charges has proven to be very time consuming and financially horrible.
Thanks for everyone's support!
I assume she has $ still and I would use it to start self pay elsewhere. There is no sense in trying to qualify for medicaid when you know she won't at this time.
Good luck!
Let them know what proof you have.
From conversations we have had on this forum, I don't understand how the NH was able to accomplish what they did. There is a lot of info needed by Medicaid before the application can be finalized. 5 year look back is one. How were they able to get this info. Proof she has no money. Her monthly income can't be higher than the cap. Husband would need to sign that he is not financially responsible for her care.
Really sorry, but there is too much going on here for us to help. Each State Medicaid is different. Each persons finances are different.
When my mother was placed at a nursing home, I was very pregnant and traumatized. I never had a money conversation except that I was told the Nursing Home was taking care of everything. I am eternally grateful that they lifted the burden off me. Eternally grateful.
Have you checked with the Surrogate's Court to see if your guardianship is in effect? Or has the Nursing Home been granted guardianship?
The Ombudsman is new to her position, so she can only answer so many questions.
Irregular admission paperwork, so maybe no copy of POA on file, and a spouse that won’t pay the bill.
But wouldn’t the new guardian have gathered control of the income and assets that the (old?) POA has been using to pay legal bills?
Or a better idea is to have an attorney communicate with them about it.
Good luck with resolving this matter.
It took more 4 months, $10,000.00 in attorney fees, and the Illinois State Ombusdmen to even get her medical records, because they found out their computer program had a safety net, and all of their records that they thought they had deleted were still able to be retrieved.
Now as her Healthcare POA they won't even communicate with me, and I can't get another facility to take her because I'm literally in limbo with her Medicaid. I'm sorry for the long rant. I really just don't know what to do.
You need to consult with a Medicaid expert in your state. Explain why you believe she wouldn’t qualify then but should now, what you thought was happening with the billing for the two years, and give them a copy of the nursing home contract and their Medicaid application if possible. You signed the contract as POA, so you should have a copy, right?
You should also gather records for the last five years, maybe seven if salvaging the old application might be a good idea.
The nursing home won’t want to keep her if the bill isn’t being paid. If they can’t kick her out, they’ll look for a reason to send her to the ER and refuse to take her back.
Once she is on Medicaid, almost all of her income will go to pay for her care, except for a small personal needs amount for discretionary spending. Nothing will be available for house bills if she is in facility care.
I'm not sure why I need to do the 5 year look back when I can give them all of this information showing that they illegally signed her up. The insurance Medicaid care plan coordinator even filed fraud charges against them. I just don't understand or know what to do.
You might want to pass this whole thing past an elder law attorney first to see what he or she advises. This could be a mess, however it happened.
I wish you luck. I hope you will return and update us about exactly what happened and exactly what Medicaid will now want you to do to rectify the situation.
It's been an absolute nightmare. I have all the proof, but why do the 5 year look back? I know that she isn't going to qualify because of her husband's income. But she put on the application the My Mom was Never married, never owned a home, hadn't filed taxes in 5 years, and didn't own a vehicle. All of which was completely untrue, and have email back and forth about Mom's Long Term Care insurance and no payments from her husband. I even asked them once about Medicaid qualifications once they got divorced and they said that we could discuss how to get her signed up them. SHE ALREADY WAS. Now I can't move her and OIG is wanting a 5 year look back. She isn't going to qualify, and I never signed a single document, and neither did my Mom.
Do I just tell OIG there's no reason for the financial look back and apply from the date her divorce was finalized, or what? It's such a mess.