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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.
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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
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As Jeannie said, you are getting a service and are expected to pay for it. AL is usually private pay and you have to sign a contract and either you or someone will sign off as financially responsible for payment. In some states, there are Medicaid waiver programs that will pay for AL for those that qualify for Medicaid but you have to do the paperwork & followthrough to have it happen. Medicare & Medicaid are quite different in what they cover and how you qualify.
When there is a delinquency, the facility will issue the resident and whomever is responsible a "30 Day Notice" and usually within the notice - which is almost always cc'd to the State Dept of Aging or Human Services or whatever it is in your state and the local aging ombudsman that is in the Area Agency on Aging - it will state what happens after day 30. The dreaded "30" can be somewhat routine for NH when the anticipated payment is "Medicaid pending" as the initial review period is for 90 days in most states. I had to deal with this with my mom as her NH Medicaid application took almost 6 months (Texas). Letter gets sent certified too. The caseworker just sends out a fax to the NH to basically re-set the clock for another 90. But you have to follow-up to make sure that it was done and noted in their file. What I have actually seen happen for a resident at the NH who was like 5 mos behind, was they were made an emergency ward of the state and then transferred via ambulance to a NH that was several counties away. Being a ward of the state meant that the state would pay. The old place wouldn't keep them until the account was cleared, so that's why the move was needed. This incident was all about a transfer penalty issue, which the family just flat chose to ignore. This can be quite a PIA to get through and they might find themselves permanently removed for any say-so in their parents care as the state is now in charge and all because of the delinquent account. Not pretty. Just horrific and so sad and terrifying for the elderly person too. The facility will turn over an account to collections and the amount could be rebelled at the much higher private pay rate and not the lower Medicaid rate. You really don't want to be in this situation, which is very antagonistic and panic driven. Meet with the billing office and work something out. Yes, MSM does love the common man in need story but this is a deadbeat story which doesn't get positive coverage and the family member who refuses to pay the bill either comes across as a self-serving ninny or too dim witted to be POA or guardian. The facility will likely have a press release or other crisis management letter at the ready for this type of thing too. The IL my mom was at is part of a larger CCRC/AL/NH group and they have a PR firm.
Every business, for-profit or not, must get paid for the goods and services they provide. No resident of an ALF has a right to stay there indefinitely without paying. The question is more about how long a notice they have to give and the details of moving out, but there is no question of staying without some payment plan in place.
Is Father eligible for Medicaid? Does the ALF he is in accept Medicaid? Are they even eligible for Medicaid payments? Where ever father goes next he has to have some means of paying for it. If he can no longer pay out of his own funds, he needs to arrange something else, such as Medicaid.
How much assistance does Father need with activities of daily living? Is he ready for a skilled nursing facility?
The short answer is yes. The longer, more correct, answer is not for a while. No business can afford bad publicity. They won't simply dump him at the front door because that would bring the media asking all sorts of embarrassing questions. If the facility manager hasn't thought of this, you might remind him or her. It is now time for you to check out other care facilities to see if they accept medicare only residents. There are some that do. There is also a possibility that his current facility will do so (to escape the embarrassment above) if they are prompted by the right people (see State Office on Aging; Medicare Representative; local Congress representative or senator; Elder-Law specialist attorney; media outlet). Don't give up. There are solutions. If necessary, take a two or three day break by going somewhere you consider fun to "re-charge your batteries" before making another attempt to sort all of this out. Blessings on your efforts.
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.
4 Comments
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Assisted Living Facilities Can ‘Kick Out’ Residents Who Can No Longer Pay
AL is usually private pay and you have to sign a contract and either you or someone will sign off as financially responsible for payment. In some states, there are Medicaid waiver programs that will pay for AL for those that qualify for Medicaid but you have to do the paperwork & followthrough to have it happen. Medicare & Medicaid are quite different in what they cover and how you qualify.
When there is a delinquency, the facility will issue the resident and whomever is responsible a "30 Day Notice" and usually within the notice - which is almost always cc'd to the State Dept of Aging or Human Services or whatever it is in your state and the local aging ombudsman that is in the Area Agency on Aging - it will state what happens after day 30. The dreaded "30" can be somewhat routine for NH when the anticipated payment is "Medicaid pending" as the initial review period is for 90 days in most states. I had to deal with this with my mom as her NH Medicaid application took almost 6 months (Texas). Letter gets sent certified too. The caseworker just sends out a fax to the NH to basically re-set the clock for another 90. But you have to follow-up to make sure that it was done and noted in their file. What I have actually seen happen for a resident at the NH who was like 5 mos behind, was they were made an emergency ward of the state and then transferred via ambulance to a NH that was several counties away. Being a ward of the state meant that the state would pay. The old place wouldn't keep them until the account was cleared, so that's why the move was needed. This incident was all about a transfer penalty issue, which the family just flat chose to ignore. This can be quite a PIA to get through and they might find themselves permanently removed for any say-so in their parents care as the state is now in charge and all because of the delinquent account. Not pretty. Just horrific and so sad and terrifying for the elderly person too. The facility will turn over an account to collections and the amount could be rebelled at the much higher private pay rate and not the lower Medicaid rate. You really don't want to be in this situation, which is very antagonistic and panic driven. Meet with the billing office and work something out. Yes, MSM does love the common man in need story but this is a deadbeat story which doesn't get positive coverage and the family member who refuses to pay the bill either comes across as a self-serving ninny or too dim witted to be POA or guardian. The facility will likely have a press release or other crisis management letter at the ready for this type of thing too. The IL my mom was at is part of a larger CCRC/AL/NH group and they have a PR firm.
Is Father eligible for Medicaid? Does the ALF he is in accept Medicaid? Are they even eligible for Medicaid payments? Where ever father goes next he has to have some means of paying for it. If he can no longer pay out of his own funds, he needs to arrange something else, such as Medicaid.
How much assistance does Father need with activities of daily living? Is he ready for a skilled nursing facility?
It is now time for you to check out other care facilities to see if they accept medicare only residents. There are some that do. There is also a possibility that his current facility will do so (to escape the embarrassment above) if they are prompted by the right people (see State Office on Aging; Medicare Representative; local Congress representative or senator; Elder-Law specialist attorney; media outlet).
Don't give up. There are solutions. If necessary, take a two or three day break by going somewhere you consider fun to "re-charge your batteries" before making another attempt to sort all of this out.
Blessings on your efforts.
Jaunita