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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
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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That’s really generous of your dad, but you’re right to pause and ask about Medicaid before moving forward. I’ve heard of situations where large expenses like home construction can be seen as ‘gifting’ or a transfer of assets, which might affect eligibility later. An elder law attorney or Medicaid planner could guide you on how to structure it (sometimes it has to be documented as a loan, or the house has to be owned a certain way). Better to get clear advice up front so your parents don’t run into trouble down the road.
I know you asked about Medicaid, but your brother also needs to consider the living situation. We had someone on here very recently whose father paid for multigenerational living construction but living with dad on the other side of the door became untenable very quickly.
You didn’t say how your parents’ health is currently, but elderly people do continue to decline physically and sometimes mentally. Just something to consider before brother decides to live with parents. I wish you all the best.
Paying for Home Accessibility Construction – Medicaid Considerations Key points to consider: 1. If Dad Pays Contractors Directly • Safest option: Dad pays the contractor(s) directly for ramps, widened doors, bathroom modifications, etc. • This is not considered income or a gift to your brother, since no money is transferred directly to him. • Your brother benefits only from the improved accessibility of the home. 2. If Dad Gives Money to Your Brother • Cash given directly to your brother could be treated by Medicaid as unearned income in the month received. • If the money is not spent in that same month, it may be counted as an asset the following month. • This could temporarily affect Medicaid eligibility. 3. Estate Recovery Considerations • After the your brother’s death, Medicaid may attempt estate recovery from his estate (often the home). • Home improvements can increase the property’s value, which may increase the potential Medicaid recovery amount. • If parents move in, avoid adding them to the property title without legal advice, as this may create Medicaid or inheritance issues. 4. Recommendations • The safer route is for Dad to pay contractors directly, rather than giving cash. • Keep receipts and documentation showing the payments were for accessibility-related improvements. • If ownership, title, or long-term living arrangements are being considered, consult with a Medicaid planning attorney before making changes. • This ensures the family’s intentions are protected and does not cause unintended Medicaid problems.
This is general information and not legal advice. Your family should consult with a Medicaid planning attorney for guidance specific to your situation.
Aside from Medicaid implications, the multigenerational living situation may not work out. In that case, dad and mom may want their money back, and would brother repay them?
Nightmare! Family relationships damaged! Advise them not to do this. Dad and mom should move into Assisted Living where they won’t be a burden to their children.
In Medicaids sees this is gifting. The reason, because your brother will reap the rewards if he ever sells the house. We put a shower into my mothers bathroom when she moved in with us. We paid for it 7k. It would have been a red flag to Medicaid if that had come out of Moms acct and there would be penalties.
Yes, Medicaid implications for CERTAIN if this isn't legally done. If there is a contract to move into this home, then it's likely legal to pay shared living expenses and repairs for safety. But that must be done by legal contract so it doesn't look like gifting of repairs and renovations to son's home.
They should go to an elder law attorney who will draw up a contract that is protective.
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.
You didn’t say how your parents’ health is currently, but elderly people do continue to decline physically and sometimes mentally. Just something to consider before brother decides to live with parents. I wish you all the best.
Key points to consider:
1. If Dad Pays Contractors Directly
• Safest option: Dad pays the contractor(s) directly for ramps, widened doors, bathroom modifications, etc.
• This is not considered income or a gift to your brother, since no money is transferred directly to him.
• Your brother benefits only from the improved accessibility of the home.
2. If Dad Gives Money to Your Brother
• Cash given directly to your brother could be treated by Medicaid as unearned income in the month received.
• If the money is not spent in that same month, it may be counted as an asset the following month.
• This could temporarily affect Medicaid eligibility.
3. Estate Recovery Considerations
• After the your brother’s death, Medicaid may attempt estate recovery from his estate (often the home).
• Home improvements can increase the property’s value, which may increase the potential Medicaid recovery amount.
• If parents move in, avoid adding them to the property title without legal advice, as this may create Medicaid or inheritance issues.
4. Recommendations
• The safer route is for Dad to pay contractors directly, rather than giving cash.
• Keep receipts and documentation showing the payments were for accessibility-related improvements.
• If ownership, title, or long-term living arrangements are being considered, consult with a Medicaid planning attorney before making changes.
• This ensures the family’s intentions are protected and does not cause unintended Medicaid problems.
This is general information and not legal advice. Your family should consult with a Medicaid planning attorney for guidance specific to your situation.
Nightmare! Family relationships damaged! Advise them not to do this. Dad and mom should move into Assisted Living where they won’t be a burden to their children.
If there is a contract to move into this home, then it's likely legal to pay shared living expenses and repairs for safety. But that must be done by legal contract so it doesn't look like gifting of repairs and renovations to son's home.
They should go to an elder law attorney who will draw up a contract that is protective.