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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.
Share a few details and we will match you to trusted home care in your area:
A determining factor in successfully & easily doing this is MONEY. Next factor is her assessment as to Level of Care she requires to go about her daily life, like is she a SnF/NH resident care? or MC? or would be ok in an AL? I’m assuming mom is over age 65, on Medicare and some other health insurance coverage OR she is on a Medicare Advantage Plan and she has a home.
On how to get an assessment…..Where is she? Is she currently hospitalized? Are you up in Ohio and hospital staff is telling you she cannot return home. Or she’s in rehabilitation at an NH and they are telling you this? Or she is telling you this? You want to have an actual assessment document on her so that you have something to use to try to find her a facility in TX appropriate for her needs. The hospital or facility has a care plan for her based on an assessment. You really don’t want to get all involved in looking for a MC place when she absolutely requires a SNF/NH.
On the $, so does she have abt 150K - 200K in savings or investments she can use? Not her monthly income but her other $ resources. That is kinda imo what she needs to have to do the transition from 1 State to another, pay for the new place, new legal and pay for settling out of her past life in Ohio and get this all wrapped up in abt a year. If she cannot travel on her own with you accompanying her, then she will need a medical transportation for this; & they are very expensive. Health insurance- like Medicare- won’t pay for this. It’s private pay.
If y’all were thinking that TX Medicaid would pay for her NH, that could happen but realistically will not happen immediately. She will have to become a legal TX resident…. It can be done. Look at TXDOt for what you need to get TX drivers license or permanent ID as to what all State will want. Being a resident of the State is required as Medicaid is a State run program for its residents. If she is low income enough once a resident, she can file for a TX Medicaid program. For LTC Medicaid program, which pays for facilities, for 2024 had income max of $2829 and a nonexempt asset max of 2K. If she’s over on either she will have to try to reduced her income (like via a Miller Trust as TX allows for these) and will have to spend down her assets till at the 2K max. If she has a home or car(s) in Ohio, that will be a problem as they will be considered nonexempt assets. They will have to be sold.
There is some leeway on this that she or you as her POA can ask to get it so that she can have the house listed with a Realtor on MLS and it will be ok for her to be “Medicaid Pending” till it sells at its FMV. The NH she is in also has to be ok on her being there as “Pending”. It’s not an automatic option, it has to be done on an individual applicants request. Once it sells, she becomes ineligible and does private pay till she is once again impoverished at 2K max in assets. No gifting can be done with house sale money.
Having a home or a car, whether in the same State or out of State, poses real problems for POAs trying to get an elderly parent on LTC Medicaid. The big stumbling block is once they file for LTC Medicaid they have a Share of Cost requirement. SOC means all their monthly income but $75 (in TX) must be paid to the NH. So you as POA end up paying for stuff related to that house and car AND as it’s her asset she cannot easily reimburse you after it gets sold as it looks like gifting which is a no-no for LTC Medicaid. That’s why I mentioned her having 150K-200K as that’s enough $ to pay for her care and also pay for all those things that a house costs and that putting a home on the market costs AND having it be her $ that pays for these costs.
Some things can come out of house sale, like property taxes. But utilities, insurance, yard maintenance, etc. all have to be paid and need to happen so the house can stay market ready.
Even if she does not have a home, she’s living somewhere in Ohio and it will have costs to close out her life in Ohio.
I guess it's fine if you want to move your mother closer to you in TX, but for the love of God, DO NOT move her in with you, no matter what, as you will live to regret that. Instead move her into a nice assisted living facility(on her dime of course)where she will be looked after 24/7, and where you can still have your life, and visit when and if you want.
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.
On how to get an assessment…..Where is she? Is she currently hospitalized? Are you up in Ohio and hospital staff is telling you she cannot return home. Or she’s in rehabilitation at an NH and they are telling you this? Or she is telling you this? You want to have an actual assessment document on her so that you have something to use to try to find her a facility in TX appropriate for her needs. The hospital or facility has a care plan for her based on an assessment. You really don’t want to get all involved in looking for a MC place when she absolutely requires a SNF/NH.
On the $, so does she have abt 150K - 200K in savings or investments she can use? Not her monthly income but her other $ resources. That is kinda imo what she needs to have to do the transition from 1 State to another, pay for the new place, new legal and pay for settling out of her past life in Ohio and get this all wrapped up in abt a year. If she cannot travel on her own with you accompanying her, then she will need a medical transportation for this; & they are very expensive. Health insurance- like Medicare- won’t pay for this. It’s private pay.
If y’all were thinking that TX Medicaid would pay for her NH, that could happen but realistically will not happen immediately. She will have to become a legal TX resident…. It can be done. Look at TXDOt for what you need to get TX drivers license or permanent ID as to what all State will want. Being a resident of the State is required as Medicaid is a State run program for its residents.
If she is low income enough once a resident, she can file for a TX Medicaid program. For LTC Medicaid program, which pays for facilities, for 2024 had income max of $2829 and a nonexempt asset max of 2K. If she’s over on either she will have to try to reduced her income (like via a Miller Trust as TX allows for these) and will have to spend down her assets till at the 2K max. If she has a home or car(s) in Ohio, that will be a problem as they will be considered nonexempt assets. They will have to be sold.
There is some leeway on this that she or you as her POA can ask to get it so that she can have the house listed with a Realtor on MLS and it will be ok for her to be “Medicaid Pending” till it sells at its FMV. The NH she is in also has to be ok on her being there as “Pending”. It’s not an automatic option, it has to be done on an individual applicants request. Once it sells, she becomes ineligible and does private pay till she is once again impoverished at 2K max in assets. No gifting can be done with house sale money.
Having a home or a car, whether in the same State or out of State, poses real problems for POAs trying to get an elderly parent on LTC Medicaid. The big stumbling block is once they file for LTC Medicaid they have a Share of Cost requirement. SOC means all their monthly income but $75 (in TX) must be paid to the NH. So you as POA end up paying for stuff related to that house and car AND as it’s her asset she cannot easily reimburse you after it gets sold as it looks like gifting which is a no-no for LTC Medicaid. That’s why I mentioned her having 150K-200K as that’s enough $ to pay for her care and also pay for all those things that a house costs and that putting a home on the market costs AND having it be her $ that pays for these costs.
Some things can come out of house sale, like property taxes. But utilities, insurance, yard maintenance, etc. all have to be paid and need to happen so the house can stay market ready.
Even if she does not have a home, she’s living somewhere in Ohio and it will have costs to close out her life in Ohio.
Instead move her into a nice assisted living facility(on her dime of course)where she will be looked after 24/7, and where you can still have your life, and visit when and if you want.
More info would be helpful including what medical conditions Mom has , does she walk , feed herself etc.