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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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You may understand your question, but I’ve never read about it on the site. Please could you explain in a bit more detail? Otherwise it's one for a local lawyer or finance expert.
Could be that the promissory note was used to transfer money and not a legitimate loan. Could be the date of said loan and promissory note don't jive. I know that legally the promissory note must be before the loan to make it valid in AZ.
If it is being used to "hide" money, you're correct, just private pay until you actually, legally qualify.
Not saying this is your situation, just responding to your question.
Because they are willing to take risk? Ok I’m going to take a guess that what you are referring to is when an elder moves an asset ($) to another family member and does it by doing a Promissory Note as the $ is a loan. It would be a money move not a hard asset, like a house, that is transferred. It is not a gift but a loan, so can be allowed by Medicaid if done within compliance for Medicaid rules. So the elder was over resourced in $ assets beyond what your State’s LTC Medicaid allows for nonexempt assets; and they did the move to be eligible. Is that it?
Like instead of mom spending down her 102K in savings by private paying for a NH, she instead loaned 100K to a family member who will pay it back based on the PN terms. Now all she has is 2K in assets and 2K is the maximum in nonexempt assets for your State. So it’s seemingly ok for LTC Medicaid. But if something went amiss in the planning….. it was done within the 5 yr lookback period, or it wasn’t actuarially sound, or her State changed allowing this to be ok….. so a transfer penalty gets placed. So as there is a penalty period, it’s private pay till the penalty period is over. Stuff like this is pretty high cotton Estate attorney work. The law firm that did this should be able to explain what happened and why.
Doing any transfer to lower resources to be eligible for LTC involves risk as you do not know the date that the lookback will be. Falls happen, accidents happen…. they could do the Promissory Note today and then 7 years from now need a NH or get hit by a bus 7 months from now.
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.
If it is being used to "hide" money, you're correct, just private pay until you actually, legally qualify.
Not saying this is your situation, just responding to your question.
Ok I’m going to take a guess that what you are referring to is when an elder moves an asset ($) to another family member and does it by doing a Promissory Note as the $ is a loan. It would be a money move not a hard asset, like a house, that is transferred. It is not a gift but a loan, so can be allowed by Medicaid if done within compliance for Medicaid rules. So the elder was over resourced in $ assets beyond what your State’s LTC Medicaid allows for nonexempt assets; and they did the move to be eligible. Is that it?
Like instead of mom spending down her 102K in savings by private paying for a NH, she instead loaned 100K to a family member who will pay it back based on the PN terms. Now all she has is 2K in assets and 2K is the maximum in nonexempt assets for your State. So it’s seemingly ok for LTC Medicaid. But if something went amiss in the planning….. it was done within the 5 yr lookback period, or it wasn’t actuarially sound, or her State changed allowing this to be ok….. so a transfer penalty gets placed. So as there is a penalty period, it’s private pay till the penalty period is over. Stuff like this is pretty high cotton Estate attorney work. The law firm that did this should be able to explain what happened and why.
Doing any transfer to lower resources to be eligible for LTC involves risk as you do not know the date that the lookback will be. Falls happen, accidents happen…. they could do the Promissory Note today and then 7 years from now need a NH or get hit by a bus 7 months from now.