Are you sure you want to exit? Your progress will be lost.
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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
I consent to the sharing of my consumer health data with qualified home care agencies.*
*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.
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:
she has some money she has been saving for me and my brothers for when she dies, i would hate it if we need help by using medicade that they would take this. can i transfer it all over to an account just in my name. i'm talking about say 30,000.
Medicaid is intended for persons who cannot pay their own expenses when they are disabled, chronically ill, demented, etc. I'm afraid in today's world, where people are living longer than ever before many of us will reach a point where we outlive our money, espeically if we develop expensive chronic illnesses.
The way this program is set up, persons in need are expected to use their own resources to pay for their care as long as they can. If they have money or stocks and bonds or second homes or even insurance policies they are expected to use that first, then taxpayer money will step in.
To try to make this fair to everyone, there are rules about giving resources away to family member or friends and then applying for Medicaid. I hope an expert answers this post and gives you the exact rules for your situation. I just wanted to explain the overall reasoning for the rules.
It is very sad, but I think the truth is that fewer and fewer persons will be able to pay for their own care for their entire life, let alone accumulate money that can be left as an inheritance.
Just to add to what Jeannegibbs said, there is a 5 year look back period for those applying for medicaid. As a result, if you transferred the money from your mom's account next week and then applied for Medicaid a year from now, Medicaid would require you to pay the money back or suffer a time penalty based on a formula that they use. The penalty would begin at the time you made the application to Medicaid. Jeanne gave you the over view and I've added a bit. There's more to be said, but you would need expert advise. The long and short of it is that any transfer of assets will be carefully scrutinized by Medicaid.
Bunky I'm not sure. I hope an expert will be able to answer that. I think, though, that what will be considered is who put the money into the account. If Mom put the money into an account with only your name on it, that would be considered giving it away. I suspect a joint account is treated similarly because (as you say) you could withdraw all the funds, but I don't know that.
The thing is, if your mother needs Medicaid, she needs Medicaid. If she has to spend down what she hoped would be a legacy in order to get the care she needs, then, unfortunately that is what has to happen. She can spend it on things like a new, more accessible wardrobe, a deluxe wheelchair, a more comfortable bed, many things she might want as long as it isn't given away.
You may want to consult an elder law attorney for the best way to handle her financial situation and apply for Medicaid.
i don't want you to think that i want the money. i really don't need it. my mom will come and live with me. I will be taking care of her when and if the time comes. I wanted to know what the story was because when i spoke to her this was her main concern. that if we needed help while she was at my home she didn't want us to use that money. thanks for all your help and support i am so happy to find this site thanks
I'd like to add to the "see an elder care attorney". If any of your mom's $ is going into anothers account, that $ is now commingled. If she should need to go on Medicaid in the future, it will be a very time consuming tangle to establish who's $ is who's and you might still face a costly Medicaid transfer penalty.
30K isn't that much $. Sadly. Sounds like she is moving to your home and she has no other assets than her savings? Is that right, that is pretty straight forward to do:
First, if she does not have her own & only bank account, she needs to have that done where her SS, retirement or any other $ goes into. I'd put the savings in there so you have only 1 account to keep track of. You can be a co-signer on the account but all is used only for her and her needs. Account is ONLY in her SS#. You would be the POD (pay on death) on the account. If there are other siblings, I'd allow then on-line viewing access to keep it all kum-ba-ya & transparent on where the $ goes to. You know your family best.
Second, if she does not have a burial and funeral policy paid for & in place, I'd go and get those done. They need to be irrevocable and have no cash value. This will likely use up 5K to 10K of her money. Funeral home know how to make the contract compliant with a possible Medicaid review. Third, I'd go an see an elder care to do or update all the legal she may need in the future: a DPOA; MPOA; a "Guardianship in Case of Incapacity"; a will or an updated codicil to her will. This should be paid from her $. If she won't be upset about it also do her advance directives.
Depending on her monthly income, the attorney might suggest having her do a "personal services contract" between you and your mom to compensate for your management of her finances and her care while she is living with you. The contract will be based on your community standards payment on care & your level of expertise - the attorney will know what it is and what will likely pass Medicaid review in the future.
If you mom needs new things (clothes, walker, etc.) buy them & just make sure that you keep all receipts and that everything is paid for from her solo account. If she needs dental care, that can be quite costly and basically spotty or zero coverage on Medicare or Medicaid. Dental care and hearing aids easily can run a big dent into her 30K savings. My mom needed implant & gum work done, was about 7K and all private pay, so glad it was done when she was in IL and had the $ to do it as the waiting list for seeing an endo guy for just an evaluation is like 10 months for NH patients, where she is now.
If she does not have any insurance, you could get her a small $ 1,000 - $ 1,500 term life policy, needs to be no cash value and within her states Medicaid guidelines for life insurance policies. Depending on her age, it could cost almost the face value but is a way to reduce her assets for Medicaid review. For many this type of policy is geared to provide for a small amount of $ upon death to use to deal with items that aren't covered by funeral pre-need, like flowers, cards,etc.
When a parent puts a child on a banking account as a joint owner, it is essentially considered a gift. The funds held in the joint account are the property of the child and parent. However, the account still belongs to the primary holder, the parent.
So I would imagine when a parent puts a child on a banking account and it is considered a gift, it is subject to the five year look back period. As long as your mother does not go into a nursing home paid for by Medicaid, for about 5 years, then the money belongs to the joint holders.
Not only do these assests avoid probate, they override the will. So, google "joint tenants" on bank accounts and read why it is risky for parents to even put their children on their bank accounts. A POA financial should be used but many, many parents would rather put one or many of their children on their bank accounts. Some do not realize they are essentially giving the money to one of their children and it is up to the child to 'share" those funds. Hope that helps :)
Dad had been saving money at the bank for his funeral. We had 7k and was going to start but health on both of us has slowed us. Medicaid has called us in to discuss this money. Could he loose his medicaid and will they make him pay back what he has used?
I am exuccuter of my moms will. my mother is 91 and looks like she will live with us til then. I have 4 other siblings (local) who are on the will for an even split of my mothers (estate) living trust. She has lived with us the past 6 years with no help from the rest of the family. 5 years ago my mother transfered all her money $200,000.00 to me to qualify for medicad (medical only to avoid look back of 5 yrs) Am i legally ( not ethically) responsible to follow the rules of her estate? or can i distrubute as my mother and i see fit. Do i have to wait till she passes to distribute it? Thanks Carl
It is always tricky. If there are two people's names on the account, the money will be seen as an asset of each one individually. So if you mother incurs a debt, the money will be considered her asset alone and the money can be used to cover the debt. Because your name is also on the account, if you should go into debt, the money would be considered as your asset alone and the money can be used to cover your debt.
The sad truth is that fewer people have sizable estates to leave their children now. Longer lives and the rising cost of care means that most assets will have to be used.
crobbin1: Your mother gave you $200,000 5 years ago, no strings attached? Is that correct? Then I would think that legally it is your money and you can do as you see fit with it. Or were there some strings attached?
This money is not now part of your mother's estate and her will does not apply to it, if it was truly a fgift to you.
I assume you paid gift tax and otherwise have taken responsibility/ownership of this assest?
For legal advice you'd best consult a lawyer. But on the face of it, it is your money to do with as you please.
carl - unless mom applies for Medicaid, there is no lookback on her finances.
as Jeanne said, if the 200K was transferred / gifted to you 5 years ago, then it is no longer your mother's $ or asset.
I don't know what your siblings are like, but 200K is enough for someone to challenge you on what mom's intent for use of the $$ is/was. If you should ever apply for Medicaid, they could contact the state and tell them about the $$ too. Could be ugly. I'd see an attorney and use some of the 200K to pay for this.
Jeanne, Medicaid wise, I doubt it as long as it is all entirely removed from their name and SS# back in 2006.
It's the potential for family friction that could arise from siblings feeling manipulation of intent. 200 large is worth the attorney's cost to get a part of that if they are not all kum-ba-ya on mom's care and living situation.
Jeanne and Ilgoo, thanks fo your response. I put it in an annuity for 5 yrs. No taxes paid? This money was supposed to be hers for a nursing home if she went into it before 5 yrs. After that she said i could distrubute as i saw fit based on the help in her care from her other children. As far as gift taxes go, it wouldnt be considered an inheritence? Carl
Carl - if I'm understanding this, you are trying to figure out how to best use the 200K your mom gave you over 5 years ago to help her in the future....correct? Now I think we've established that it's more than 5 years, so no Medicaid review worries. And that it is now your $. I would look into doing a "SPECIAL NEEDS TRUST", this will need to be drawn up by an attorney. SNT can be done so that the $ that funds the trust does not count as your mom's income or asset so that she can qualify for Medicaid. The trust could pay for a daily companion for her in the NH or for paying for the upgrade to a private room at the NH (Medicaid are usually shared rooms). The big ? is who is who owns the trust. Trusts are their own legal person and they live beyond whomever the trust benefits (this would be your mom). Now it could be evenly divided by the siblings or all to you & your spouse or you could name an charity or cause that would make your mom happy. I was execturix for an aunt who left a very convoluted mess of an estate - lots of people expecting $$ - what I eventually did was to have it so that her estate left the $$ to a university scholar program and a charity. This totally deflated anyone's complaint about where the $$ went too. lmao. You know your family best and whether there would be mendacity and infighting over $$$ or even $. Good luck.
My mother and I have a joint CD and a joint savings account (to pay for items when she owned a home...but it's been sold). Now we're in the spend-down phase. I feel that half the amount in the accounts should legally be mine. We've owned the accounts for at least 10 years.
My mother put her name and mine on her savings and checking in 2007. She is now in a long term facility Dec of 2015. We have applied for Medicaid so will they take the 50,000 that is in the joint account? Also we have not paid for any funeral arrangements. Should we be doing this now since she has started the 100 day period of paying $157.50 per day and Medicare paying the rest. After the 100 day period we will see if Medicaid will approve her.
Can we purchase clothes for her to wear in the facility and pay out of her account during this 100 day period? If Medicaid is going to take the money we would like to purchase these things but I am not sure what they consider a reasonable amount.
Suzanne, purchasing clothes for your mother is allowed for spend-down. Your mother will need those clothes when she is in the facility
Medicaid will not take your money. You'll spend down to a certain amount required by your state. Then Medicaid will help supplement your mother's income each month to pay the nursing home. Medicaid never takes money, though it will count the money to see if she qualifies. Recovery is not done until after a person dies. There is usually no money if someone was on Medicaid, but there may be property.
You can check with a Medicaid representative if you wonder if something is allowed for spend-down. There is a broad spectrum of expenditures that are allowed -- personal, house, car, health, etc. Clothes should fit in well.
I could be wrong but once they go into a facility they will go for the money she has saved. They have a seven year look back. And I repeat I could be wrong. I found out that as long as they stay in their home you can get Medicare/Medicaid and get aides 24/7 if she needs it. I ended going to a elder care lawyer who helped a lot but we also paid for him. We ended up with a trust fund that we send money to every month and they pay my moms bills. If you have this Nysarc trust fund any money that is left over in the fund each month can be sent to a preplan funeral arrangement. In not a lawyer just some who has gone through all the stages.
So if you're on a joint account and have been for over the five years do you have to report any of the money, even half, of the money when applying for Medicaid?
I have POA for healthcare and also one for finances.
I'm trying to find out about prepaying a funeral for her. We have a plot and headstone because she will be buried next to dad. Mom doesn't want a fancy funeral and has asked me to even just buy a casket on line.
Do I just work with a local funeral home to prepay?? Help!!
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.
The way this program is set up, persons in need are expected to use their own resources to pay for their care as long as they can. If they have money or stocks and bonds or second homes or even insurance policies they are expected to use that first, then taxpayer money will step in.
To try to make this fair to everyone, there are rules about giving resources away to family member or friends and then applying for Medicaid. I hope an expert answers this post and gives you the exact rules for your situation. I just wanted to explain the overall reasoning for the rules.
It is very sad, but I think the truth is that fewer and fewer persons will be able to pay for their own care for their entire life, let alone accumulate money that can be left as an inheritance.
The thing is, if your mother needs Medicaid, she needs Medicaid. If she has to spend down what she hoped would be a legacy in order to get the care she needs, then, unfortunately that is what has to happen. She can spend it on things like a new, more accessible wardrobe, a deluxe wheelchair, a more comfortable bed, many things she might want as long as it isn't given away.
You may want to consult an elder law attorney for the best way to handle her financial situation and apply for Medicaid.
I'd like to add to the "see an elder care attorney". If any of your mom's $ is going into anothers account, that $ is now commingled. If she should need to go on Medicaid in the future, it will be a very time consuming tangle to establish who's $ is who's and you might still face a costly Medicaid transfer penalty.
30K isn't that much $. Sadly. Sounds like she is moving to your home and she has no other assets than her savings? Is that right, that is pretty straight forward to do:
First, if she does not have her own & only bank account, she needs to have that done where her SS, retirement or any other $ goes into. I'd put the savings in there so you have only 1 account to keep track of. You can be a co-signer on the account but all is used only for her and her needs. Account is ONLY in her SS#. You would be the POD (pay on death) on the account.
If there are other siblings, I'd allow then on-line viewing access to keep it all
kum-ba-ya & transparent on where the $ goes to. You know your family best.
Second, if she does not have a burial and funeral policy paid for & in place, I'd go and get those done. They need to be irrevocable and have no cash value. This will likely use up 5K to 10K of her money. Funeral home know how to make the contract compliant with a possible Medicaid review.
Third, I'd go an see an elder care to do or update all the legal she may need in the future: a DPOA; MPOA; a "Guardianship in Case of Incapacity"; a will or an updated codicil to her will. This should be paid from her $. If she won't be upset about it also do her advance directives.
Depending on her monthly income, the attorney might suggest having her do a "personal services contract" between you and your mom to compensate for your management of her finances and her care while she is living with you. The contract will be based on your community standards payment on care & your level of expertise - the attorney will know what it is and what will likely pass Medicaid review in the future.
If you mom needs new things (clothes, walker, etc.) buy them & just make sure that you keep all receipts and that everything is paid for from her solo account. If she needs dental care, that can be quite costly and basically spotty or zero coverage on Medicare or Medicaid. Dental care and hearing aids easily can run a big dent into her 30K savings. My mom needed implant & gum work done, was about 7K and all private pay, so glad it was done when she was in IL and had the $ to do it as the waiting list for seeing an endo guy for just an evaluation is like 10 months for NH patients, where she is now.
If she does not have any insurance, you could get her a small $ 1,000 - $ 1,500 term life policy, needs to be no cash value and within her states Medicaid guidelines for life insurance policies. Depending on her age, it could cost almost the face value but is a way to reduce her assets for Medicaid review. For many this type of policy is geared to provide for a small amount of $ upon death to use to deal with items that aren't covered by funeral pre-need, like flowers, cards,etc.
So I would imagine when a parent puts a child on a banking account and it is considered a gift, it is subject to the five year look back period. As long as your mother does not go into a nursing home paid for by Medicaid, for about 5 years, then the money belongs to the joint holders.
Not only do these assests avoid probate, they override the will. So, google "joint tenants" on bank accounts and read why it is risky for parents to even put their children on their bank accounts. A POA financial should be used but many, many parents would rather put one or many of their children on their bank accounts. Some do not realize they are essentially giving the money to one of their children and it is up to the child to 'share" those funds. Hope that helps :)
The sad truth is that fewer people have sizable estates to leave their children now. Longer lives and the rising cost of care means that most assets will have to be used.
This money is not now part of your mother's estate and her will does not apply to it, if it was truly a fgift to you.
I assume you paid gift tax and otherwise have taken responsibility/ownership of this assest?
For legal advice you'd best consult a lawyer. But on the face of it, it is your money to do with as you please.
as Jeanne said, if the 200K was transferred / gifted to you 5 years ago, then it is no longer your mother's $ or asset.
I don't know what your siblings are like, but 200K is enough for someone to challenge you on what mom's intent for use of the $$ is/was. If you should ever apply for Medicaid, they could contact the state and tell them about the $$ too. Could be ugly. I'd see an attorney and use some of the 200K to pay for this.
It's the potential for family friction that could arise from siblings feeling manipulation of intent. 200 large is worth the attorney's cost to get a part of that if they are not all kum-ba-ya on mom's care and living situation.
I was execturix for an aunt who left a very convoluted mess of an estate - lots of people expecting $$ - what I eventually did was to have it so that her estate left the $$ to a university scholar program and a charity. This totally deflated anyone's complaint about where the $$ went too. lmao. You know your family best and whether there would be mendacity and infighting over $$$ or even $. Good luck.
Medicaid will not take your money. You'll spend down to a certain amount required by your state. Then Medicaid will help supplement your mother's income each month to pay the nursing home. Medicaid never takes money, though it will count the money to see if she qualifies. Recovery is not done until after a person dies. There is usually no money if someone was on Medicaid, but there may be property.
You can check with a Medicaid representative if you wonder if something is allowed for spend-down. There is a broad spectrum of expenditures that are allowed -- personal, house, car, health, etc. Clothes should fit in well.
I'm trying to find out about prepaying a funeral for her. We have a plot and headstone because she will be buried next to dad. Mom doesn't want a fancy funeral and has asked me to even just buy a casket on line.
Do I just work with a local funeral home to prepay?? Help!!