JASA Guardianship SW
Medicarepart b
( medical insurance) Cover visiting doctor ambulance services,
PPO plans, or "Preferred Provider Organization"
* are one of the most popular types of plans in the Individual and Family market. *PPO plans allow you to visit whatever in-network physician or healthcare provider you wish without first requiring a referral from a primary care physician.
(MLTC) Manage Long term Care
****individuals are required to enroll in an MLTC plan if they: Have Medicare and Medicaid; Need 4+ months (120+ days) of long term care services; Are age 21 or older; AND Live in a New York State county where MLTC has been rolled out. All New York State counties are scheduled to roll out MLTC by the end of 2015
What you need for IM Grant
*Lease *Rent ledger *Court order *Psych report *Income or award letter *** if there is a pay stub you must turn in pay stub with the grant before the pay period in they will not be able to process it without it
Reverse Mortgage
*type of home loan for older homeowners that requires no monthly mortgage payments. *defer payment of the loan until they die, sell, or move out of the home. The homeowner is still responsible for paying property taxes, paying homeowner's insurance, and maintaining and repairing the home. If not, your loan becomes due.
Reverse Mortgage has to be pay when
, your loan must be paid off when you die, move out permanently, or live someplace else for more than 12 months.
Medicare assignment
Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services.
termination of guardianship
At the termination of the guardianship the guardian must file a final report which summarizes all of the activities of the guardian for the entire length of the guardianship.
Welfare fraud consequences
The punishment for welfare fraud varies from state to state. The fraudulent party has to repay the amount falsely received as well as fines and interest charges. If the welfare fraud has been going on for several years, every state includes a prison term in the punishment.
Social security credit
4 credits every year 1 additional one after 42 years old .
SSI Supplementary security income
65 or older , blind or disabled If you are age 18 or older we may consider you "disabled" if you have a medically determinable physical or mental impairment (including an emotional or learning problem) which:
Certificate of disposition
A document that shows client past charges and pending status To get this document you need ID Court docket number
Guardian visits
A guardian must visit the incapacitated person at least four times per year.
Why guardianship
When an adult cannot manage his own affars with regarda to matter of property , health care, or social services needs because of a physical or mental impairment. Article 81 of the mental hygene law of new york enables interested parties to petion the court for guardian position.
Statutory living will
A statutory will is a simple, standardized document that often includes fill-in blanks and check-mark boxes for information such as the name of the person drafting the will, the names of beneficiaries, the name of the executor or personal representative, and the amounts of any bequests, or gifts made to beneficiaries. There are also spaces toward the bottom of the document for the names, addresses and signatures of witnesses, as well as for the signature of the person drafting the wi
Allegedly Incapacitated Person AIP
is the person who the petitioner believes needs a guardian. This person is sometimes called "the AIP" by court personnel. The person is called "allegedly" incapacitated because a judge has not yet decided whether the person really is in need of a guardian.
Difference between SSI And SDI
The main difference between Social Security Disability (SSD, or SSDI) and Supplemental Security Income (SSI) is the fact that SSD is available to workers who have accumulated a sufficient number of work credits, while SSI disability benefits are available to low-income individuals who have either never worked or who haven't earned enough work credits to qualify for SSD.
Supplemental Security Income is a program that is strictly need-based,
meaning it has nothing to do with work history, but strictly with financial need. To meet the SSI income requirements, you must have less than $2,000 in assets (or $3,000 for a couple) and a very limited income.
SSI disability -
must not be able to do any substantial work and disability last for 12 months in a row or resume in deaths
Who qualifies for Medicaid
Adults (not pregnant) and aged 19-64, not eligible for Medicare; Pregnant Women and Infants; Children ages 1 - 18; and Parents and Caretaker Relatives
How to make referrals
All referals must originate from HRA protective services . The program Could not take direct referals from The community or the courts
How to determine subject in sentence
Ask the question who or what
Why clients are not allowed to have Credit card
Because it can potentially affect your Social security which could lead to garnishment
Guardianship court hearing
Bring court order Psych report Case planner ( inform client of court hearing ).
Nyc Food stamp card
Can be use for Medicaid snap benifits and temporary assistance
HDC preparation
Case worker must prepare client for appointment . If client is absent they must provide written approval to do cleaning in absence .
When making home visits
Check stove , lights , water , closet for clothes , refrigerator , for repairs . Ask how clients spend there day ,hobbies
Supportive housing
Client needs current Psch eval competed within last 6 months current physocial assessments as well as HRA 2010e application
Complex sentence
Contain independent and dependent clause Ex .Although she completed her literature review, she still needed to work on her methods section. Ex. Because he organized his sources by theme, it was easier for his readers to follow.
What JASA guardians can do ( m.a.p.a.e
Marshal assets Act as fiduciary by paying bills , distributing funds for daily needs Provide case managenent Apply for benifits and entitlements , as, Medicaid , food stamps , rent exemptions Engage counsel to institute legal action with regard of propety and landlord tenant issues
PRI PAtient review instrument
Medical evaluation that identifies whether patient is eligible for skilled nursing care placement
Medicare part A
Medicare covers services (like lab tests, surgeries, and doctor visits) and supplies (like wheelchairs and walkers) considered medically necessary to treat a disease or condition. What it covers Hospital care Skilled nursing facility care Nursing home care (as long as custodial care isn't the only care you need) Hospice Home health services
Public assistance
Eligible families may receive up to 60 months of federally funded cash assistance under the Temporary Aid to Needy Families Program (TANF). Single individuals without children and families who have already received cash assistance for 60 months may receive benefits under the New York State Safety Net Program.
Petty cash 100 dollars
Emergency situations Bring recites Petty cash reimbursed daily ( 9-11 4-5 pm
When doing initial assement topics to Cover
Family Social Health Finiacial Wills Problems / services needed
HMO insurance Health Maintenance Organization
HMOs are networks of healthcare providers who have agreed to provide their services at lower prices negotiated by an insurance company. must designate a provider as their primary care physician *To see specialists, patients must obtain referrals from their PCP Out-of-network providers are not covered
Housing preservation And development
HPD may prohibit family members who participated in or were responsible for the action or failure to act from living in your subsidized unit.
Reimbursement for third parties
Have them get copy of recite once you have it do a check Request for the amount they spent . The process will take 3-5 days for the money to be process
What does MLTC cover
Home care Home-delivered meals, congregate meals Medical equipment, durable medical equipment, eyeglasses, and hearing aids Certain home modifications Non-emergency medical transportation Podiatry, audiology, dentistry, and optometry Nursing home care Care manager o Note that some MLTC beneficiaries have had trouble accessing their care manager. Individuals
What is hospice care?
Hospice focuses on caring, not curing iininmost cases care is provided in the patient's home. Hospice care is covered under Medicare, Medicaid, most private insurance plans, HMOs, and other managed care organizations.
Tenant based section 8 ( how to loose it ) HAP Housing Assistance Payments
If the family currently owes rent or other amounts to the Housing Authority or to another Housing Authority in connection with Section 8 or public housing assistance under the 1937 Act.
Making decisions for client
If ward can not communicate look to see if there is a living will or health care proxy.
Differences between Medicare and Medicaid
Medicare is a federal program that provides health coverage if you are 65 or older or have a severe disability, no matter your income. Patients pay part of costs through deductibles for hospital and other costs. Small monthly premiums are required for non-hospital coverage. Medicaid is a state and federal program that provides health coverage if you have a very low income. Medicaid is an assistance program. It serves low-income people of every age. Patients usually pay no part of costs for covered medical expenses.
Medicare
Medicare is not income-based.
Complete sentences
Needs subject and verb .
What is medicare
In general, all persons 65 years of age or older who have been legal residents of the United States for at least 5 years are eligible for Medicare. People with disabilities under 65 may also be eligible if they receive Social Security Disability Insurance (SSDI) benefits. Specific medical conditions may also help people become eligible to enroll in Medicare.
What does Medicaid cover
Inpatient hospital care Doctors services Outpatient hospital or clinic care Lab and X-ray services Short-term skilled nursing, rehab and home health care Ambulance service Pediatric care Some Medicaid programs may also cover other medical care such as prescriptions, vision and dental care.
Heavy Duty cleaning 3 levels ( light cleaning , medium cleaning , heavy cleaning .
Light - newspapers , durt dust , books bottles Medium - human or animal waste , festering garabge , dead mice , grese cover walls Heavy- use of one twenty yard dumpster , clothing , mattres, broken applisnces , rugs that are urine and feces soak
My landlord wants to evict me. Can he lock me out of my home?
No. It is illegal for a landlord to lockout a tenant (renter), remove a tenant's belongings, cut off utilities (such as water or electricity), or remove outside windows or doors in order to force a tenant to leave. When a landlord wants to evict a tenant, the landlord must go through the court eviction process. A tenant can stay in the home until the end of the court eviction process. If the tenant loses the eviction case, the Sheriff will come to the tenant's home and put a "Notice to Vacate" on the home. This notice gives the tenant at least 5 days to move out. If the tenant does not move out by the date on the Notice to Vacate, the Sheriff will come back and lock the tenant out of the home.
Dependent clause
Not a complete sentence . Ex Although I like spaghetti,... Because he reads many books,...
Reverse Mortgage Borrower has died
Notice of demise for reverse mortage Servicers use a number of resources to find out that a borrower has died. These include the Social Security death index, proprietary databases and annual occupancy letters that typically are sent to reverse mortgage borrowers. "If they don't get the letter of occupancy back or property taxes or insurance aren't paid, they start doing the next steps: contacting an alternate contact, searching other records or sending someone out to inspect the property and see if someone is living in the house," Paterson says.
How to loose Medicaid
Over 15000 dollars in account SSI 2000 You earn too much You are no longer pregnant You are no longer under a certain age You inherit, win or are given assets that change your financial status You fail to report a household change like getting married or adopting/having a child -
Medicare part D
Part D is provided only through private insurance companies that have contracts with the government—it is never provided
Medicare part d
Pays for prescription drugs
People who Has had SSDI for two years are eligible for Medicare regardless age
People who Has had SSDI for two years are eligible for Medicare regardless age
When do SSI stop
People who live in city or county rest homes, halfway houses, jails, prisons or other public institutions, usually can't get SSI. There are exceptions:
Progress Notes
Progress Notes are the part of a medical record where healthcare professionals record details to document a patient's clinical status or achievements during the course of a hospitalization or over the course of outpatient care.[
documents you need for SCRIE
Proof of age * income or award letter * lease * prior and current lease *
2 types of guardianship under article 81 ( property management and personal needs
Property management - power to manage finances Has power to make personal care decisions .
Rep payee
Rep-payeeship ONLY applies to social security funds (SSDI or SSI), NOT to food stamps, work income or any other money or benefit. You are NOT required to turn over your food stamps, money earned at work or any other income to a representative payee. Their only authority is over your Social Security funds.
Court examiner
Reviews reports , not able to offer legal advice
APS visits
SW was inform By APS worker patrica that APS continues to make visits until the court order becomes permanent
What is the SEPS Rent Supplement Program
Special Exit and Prevention Supplement (SEPS) Program can help eligible individual adults and adult families (families without children) at risk of entry to shelter and those already in shelter to secure permanent housing. The number of households that can be approved to receive the SEPS Rent Supplement will be limited due to available funding. Potentially eligible individual adults and adult families will be connected with SEPS providers (community-based organizations), which will assist the household in completing an application and locating housing.
Check request
Take two business days to process All recites submitted every Friday
Tenancy at Will
Tenancy at will, also known as estate at will, is a tenancy agreement where a tenant occupies property with the consent of the owner but without an agreement that specifies a definite rental period or the regular payment of rent. Read more: Tenancy At Will Definition | Investopedia http://www.investopedia.com/terms/t/tenancy-at-will.asp#ixzz4amdzkPJD Follow us: Investopedia on Facebook
TYPES OF SECTION 8 ASSISTANCE
Tenant-Based and Project-Based. Tenant-Based Section 8 means that the tenant is approved for a subsidy or grant in the form of a voucher (known as a Section 8 voucher or Housing Choice Voucher), and must rent an apartment or home on the private housing market. In Project-Based Section 8, the subsidy is paid for a specific apartment within a building, instead of being paid for the tenant. As in Tenant-Based Section 8, tenants still have
SSDI SSDI candidates must be younger than 65 and have earned a certain number of "work credits
The amount that each recipient receives monthly is based upon an average of past earnings * an individual must have worked five out of the ten years prior to becoming disabled. The least number of quarters of coverage, or work credits, an individual needs to be fully insured is six.
Disadvantage of reverse mortgages
The rising loan balance can eventually grow to exceed the value of the home, particularly in times of declining home values or if the borrower continues to live in the home for many years
Eviction process
To begin eviction proceedings, the landlord must file a petition with either the district court or housing court of the county in which the rental property is located. The court will assign a time and date for a hearing before a judge and will notify the tenant. If the tenant wishes to challenge the eviction,
APS joint visits they do not meet with clients in Nursing homes or institutions
Transportation in NH is only provided to another medical facility not courts or anywhere that not medical .
SSDI Social security disability insurance
Unlike Supplemental Security Income (SSI), SSD does not depend on the income of the disabled individual receiving it. A legitimately disabled person (a finding based on legal and medical justification) of any income level can theoretically receive SSD. ("Disability" under SSDI is measured by a different standard than under the Americans with Disabilities Act.)
Public assistance
Usually activated within 45 days application is revieved Take care food and shelter
SSDI application
Usually take 90 to 120!days to complete
Start up duties for guardian
Visit at least once Determine what service or programs client needs
Health care proxy
We are not allowed to sign health care proxy unless we have major medical powers . We do two doctor call where two doctors decide for client .
Welfare fraud
Welfare fraud means someone receives benefits he or she is not entitled to by lying about eligibility
Qualify for Medicare
Work for at least 10 years = 40 years Us citenzen for at least five years and 65 Government employee Qualify for SSDI for full 24 months
Judges law clerk
Works with the judge on judges cases . Ask them Questions in judges absence if you need help. When contact law clerk look for client index number located on all legal papers
To prepare for court
Write down bills that are being paid plus how much Why we are guardian What are we doing for client plus notes Plus powers that you have in court order
How to be eligible for both Medicare and Medicaid
Yes--if you're eligible for both programs, you're known as a "dual eligible" beneficiary. Generally, individuals who are eligible for both programs are older or disabled (or both) and need help paying their Medicare costs because they have very low incomes.
When should I ask for palliative care?
You can have it at any age and any stage of an illness, but early in your illness is recommended.
If client has Medicare
You can look st monthly bill to see when they visit psych or med doctor and it also lists contact address and sometimes doctor that was seen
Medicare part C
allows private health insurance companies to provide Medicare benefits. These Medicare private health plans, such as HMOs and PPOs, are known as Medicare Advantage Plans.
Health care proxy
allows you to appoint a person you trust as your healthcare agent (or surrogate decision maker), who is authorized to make medical decisions on your behalf. JASA does Not take part or sign Health Care Proxy
Court evaluator
can be a lawyer, social worker, nurse, or another professional who is familiar with the particular condition of the person who needs a guardian. The Court Evaluator is sometimes called the "eyes and ears" of the judge—his or her job usually ends at the time a guardian is appointed.
The Disability Rent Increase Exemption (DRIE
is an exemption against future rent increases for eligible disabled persons living in rent-controlled, rent-stabilized, Mitchell-Lama and other eligible apartments. Landlords of DRIE tenants will receive tax credits to make up the difference between the frozen rent
What does the palliative care team do?
is specialized medical care that focuses on providing relief from the symptoms and stress of a serious illness. It is provided by a specially-trained team of doctors, nurses and other specialists who work together with your other doctors to provide an extra layer of support. The goal is to improve your quality of life. * they help you better understand diagnoses *help you clarify treatment goals and options
Nyc grant one shot
one-time emergency grant, called a "One Shot", when an unforeseen circumstance prevents the applicant from meeting an expense. An applicant must meet eligibility guidelines and is subject to investigative review of the application. Emergency grant applicants may obtain help for: You are eligible to receive only ONE emergency grant/one shot deal per year and in some instances you may be required to pay back your emergency grant within 12 months. Rental assistance in cases of impending evictions Assistance with home energy and utility bills Disaster assistance including moving expenses Purchase of personal items for health and safety
The Senior Citizen Rent Increase Exemption (SCRIE, also known as the NYC Rent Freeze Program
order to satisfy the income eligibility requirement, the senior's household income must be $50,000 or less. Eligibility for SCRIE if you are a senior residing in a rent stabilized building Eligibility for SCRIE if you are a senior residing in a Mitchell-Lama or any other (non-rent stabilized) government-regulated development
Who Needs a Representative Payee?
recipients of disability benefits are required to have a Social Security representative payee: minors adults declared legally incompetent, andadults who have drug or alcohol problems.
Tenant based section 8 duties
report and document members of the household and income changes. In the event that they fail to do so, and their income has increased, the PHA or the landlord/owner will make tenant pay back any extra rent paid on their behalf. Sometimes the added payments may become unmanageable, and the tenant may be unable to afford the added payments and the ongoing rent at the same time. A tenant's failure to make the added payments and/or current rent may be grounds for eviction and/or the loss of that tenant's Section 8 vouch
SSDI ( lawyer representive)
representative may decline to represent you if, after reviewing your situation, they do not believe you are likely to meet the requirements for SSDI. Most representatives will provide this screening at no cost to you. Typical reasons individuals do not meet the requirements are: their disability is not severe enough or the applicant does not have a sufficient work history (and did not pay enough into FICA - the
subsidized housing,
the housing authority is not your landlord. Subsidized housing is owned and operated by private owners who receive subsidies in exchange for renting to low- and moderate-income people. Owners may be individual landlords or for-profit or nonprofit corporations.
public housing,
the housing authority owns your building and is your landlord. They were established by state law to provide affordable housing for low-income people.
Petitioner
the person who starts the guardianship process by asking the court to appoint a guardian for someone else. A petitioner can be a relative or friend of a vulnerable person, or an institution like a hospital, nursing home, or Adult Protective Services. The petitioner must be able to prove that a guardian is needed. Petitioners often ask a medical expert to offer information that shows the vulnerability of the person who needs a guardian.
Process of eviction
the tenant does not fix the violation within the ten-day period, the landlord must then give the tenant a notice of termination. The notice of termination must state that the tenant has at least 30 days to move out of the rental unit. If the tenant has not moved out of the rental unit by the end of the 30 days, the landlord can then file an eviction lawsuit with the court
Medicare doesn't cover home health aide
unless you're also getting skilled care such as nursing care or other physical therapy,
Medicaid surplus
your monthly income is over the Medicaid level, you may still be able to get help with your medical bills. The amount your income is over the Medicaid level is called excess income. If you are eligible for Medicaid except for having excess income and you can show that you have medical bills equal to your excess income in a particular month, Medicaid will pay your additional medical bills beyond that for the rest of that month.
