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Getting representative payee status for sister with Alzheimer's - did we miss anything with Social Security?

My older sister (62) was diagnosed with early-onset Alzheimer's and vascular dementia last month. We're trying to get everything organized while she's still able to participate in decisions. Last week, we went on ssa.gov where she designated me as #1 and her husband as #2 for 'advance designation' (thought this was the right approach). When we called SSA to confirm yesterday, the agent told us that wasn't sufficient and asked my sister several questions about her condition. They said it would take about 8 weeks to process everything to make me her representative payee. I handle all her medical appointments, medication management, and financial tracking since her husband is honestly overwhelmed and has stepped back from managing these aspects. She wants to ensure I can communicate with Social Security on her behalf and make necessary decisions as her condition progresses. Does anyone know if there are additional steps we need to take with Social Security specifically? Do we need any additional documentation beyond what we've already submitted? Do I need a power of attorney in addition to representative payee status? This feels like such a maze to navigate, and I want to make sure we're not missing anything critical. Thanks for any advice!

CosmicCadet

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ur gonna need more than just the rep payee stuff. my mom had dementia and we found out rep payee only covers the SS benefits themselves, not all the other decisions. get a POA ASAP while she can still sign it!!! we waited too long and ended up in court for guardianship which was $$$$$

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Omar Farouk

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Oh no, that's exactly what I was worried about. We definitely don't want to end up in court! Do you know if a general POA is sufficient or do we need something specific for Social Security matters?

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Chloe Harris

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You're on the right track, but there are several important distinctions to understand here: 1. Advance Designation: This allows beneficiaries to choose who would manage their benefits IF they need a representative payee in the future, but doesn't actually establish the payee relationship. 2. Representative Payee: This is what the SSA is setting up for you now - the authority to receive and manage your sister's Social Security payments specifically. 3. Power of Attorney: This is SEPARATE from SSA processes and handled through legal channels. A POA would give you broader authority beyond just Social Security matters. The SSA will likely require medical documentation confirming your sister's diagnosis and potential incapacity to manage her own benefits. They'll also evaluate your suitability as payee. I'd recommend: - Following up with SSA after 4 weeks if you haven't heard anything - Working with an elder law attorney on POA and possibly a healthcare directive - Keeping detailed records of all her financial matters - Having her husband provide a written statement supporting your appointment as representative payee

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Omar Farouk

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Thank you so much for breaking this down! I didn't realize these were completely separate processes. I'll call an elder law attorney this week to get the POA process started. Should I also be getting some kind of documentation from her doctors specifically for the SSA representative payee application?

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Diego Mendoza

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My husband tried calling social security for 3 WEEKS about something like this for his mom!!! Always busy signals or waiting for hours just to get disconnected!!! So frustrating!!!

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Sean Flanagan

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I'm going through almost the EXACT same situation with my brother who has early dementia!! The SSA representative payee process is totally separate from legal authority!!! I found out the hard way that even though I was his rep payee, I couldn't handle his Medicare appeals or enrollment decisions. VERY IMPORTANT: get separate POA documents for healthcare and financial matters ASAP while she still has legal capacity!!! Once that window closes, you're looking at guardianship court which is expensive and time-consuming. Also make sure you have access to ALL her accounts since rep payee only covers the SS payment itself.

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Omar Farouk

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This is so helpful, thank you! Did you use a special lawyer for the POA documents or just a general practice attorney? I didn't even think about the Medicare aspects - that's really important since she'll need that coverage.

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Zara Shah

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my neighbor went thru this. get the poa while your sister can still sign it. also you need to know that being a rep payee means u have to keep REALLY good records. ss can audit you and make you prove how you spent every penny of her benefits. my neighbor got in trouble because she didnt keep good enough records.

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NebulaNomad

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This is correct. As a representative payee, you'll need to complete an annual Representative Payee Report (Form SSA-623) detailing how benefits were used. The SSA categorizes acceptable spending as: food, housing, medical care, personal care, clothing, and utilities. Keep receipts and maintain a dedicated bank account for these funds - this is actually required by SSA regulations. Any benefits not needed for current maintenance should be conserved/saved, preferably in an interest-bearing account or U.S. Savings Bonds. Misuse of funds can result in termination of your status as representative payee and potential legal consequences.

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Chloe Harris

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One critical point that hasn't been mentioned: the Representative Payee status does NOT transfer any legal authority to make decisions about her Social Security benefits beyond receiving and allocating the payments. You still cannot make application changes, address updates, or handle other administrative matters without additional legal authority. Prior to her condition progressing further, make sure you address: 1. Durable Financial Power of Attorney (specifically one that includes government benefits management) 2. Medical Power of Attorney 3. HIPAA Authorization forms for all her doctors 4. Advanced Medical Directive/Living Will Also, once you're established as her representative payee, request a "Representative Payee Accounting Guide" from SSA which explains exactly what records you need to maintain. You'll be required to file an annual accounting showing how benefits were used.

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Omar Farouk

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This is extremely helpful - I had no idea the representative payee status was so limited! I'll get started on these other documents right away. Is there a specific SSA form I should be asking about to verify my status once the 8 weeks processing time is up?

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Chloe Harris

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Yes, once processing is complete, you should receive a formal notice titled "Notice of Representative Payee Status" that confirms your appointment. If you don't receive this after the 8-week timeframe, call SSA and request confirmation of your status and ask specifically about Form SSA-11 (Request to be Selected as Payee) which is the application form they process. Also request they send you the "Guide for Representative Payees" booklet which explains all your responsibilities in detail.

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Diego Mendoza

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my mil has dementia and we found out too late that SS isnt the only thing to worry about!! make sure u get her bank accounts sorted too!! we couldnt access anything even tho we had rep payee and it was a NIGHTMARE

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Omar Farouk

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Oh that's a really good point I hadn't considered. I should probably get added to her accounts while she can still authorize that. This is getting more complicated than I expected.

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Zara Shah

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dont forget about the spending requirements! my cousin was rep payee for her mom and she got in trouble for using the money wrong. u gotta spend it only on your sister and keep all the receipts!

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NebulaNomad

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This is absolutely correct. The SSA has very specific guidelines for how benefits can be used by a representative payee. The order of priority is: 1. Current basic needs (food, shelter, clothing, medical care) 2. Dental care, rehabilitation expenses, and special needs 3. Personal comfort items and recreation needs 4. Savings for future needs Anything that doesn't directly benefit the beneficiary could be considered misuse. Common mistakes include combining funds with your own money, using funds for shared household expenses without clear allocation, or making purchases that primarily benefit someone else. Best practice is maintaining a separate dedicated account solely for her benefits.

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