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Another source of paying for care and medications is the lawsuit, (if there is one,) if you were not at fault in the car accident. Receipt of income from a lawsuit can render one ineligible for Medicaid for a time, imo. Your attorney should know.
We need more information from MJP1958.
I really am concerned for patients who cannot get their medications and timely.
The scrutiny on pain meds is so grueling that (just guessing here) maybe the powers that be decided your time is up receiving pain meds for your condition and the doctor, the pharmacy, and insurance has decided to cut you off.
I was thinking this before I read your comment. Medicaid has your bank info and can look at your acct anytime. If she got a settlement, it would effect her Medicaid. But then, I would think a letter would be sent to her saying that. Not leave her flat.
Hoping the OP returns to clarify.... She did not receive a letter?
MJP1958 says on her profile: About Me For 60 years old Im in good shape except for a car accident in March that may need me to get a hip replacement. My medicaid was dropped. I never recieved a letter in the mail and now Im just worried as hell. I need the help. I have depression, axnsiity, just hurting and cant get my meds now.
She had to received something to say she was dropped. My nephew gets a pkt every Oct to fill out by Nov 3oth. Within a couple of weeks he receives a letter saying he has been OKd another year. I am assuming, she received a letter telling her they didn't receive her pkt and that because of that, she no longer has Medicaid.
Medicaid here comes from the Social Service agency. I guess by letter you mean your yearly recertification. Call the person who signed the letter you just received. Tell them you never received recertification info. They may allow you to fill out now.
Assuming that your doctor has approved the medication for you, and assuming the pharmacy had processed the claim to Medicaid, YES, as Ali has said, appearing to the Department of Health and Human Services will quickly get you the answers as to why you were dropped, a print out of your coverage now, and help to file an appeal. In that case, you will not need to call the doctor first.
If the imediate need is getting your meds in time, (so as not to be in withdrawal), can the pharmacy just bill the Medicare Part D? Assuming you have Medicare.
Today is Thursday, go in about one hour before the DHHS closes, today, now. Even with anxiety, you can do this.
Go in to your local Department of Health & Human Services. You could call first, but experience tells me that going in will yield a better result. Take documents with you that determine eligibility for Medicaid, such as Social Security card, current lease, utility bills, and bank statements for the previous 6 months.
You missed a letter, I'm thinking, for your re-de, or redetermination. Since they didn't redetermine you to be eligible, you are discontinued.
It's a pretty straightforward fix -- if that's all it is due to, that you missed a re-de letter -- and there is also retroactive payment for appointments in my experience. I'm not sure if medicine costs would be reimbursed or not. This is something you could ask in person when you meet with a case worker.
There are lots of proper American posters on this forum who really do know Medicaid inside out. I expect they will have a number of questions for you but there will be good answers.
Your profile says you were sent a letter but didn't receive it in time; so I'm guessing that you've been taken off Medicaid because you didn't reply to some critical form or other. If you had received the letter, would you have been okay with whatever the form was? How did you find out that you had been removed from Medicaid approval? What conversations have you had with anyone about it?
I'm sorry I can't be more help, sit tight just for a little while...
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.
We need more information from MJP1958.
I really am concerned for patients who cannot get their medications and timely.
The scrutiny on pain meds is so grueling that (just guessing here) maybe the powers that be decided your time is up receiving pain meds for your condition
and the doctor, the pharmacy, and insurance has decided to cut you off.
Is your current address up to date?
Thought the same thing about address.
She did not receive a letter?
MJP1958 says on her profile:
About Me
For 60 years old Im in good shape except for a car accident in March that may need me to get a hip replacement. My medicaid was dropped. I never recieved a letter in the mail and now Im just worried as hell. I need the help. I have depression, axnsiity, just hurting and cant get my meds now.
If the imediate need is getting your meds in time, (so as not to be in withdrawal),
can the pharmacy just bill the Medicare Part D? Assuming you have Medicare.
Today is Thursday, go in about one hour before the DHHS closes, today, now.
Even with anxiety, you can do this.
You missed a letter, I'm thinking, for your re-de, or redetermination. Since they didn't redetermine you to be eligible, you are discontinued.
It's a pretty straightforward fix -- if that's all it is due to, that you missed a re-de letter -- and there is also retroactive payment for appointments in my experience. I'm not sure if medicine costs would be reimbursed or not. This is something you could ask in person when you meet with a case worker.
In what way did you discover you were dropped?
There are posters who know about Medicaid, so Countrymouse is correct, don't panic, and sit tight.
Plan to make some important phone calls, and obtain documentation necessary to make an appeal.
Call your doctor about your medication issues, maybe they can help.
Doctors can access the insurance coverage and print that out.
Hoping this is all a mistake that can be solved by re-submitting Rx through the pharmacy.
There are lots of proper American posters on this forum who really do know Medicaid inside out. I expect they will have a number of questions for you but there will be good answers.
Your profile says you were sent a letter but didn't receive it in time; so I'm guessing that you've been taken off Medicaid because you didn't reply to some critical form or other. If you had received the letter, would you have been okay with whatever the form was? How did you find out that you had been removed from Medicaid approval? What conversations have you had with anyone about it?
I'm sorry I can't be more help, sit tight just for a little while...