Re: Managed Care Questions: NonParticipating MDs writing scripts, will Medicaid Pay?

[Guest guest]

.M.@...

Pam

Re: A funny thing (kind of) happened at the Dr's office

Open Question... With the " proposed " managed care... If the M.D. is not

participating, will his/her Rxs be covered by Medicaid, as they are now, for

non-Medicaid M.D.s? We may be changing to a psychiatrist who does not take

Medicaid and we will private pay. The Rxs will still be covered by Medicaid.

However, I can't get a " straight " answer on if under the Quinn proposed Managed

Care if the result will be the same. Paying privately for M.D. for med

management is one thing, paying privately for meds is another story.

Rubin

The Law Offices of

Rubin & Associates

(E) @...

(W) www.Rubin.com

(O) 847-279-7999

(F) 847-279-0090

Member by invitation of SNA, Special Needs Alliance

(www.specialneedsalliance.org), the national, non-profit association of

experienced " Special Needs Planning " Attorneys (member of the SNA Board of

Directors), as well as a member of NAELA, the National Academy of Elder Law

Attorneys (www.NAELA.org), and serves on NAELA's Special Needs Law Steering

Committee.

Rubin has been awarded the dale Hubbell Peer Review Rating of AV

Preeminent (www.martindale.com).

PLEASE NOTE:

BRIAN RUBIN IS NOT IN HIS OFFICE. THIS MESSAGE WAS SENT FROM HIS BLACKBERRY.

The information contained in this transmission is privileged, confidential, and

intended only for the use of the individual or entity named above. If you are

not the intended recipient, you are hereby notified that any disclosure,

copying, distribution, or the taking of any action in reliance on the contents

of this transmission is strictly prohibited. If you received this transmission

in error, please notify Rubin by email, delete the message, and destroy

and/or deleté the original message and all copies. This message is not intended

or written to be used, and may not be used, for the purpose of avoiding any

penalties which may be imposed by the I.R.S.

[Guest guest]

.M.@...

Pam

Re: A funny thing (kind of) happened at the Dr's office

Open Question... With the " proposed " managed care... If the M.D. is not

participating, will his/her Rxs be covered by Medicaid, as they are now, for

non-Medicaid M.D.s? We may be changing to a psychiatrist who does not take

Medicaid and we will private pay. The Rxs will still be covered by Medicaid.

However, I can't get a " straight " answer on if under the Quinn proposed Managed

Care if the result will be the same. Paying privately for M.D. for med

management is one thing, paying privately for meds is another story.

Rubin

The Law Offices of

Rubin & Associates

(E) @...

(W) www.Rubin.com

(O) 847-279-7999

(F) 847-279-0090

Member by invitation of SNA, Special Needs Alliance

(www.specialneedsalliance.org), the national, non-profit association of

experienced " Special Needs Planning " Attorneys (member of the SNA Board of

Directors), as well as a member of NAELA, the National Academy of Elder Law

Attorneys (www.NAELA.org), and serves on NAELA's Special Needs Law Steering

Committee.

Rubin has been awarded the dale Hubbell Peer Review Rating of AV

Preeminent (www.martindale.com).

PLEASE NOTE:

BRIAN RUBIN IS NOT IN HIS OFFICE. THIS MESSAGE WAS SENT FROM HIS BLACKBERRY.

The information contained in this transmission is privileged, confidential, and

intended only for the use of the individual or entity named above. If you are

not the intended recipient, you are hereby notified that any disclosure,

copying, distribution, or the taking of any action in reliance on the contents

of this transmission is strictly prohibited. If you received this transmission

in error, please notify Rubin by email, delete the message, and destroy

and/or deleté the original message and all copies. This message is not intended

or written to be used, and may not be used, for the purpose of avoiding any

penalties which may be imposed by the I.R.S.

[Guest guest]

Laurie,

I think it is time have another Ask the Expert.

Marie

>

> To whom could we best forward these questions to for answers? Or for advocacy

if the answers have not yet been worked out?

>

> If either Ellen or or others know, pls share it and I will begin

forwarding these questions on to the appropriate people and ask for answers.

>

> Thanks.

> L.

>

[Guest guest]

Laurie,

I think it is time have another Ask the Expert.

Marie

>

> To whom could we best forward these questions to for answers? Or for advocacy

if the answers have not yet been worked out?

>

> If either Ellen or or others know, pls share it and I will begin

forwarding these questions on to the appropriate people and ask for answers.

>

> Thanks.

> L.

>

[Guest guest]

Thanks Pam and . (and Marie, Ellen, and all)

Pam, let's remind folks of the www.IllinoisITeam.com website you, Gordon and

Ellen recently created, and that one of your core focus areas is the proposed

Managed Care/Integrated Care initiative. Perhaps you could explain a little

more in depth what people can get from the site and whether they can post

commentary or questions there.

And , please remind us why you are seeing Jim this week? Is it a

public event? What is his role in the managed care project, and would you

recommend IPADD members save his email address and send him

questions/suggestions directly? Or are there meetings set up already for him to

get input? If I'm forgetting details you've already shared, forgive me.

Thanks,

Laurie

From: pam_harris@...

Sent: Sunday, March 28, 2010 1:14 PM

IPADDUnite

Subject: Re: Managed Care Questions: NonParticipating MDs writing

scripts, will Medicaid Pay?

.M.@...

Pam

Re: A funny thing (kind of) happened at the Dr's office

Open Question... With the " proposed " managed care... If the M.D. is not

participating, will his/her Rxs be covered by Medicaid, as they are now, for

non-Medicaid M.D.s? We may be changing to a psychiatrist who does not take

Medicaid and we will private pay. The Rxs will still be covered by Medicaid.

However, I can't get a " straight " answer on if under the Quinn proposed Managed

Care if the result will be the same. Paying privately for M.D. for med

management is one thing, paying privately for meds is another story.

Rubin

The Law Offices of

Rubin & Associates

(E) @...

(W) www.Rubin.com

(O) 847-279-7999

(F) 847-279-0090

Member by invitation of SNA, Special Needs Alliance

(www.specialneedsalliance.org), the national, non-profit association of

experienced " Special Needs Planning " Attorneys (member of the SNA Board of

Directors), as well as a member of NAELA, the National Academy of Elder Law

Attorneys (www.NAELA.org), and serves on NAELA's Special Needs Law Steering

Committee.

Rubin has been awarded the dale Hubbell Peer Review Rating of AV

Preeminent (www.martindale.com).

PLEASE NOTE:

BRIAN RUBIN IS NOT IN HIS OFFICE. THIS MESSAGE WAS SENT FROM HIS BLACKBERRY.

The information contained in this transmission is privileged, confidential, and

intended only for the use of the individual or entity named above. If you are

not the intended recipient, you are hereby notified that any disclosure,

copying, distribution, or the taking of any action in reliance on the contents

of this transmission is strictly prohibited. If you received this transmission

in error, please notify Rubin by email, delete the message, and destroy

and/or deleté the original message and all copies. This message is not intended

or written to be used, and may not be used, for the purpose of avoiding any

penalties which may be imposed by the I.R.S.

[Guest guest]

Thanks Pam and . (and Marie, Ellen, and all)

Pam, let's remind folks of the www.IllinoisITeam.com website you, Gordon and

Ellen recently created, and that one of your core focus areas is the proposed

Managed Care/Integrated Care initiative. Perhaps you could explain a little

more in depth what people can get from the site and whether they can post

commentary or questions there.

And , please remind us why you are seeing Jim this week? Is it a

public event? What is his role in the managed care project, and would you

recommend IPADD members save his email address and send him

questions/suggestions directly? Or are there meetings set up already for him to

get input? If I'm forgetting details you've already shared, forgive me.

Thanks,

Laurie

From: pam_harris@...

Sent: Sunday, March 28, 2010 1:14 PM

IPADDUnite

Subject: Re: Managed Care Questions: NonParticipating MDs writing

scripts, will Medicaid Pay?

.M.@...

Pam

Re: A funny thing (kind of) happened at the Dr's office

Open Question... With the " proposed " managed care... If the M.D. is not

participating, will his/her Rxs be covered by Medicaid, as they are now, for

non-Medicaid M.D.s? We may be changing to a psychiatrist who does not take

Medicaid and we will private pay. The Rxs will still be covered by Medicaid.

However, I can't get a " straight " answer on if under the Quinn proposed Managed

Care if the result will be the same. Paying privately for M.D. for med

management is one thing, paying privately for meds is another story.

Rubin

The Law Offices of

Rubin & Associates

(E) @...

(W) www.Rubin.com

(O) 847-279-7999

(F) 847-279-0090

Member by invitation of SNA, Special Needs Alliance

(www.specialneedsalliance.org), the national, non-profit association of

experienced " Special Needs Planning " Attorneys (member of the SNA Board of

Directors), as well as a member of NAELA, the National Academy of Elder Law

Attorneys (www.NAELA.org), and serves on NAELA's Special Needs Law Steering

Committee.

Rubin has been awarded the dale Hubbell Peer Review Rating of AV

Preeminent (www.martindale.com).

PLEASE NOTE:

BRIAN RUBIN IS NOT IN HIS OFFICE. THIS MESSAGE WAS SENT FROM HIS BLACKBERRY.

The information contained in this transmission is privileged, confidential, and

intended only for the use of the individual or entity named above. If you are

not the intended recipient, you are hereby notified that any disclosure,

copying, distribution, or the taking of any action in reliance on the contents

of this transmission is strictly prohibited. If you received this transmission

in error, please notify Rubin by email, delete the message, and destroy

and/or deleté the original message and all copies. This message is not intended

or written to be used, and may not be used, for the purpose of avoiding any

penalties which may be imposed by the I.R.S.

[Guest guest]

Because I testified at the hearing on HB 5086 to slow down the Phase 2 and Phase

3 of the Managed Care Pilot until they had more information, and knew where they

were going; I became the family representative. I was Invited to go to a

meeting with Jim and discuss concerns of parents. I have a list that I

have gathered from things asked on IPADD, and would be glad to add to it. We

may get better answers if I hand it to him personally, and ask the questions

face to face. That way I can explain not only the questions, but why we as

parents are concerned about certain aspects of this pilot.

Definitely keep Jim s e-mail address, and feel free to ask him questions.

It is his job to " work out the kinks " as we go along.

Re: A funny thing (kind of) happened at the Dr's office

Open Question... With the " proposed " managed care... If the M.D. is not

participating, will his/her Rxs be covered by Medicaid, as they are now, for

non-Medicaid M.D.s? We may be changing to a psychiatrist who does not take

Medicaid and we will private pay. The Rxs will still be covered by Medicaid.

However, I can't get a " straight " answer on if under the Quinn proposed Managed

Care if the result will be the same. Paying privately for M.D. for med

management is one thing, paying privately for meds is another story.

Rubin

The Law Offices of

Rubin & Associates

(E) @...

(W) www.Rubin.com

(O) 847-279-7999

(F) 847-279-0090

Member by invitation of SNA, Special Needs Alliance

(www.specialneedsalliance.org), the national, non-profit association of

experienced " Special Needs Planning " Attorneys (member of the SNA Board of

Directors), as well as a member of NAELA, the National Academy of Elder Law

Attorneys (www.NAELA.org), and serves on NAELA's Special Needs Law Steering

Committee.

Rubin has been awarded the dale Hubbell Peer Review Rating of AV

Preeminent (www.martindale.com).

PLEASE NOTE:

BRIAN RUBIN IS NOT IN HIS OFFICE. THIS MESSAGE WAS SENT FROM HIS BLACKBERRY.

The information contained in this transmission is privileged, confidential,

and intended only for the use of the individual or entity named above. If you

are not the intended recipient, you are hereby notified that any disclosure,

copying, distribution, or the taking of any action in reliance on the contents

of this transmission is strictly prohibited. If you received this transmission

in error, please notify Rubin by email, delete the message, and destroy

and/or deleté the original message and all copies. This message is not intended

or written to be used, and may not be used, for the purpose of avoiding any

penalties which may be imposed by the I.R.S.

[Guest guest]

Because I testified at the hearing on HB 5086 to slow down the Phase 2 and Phase

3 of the Managed Care Pilot until they had more information, and knew where they

were going; I became the family representative. I was Invited to go to a

meeting with Jim and discuss concerns of parents. I have a list that I

have gathered from things asked on IPADD, and would be glad to add to it. We

may get better answers if I hand it to him personally, and ask the questions

face to face. That way I can explain not only the questions, but why we as

parents are concerned about certain aspects of this pilot.

Definitely keep Jim s e-mail address, and feel free to ask him questions.

It is his job to " work out the kinks " as we go along.

Re: A funny thing (kind of) happened at the Dr's office

Open Question... With the " proposed " managed care... If the M.D. is not

participating, will his/her Rxs be covered by Medicaid, as they are now, for

non-Medicaid M.D.s? We may be changing to a psychiatrist who does not take

Medicaid and we will private pay. The Rxs will still be covered by Medicaid.

However, I can't get a " straight " answer on if under the Quinn proposed Managed

Care if the result will be the same. Paying privately for M.D. for med

management is one thing, paying privately for meds is another story.

Rubin

The Law Offices of

Rubin & Associates

(E) @...

(W) www.Rubin.com

(O) 847-279-7999

(F) 847-279-0090

Member by invitation of SNA, Special Needs Alliance

(www.specialneedsalliance.org), the national, non-profit association of

experienced " Special Needs Planning " Attorneys (member of the SNA Board of

Directors), as well as a member of NAELA, the National Academy of Elder Law

Attorneys (www.NAELA.org), and serves on NAELA's Special Needs Law Steering

Committee.

Rubin has been awarded the dale Hubbell Peer Review Rating of AV

Preeminent (www.martindale.com).

PLEASE NOTE:

BRIAN RUBIN IS NOT IN HIS OFFICE. THIS MESSAGE WAS SENT FROM HIS BLACKBERRY.

The information contained in this transmission is privileged, confidential,

and intended only for the use of the individual or entity named above. If you

are not the intended recipient, you are hereby notified that any disclosure,

copying, distribution, or the taking of any action in reliance on the contents

of this transmission is strictly prohibited. If you received this transmission

in error, please notify Rubin by email, delete the message, and destroy

and/or deleté the original message and all copies. This message is not intended

or written to be used, and may not be used, for the purpose of avoiding any

penalties which may be imposed by the I.R.S.