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This may be old news to you all but I thought I would share it anyway. I

have a friend that is a Wrap Around TSS and she told me that Social Security

normally will not approve an application for SSI the first or second time

you apply, but if you request a hearing each time you are denied SSI and you

loose, the third time you apply you will most likely get approved. She

sees this repeatedly with her clients. So if any of you have been turned

down---keep trying. I guess they figure people will not reapply and it will

save them money.

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  • 3 weeks later...
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Marcia,

I am a teacher as well and the first time I took my daughter in to apply for

SSI, she did not qualify. She is autistic and has already been diagnosed so I

had all the medical confirmations as well as the school tests to prove her

disability. When my husband lost his job, I went and applied again hoping the

income limits had changed even though the first time it was my gross income

alone that disqualified my daughter. This time, the lady who did the paper work

looked at my gross but took out the insurance and some other things that she

said she can legally take out and this time my daughter qualified! This just

happened last month so maybe you can ask someone at the ssi office about that.

Using my gross income alone would not have helped me but the lady at ssi did

everything she could and that is what helped us. Some SSI employees act as if

the benefits that we are applying for come straight from their pockets and they

do very little to help us. I did not know that they could deduct the insurance

from my gross or I would have told them to do so the first time I applied.

Corina

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Marcia,

I am a teacher as well and the first time I took my daughter in to apply for

SSI, she did not qualify. She is autistic and has already been diagnosed so I

had all the medical confirmations as well as the school tests to prove her

disability. When my husband lost his job, I went and applied again hoping the

income limits had changed even though the first time it was my gross income

alone that disqualified my daughter. This time, the lady who did the paper work

looked at my gross but took out the insurance and some other things that she

said she can legally take out and this time my daughter qualified! This just

happened last month so maybe you can ask someone at the ssi office about that.

Using my gross income alone would not have helped me but the lady at ssi did

everything she could and that is what helped us. Some SSI employees act as if

the benefits that we are applying for come straight from their pockets and they

do very little to help us. I did not know that they could deduct the insurance

from my gross or I would have told them to do so the first time I applied.

Corina

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Marcia,

I am a teacher as well and the first time I took my daughter in to apply for

SSI, she did not qualify. She is autistic and has already been diagnosed so I

had all the medical confirmations as well as the school tests to prove her

disability. When my husband lost his job, I went and applied again hoping the

income limits had changed even though the first time it was my gross income

alone that disqualified my daughter. This time, the lady who did the paper work

looked at my gross but took out the insurance and some other things that she

said she can legally take out and this time my daughter qualified! This just

happened last month so maybe you can ask someone at the ssi office about that.

Using my gross income alone would not have helped me but the lady at ssi did

everything she could and that is what helped us. Some SSI employees act as if

the benefits that we are applying for come straight from their pockets and they

do very little to help us. I did not know that they could deduct the insurance

from my gross or I would have told them to do so the first time I applied.

Corina

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I did give them my check stub. That is what they took a copy of when they put

entered everything into the computer. I told them all I really wanted was help

with medical things not so much the money. They said that if I so much as

qualify for $1.00 my duaghter would automatically get medicaid.

CL

Re: SSI

In a message dated 7/24/2003 11:44:01 AM Central Daylight Time,

elopez@... writes:

> I did not know that they could deduct the insurance from my gross or I

> would have told them to do so the first time I applied.

>

They don't normally do this. The only decutino they are supposed to give you

is one for having another child, but they take your entire gross pay into

account. Probably what will happen is that when you turn in your pay stubs

they

will look at it then and if you make too much money you will not get a check

or

a lower check that month. When we made over 2600 gross per month we would get

a check for 360.00 dollars. if we made 3000 a month ( one time we had three

holidays and a five week pay period and we went over 3000) we got less than

$20. If we make less than 2600 we get 536 a month

SSI goes on a month ot month basis, so if you get a raise or work even a

little overtime your benefits can be reduced. What you earn in July will

determine

what benefit you get for September.

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I did give them my check stub. That is what they took a copy of when they put

entered everything into the computer. I told them all I really wanted was help

with medical things not so much the money. They said that if I so much as

qualify for $1.00 my duaghter would automatically get medicaid.

CL

Re: SSI

In a message dated 7/24/2003 11:44:01 AM Central Daylight Time,

elopez@... writes:

> I did not know that they could deduct the insurance from my gross or I

> would have told them to do so the first time I applied.

>

They don't normally do this. The only decutino they are supposed to give you

is one for having another child, but they take your entire gross pay into

account. Probably what will happen is that when you turn in your pay stubs

they

will look at it then and if you make too much money you will not get a check

or

a lower check that month. When we made over 2600 gross per month we would get

a check for 360.00 dollars. if we made 3000 a month ( one time we had three

holidays and a five week pay period and we went over 3000) we got less than

$20. If we make less than 2600 we get 536 a month

SSI goes on a month ot month basis, so if you get a raise or work even a

little overtime your benefits can be reduced. What you earn in July will

determine

what benefit you get for September.

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re:

My insurance would not evaluate him

> for that because they said school would do it.

>

> Any thoughts?

>

> Thanks,

>

> Marcia

Marcia,

I was told " point blank " by our insurance rep to:

First...go to a child psychologist for an eval...to prove that it's

not just mental but, also medical...you will really need to stress to

the psych how touchy the insurance co is with the " Asperger "

diagnosis...see if you can coax them into writing up a PDD or

Developmental Delay diagnosis

Next...go to a neurologist to prove once again that this is a medical

condition

Once the above is taken care of the insurance company should have no

doubt of mental/medical issues anymore. I was told that our insurance

co would be bound by their policy to provide my son with everything

needed to treat a developmental delay or neurological disorder

Unfortunately I have no advice about co-pays..we are in the same boat

(we have 4 therapy visits a wk that are $30 a pop; not to mention out-

of-pocket therapies). The SSI thing, well a gentleman from this group

emailed me some info...I will forward it on to you. I chose to cancel

my appt because I knew we would be laughed at as well. I am uneasy

about the waiver because if we prove that he needs " nursing home

care " , the govt is on the fence right now concerning this waiver...if

anyone should ever question our parenting I don't want someone to

come in and say, " Well he needs to be in a facility anyway. " Maybe I

am just too untrusty of our govt but, hey, they have given me much

reason to doubt!!

Good luck with everything!

Nikki

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  • 11 months later...
Guest guest

They won't tell you over the phone if your child qualifies. They have to collect all of the info from you and the doctors before they make their decision.

MISSYSAHM to some special kids!!!

All kid's are gifted; some just open their packagesearlier than others.-- Carr

RE: SSI

Sheila,

They base it on household income. You need to call them try . Ask them if you (or your child?) qualifies. If it is for a child it will still be on your and/or spouses income. You can apply for the Medicaid Deeming Waiver even if you don't qualify for SSI. Call GA Dept of Human Resources - DFCS at and ask for a package.

Did your Dr. not give you any information on any of this? I'm sure most of us have been through this and will be more than happy to any your questions.

Darla

-----Original Message-----From: hopeNhealing@... Sent: Sunday, July 04, 2004 1:50 AMTo: autism-georgia Subject: SSIAnybody on here on SSI? How do you qualify? How long does it take toget started?Please let me know.Sheila

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They won't tell you over the phone if your child qualifies. They have to collect all of the info from you and the doctors before they make their decision.

MISSYSAHM to some special kids!!!

All kid's are gifted; some just open their packagesearlier than others.-- Carr

RE: SSI

Sheila,

They base it on household income. You need to call them try . Ask them if you (or your child?) qualifies. If it is for a child it will still be on your and/or spouses income. You can apply for the Medicaid Deeming Waiver even if you don't qualify for SSI. Call GA Dept of Human Resources - DFCS at and ask for a package.

Did your Dr. not give you any information on any of this? I'm sure most of us have been through this and will be more than happy to any your questions.

Darla

-----Original Message-----From: hopeNhealing@... Sent: Sunday, July 04, 2004 1:50 AMTo: autism-georgia Subject: SSIAnybody on here on SSI? How do you qualify? How long does it take toget started?Please let me know.Sheila

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They did disqualify us over the phone due to income restrictions after some pushing. I think if we hadn't been excluded for income we would have had to go down there. However, if I remember correctly, I kept asking them what the income limits were and they wanted to schedule an appoinment. My Babies Can't Wait case worker told us they could tell us if we make too much to qualify. I called them back and said "I DO NOT WANT TO WASTE MY TIME TO GO THERE FOR YOU TO TELL US YOU MAKE TOO MUCH." They asked how much household income and I told them so they said yeah you won't qualify. Then they sent us the "you do not qualify due to income" letter we needed to send in with the Deeming Waiver application for Medicaid.

Hope this clarifies the process I went through. I kind of figured we would be excluded. If you're still in Babies Can't Wait and happen to talk to your case worker, she may know what the income limits are. Won't hurt to ask but I would definately find out before you go on an appointment - Your too busy as it is. Of course, You'd still need to qualify under the disability with the medical records if they can't disqualify you for too much income.

Good Luck!

Darla

-----Original Message-----From: Missy Feldhaus Sent: Sunday, July 04, 2004 3:24 PMTo: autism-georgia Subject: Re: SSI

They won't tell you over the phone if your child qualifies. They have to collect all of the info from you and the doctors before they make their decision.

MISSYSAHM to some special kids!!!

All kid's are gifted; some just open their packagesearlier than others.-- Carr

RE: SSI

Sheila,

They base it on household income. You need to call them try . Ask them if you (or your child?) qualifies. If it is for a child it will still be on your and/or spouses income. You can apply for the Medicaid Deeming Waiver even if you don't qualify for SSI. Call GA Dept of Human Resources - DFCS at and ask for a package.

Did your Dr. not give you any information on any of this? I'm sure most of us have been through this and will be more than happy to any your questions.

Darla

-----Original Message-----From: hopeNhealing@... Sent: Sunday, July 04, 2004 1:50 AMTo: autism-georgia Subject: SSIAnybody on here on SSI? How do you qualify? How long does it take toget started?Please let me know.Sheila

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They did disqualify us over the phone due to income restrictions after some pushing. I think if we hadn't been excluded for income we would have had to go down there. However, if I remember correctly, I kept asking them what the income limits were and they wanted to schedule an appoinment. My Babies Can't Wait case worker told us they could tell us if we make too much to qualify. I called them back and said "I DO NOT WANT TO WASTE MY TIME TO GO THERE FOR YOU TO TELL US YOU MAKE TOO MUCH." They asked how much household income and I told them so they said yeah you won't qualify. Then they sent us the "you do not qualify due to income" letter we needed to send in with the Deeming Waiver application for Medicaid.

Hope this clarifies the process I went through. I kind of figured we would be excluded. If you're still in Babies Can't Wait and happen to talk to your case worker, she may know what the income limits are. Won't hurt to ask but I would definately find out before you go on an appointment - Your too busy as it is. Of course, You'd still need to qualify under the disability with the medical records if they can't disqualify you for too much income.

Good Luck!

Darla

-----Original Message-----From: Missy Feldhaus Sent: Sunday, July 04, 2004 3:24 PMTo: autism-georgia Subject: Re: SSI

They won't tell you over the phone if your child qualifies. They have to collect all of the info from you and the doctors before they make their decision.

MISSYSAHM to some special kids!!!

All kid's are gifted; some just open their packagesearlier than others.-- Carr

RE: SSI

Sheila,

They base it on household income. You need to call them try . Ask them if you (or your child?) qualifies. If it is for a child it will still be on your and/or spouses income. You can apply for the Medicaid Deeming Waiver even if you don't qualify for SSI. Call GA Dept of Human Resources - DFCS at and ask for a package.

Did your Dr. not give you any information on any of this? I'm sure most of us have been through this and will be more than happy to any your questions.

Darla

-----Original Message-----From: hopeNhealing@... Sent: Sunday, July 04, 2004 1:50 AMTo: autism-georgia Subject: SSIAnybody on here on SSI? How do you qualify? How long does it take toget started?Please let me know.Sheila

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They did disqualify us over the phone due to income restrictions after some pushing. I think if we hadn't been excluded for income we would have had to go down there. However, if I remember correctly, I kept asking them what the income limits were and they wanted to schedule an appoinment. My Babies Can't Wait case worker told us they could tell us if we make too much to qualify. I called them back and said "I DO NOT WANT TO WASTE MY TIME TO GO THERE FOR YOU TO TELL US YOU MAKE TOO MUCH." They asked how much household income and I told them so they said yeah you won't qualify. Then they sent us the "you do not qualify due to income" letter we needed to send in with the Deeming Waiver application for Medicaid.

Hope this clarifies the process I went through. I kind of figured we would be excluded. If you're still in Babies Can't Wait and happen to talk to your case worker, she may know what the income limits are. Won't hurt to ask but I would definately find out before you go on an appointment - Your too busy as it is. Of course, You'd still need to qualify under the disability with the medical records if they can't disqualify you for too much income.

Good Luck!

Darla

-----Original Message-----From: Missy Feldhaus Sent: Sunday, July 04, 2004 3:24 PMTo: autism-georgia Subject: Re: SSI

They won't tell you over the phone if your child qualifies. They have to collect all of the info from you and the doctors before they make their decision.

MISSYSAHM to some special kids!!!

All kid's are gifted; some just open their packagesearlier than others.-- Carr

RE: SSI

Sheila,

They base it on household income. You need to call them try . Ask them if you (or your child?) qualifies. If it is for a child it will still be on your and/or spouses income. You can apply for the Medicaid Deeming Waiver even if you don't qualify for SSI. Call GA Dept of Human Resources - DFCS at and ask for a package.

Did your Dr. not give you any information on any of this? I'm sure most of us have been through this and will be more than happy to any your questions.

Darla

-----Original Message-----From: hopeNhealing@... Sent: Sunday, July 04, 2004 1:50 AMTo: autism-georgia Subject: SSIAnybody on here on SSI? How do you qualify? How long does it take toget started?Please let me know.Sheila

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We applied for SSI to get on the Beckett Deeming Waiver and they told us we wouldn't qualify (over the phone)- I didn't even ask them for this information- they asked our income and why we were applying- I answered both questions- they told me the denial letter would be in the mail and we received it within 10 days- I guess it depends on whom you are talking with- like everything else. (that was two years ago)

Thanks

-----Original Message-----From: Darla Birchall Sent: Sunday, July 04, 2004 5:01 PMTo: autism-georgia Subject: RE: SSI

They did disqualify us over the phone due to income restrictions after some pushing. I think if we hadn't been excluded for income we would have had to go down there. However, if I remember correctly, I kept asking them what the income limits were and they wanted to schedule an appoinment. My Babies Can't Wait case worker told us they could tell us if we make too much to qualify. I called them back and said "I DO NOT WANT TO WASTE MY TIME TO GO THERE FOR YOU TO TELL US YOU MAKE TOO MUCH." They asked how much household income and I told them so they said yeah you won't qualify. Then they sent us the "you do not qualify due to income" letter we needed to send in with the Deeming Waiver application for Medicaid.

Hope this clarifies the process I went through. I kind of figured we would be excluded. If you're still in Babies Can't Wait and happen to talk to your case worker, she may know what the income limits are. Won't hurt to ask but I would definately find out before you go on an appointment - Your too busy as it is. Of course, You'd still need to qualify under the disability with the medical records if they can't disqualify you for too much income.

Good Luck!

Darla

-----Original Message-----From: Missy Feldhaus Sent: Sunday, July 04, 2004 3:24 PMTo: autism-georgia Subject: Re: SSI

They won't tell you over the phone if your child qualifies. They have to collect all of the info from you and the doctors before they make their decision.

MISSYSAHM to some special kids!!!

All kid's are gifted; some just open their packagesearlier than others.-- Carr

RE: SSI

Sheila,

They base it on household income. You need to call them try . Ask them if you (or your child?) qualifies. If it is for a child it will still be on your and/or spouses income. You can apply for the Medicaid Deeming Waiver even if you don't qualify for SSI. Call GA Dept of Human Resources - DFCS at and ask for a package.

Did your Dr. not give you any information on any of this? I'm sure most of us have been through this and will be more than happy to any your questions.

Darla

-----Original Message-----From: hopeNhealing@... Sent: Sunday, July 04, 2004 1:50 AMTo: autism-georgia Subject: SSIAnybody on here on SSI? How do you qualify? How long does it take toget started?Please let me know.Sheila

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Sheila:

Call the Social Security Administration on the phone. They will let you apply by phone (and send

a confirming written application in the mail). We did not qualify for SSI because my income is too

high, but we had to be rejected for SSI to get Deeming Waiver benefits (medicaid that covers what

insurance won't). Good luck!

hopeNhealing@...

07/04/2004 01:49 AM

Please respond to autism-georgia

To: autism-georgia

cc:

Subject: SSI

Anybody on here on SSI? How do you qualify? How long does it take to

get started?

Please let me know.

Sheila

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Sheila:

Call the Social Security Administration on the phone. They will let you apply by phone (and send

a confirming written application in the mail). We did not qualify for SSI because my income is too

high, but we had to be rejected for SSI to get Deeming Waiver benefits (medicaid that covers what

insurance won't). Good luck!

hopeNhealing@...

07/04/2004 01:49 AM

Please respond to autism-georgia

To: autism-georgia

cc:

Subject: SSI

Anybody on here on SSI? How do you qualify? How long does it take to

get started?

Please let me know.

Sheila

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Just wanted to comment on this message, . I have heard of folks being told by DFACS workers that , unless you have gone through the SSI process and been turned down , that you do not qualify for the Deeming Waiver . I wanted to let everyone know that it is not necessary to actually go through the entire SSI application process and be turned down in writing from SSI to get the Deeming Waiver. Many DFACs workers are misinformed and do not actually know what the regulations of the KB or the Right From the Start ( which is what we have ) are and , unfortunately, have been misinforming parents. You can tell DFACS that you know that you would be turned down for SSI if you were to apply and give them your salary information. There has been some confusion on this issue from some members of this group before and I want to make sure that everyone has the correct information. I really hate for folks to think they have to go through the entire SSI application process and be turned down because that process can take months and will

delay the appropriate medical care for the child. In the step-by-step application process for this waiver ( which you can find on the GA-ParentNetwork ), the wording is " SSI eligibility is determined using deemed income and resources of the parent( s) or by obtaining

an SSI denial letter " , Bowen

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