Guest guest Posted April 27, 2000 Report Share Posted April 27, 2000 Sara, I think that would be a great resource! NY has the waiver, but I had to find this out the long hard way. It took over three years before anyone told me that Seth could be on a waiver. I sure hope a response comes in from every state so it can help anyone who doesn't know. Heaven knows most agencies don't know or don't volunteer any information like this. Seems you have to know what to get, or you go without. Great idea! Gail Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2000 Report Share Posted April 28, 2000 I will let you know just how easy or hard the Medicaid waiver is to get as I have just requested the forms from our Regional Center person. She didn't seem to think there would be a problem. She did say it was a mountain of paperwork, but thought Tanner would qualify (we're in CA, the waiver is based on child's income). I don't know that we'll ever use it, but I want to have it for backup. She did say Tanner would need a " billable service " to qualify. This could be camp, respite services, or medical supplies Jill Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2000 Report Share Posted April 30, 2000 Glenn, I think that is what our service coordinator called what Seth is on. I will ask her next time I see her. Everything you explained, is what she explained. I just say Medicaid, but there is probably much more too it than that, I'm sure. I know that they have been a great help and I am certainly glad I found it! Also, like you said, it took a long time a lots of digging. We are now BLESSED with a great service coordinator that is on top of things and does all the research for me. Hurrah!!!!!! Gail Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2000 Report Share Posted April 30, 2000 Glenn That is exactly what our son is on. The HBCS waiver also has an equipment budget available and even pays a portion of our sons summer camp(this is based on the money that is not being used for Residential Habilitation- in home services). We receive 15 hours per week in Residential Habilitation to address our sons daily living skills as well as implementing his in home ABA program. Where in New York are you located? Thanks for the wonderful web sites! MaRILYN Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2000 Report Share Posted July 13, 2000 I don't know about voluntarily paying, but I do know that they can't bill you if you are on Medicaid. I had a run in when had heart surgery. The xray place said they did an xray in bed (which I don't remember them doing and I was there the whole time, but that's another story), my primary insurance provider (Champus through the Navy - we were divorced at the time) said it was a duplicate of services and refused to pay. They tried to get me to go through Champus to make them pay, and I wouldn't so they started billing me. I sent in 's medicaid number three times and they kept billing me. They finally sent me to a collection agency (over $30!), and when he wrote I told them the same thing and told them if they wanted 's medicaid number to ask the secretary, because I had already given it to her 3 times. I never heard from them again. Sorry for rambling, school is not going well today, and I guess I'm practicing a little avoidance behavior of my own. It took AN HOUR to write 3 sets of cc's (cursive) and 3 sets of ca good enough for me to accept (in the lines and legible). Loriann Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2000 Report Share Posted July 13, 2000 Yes, when we were making the appt for JJ psych he did not take CHAMPUS or MediCal. For the same reason your sited, and this is CA. The way we got around it was CHAMPUS is our primary so it worked out for us. It soulds crazy-a dr. won't take cold hard cash. Some people we know have gotten around this by just saying that they have no insurance. I wouldnt do that but.... & Garry, parents of (9 ds), (8 ds/g-tube), JJ (6 ds/autism/celiac), (5 ds), and Esther (3 ds). All adopted. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2000 Report Share Posted July 13, 2000 Kara: That's ridiculous! You can go to whoever you want to as long as they TAKE Medicaid.....sometimes, we use doc's that are NOT taking Medicaid, but we also have my husband's Prudential PPO insurance......do you have other insurance? Search around more........you'll find someone.... Congrats on getting approved......now the search for GETTING someone to PERFORM the services!!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2000 Report Share Posted July 13, 2000 I do know that it works that way for those with medicare. If a doc does not accept medicare, and you go anyway and pay cash, THEY can loose big time. When you ask for " help " it is sad, but many times the help you get is not what you think. It sucks. S ________________________________________________________________ YOU'RE PAYING TOO MUCH FOR THE INTERNET! Juno now offers FREE Internet Access! Try it today - there's no risk! For your FREE software, visit: http://dl.www.juno.com/get/tagj. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2000 Report Share Posted July 14, 2000 lori, it might have taken AN HOUR, but at least he's able to write c's and cursive at that...... lots of downs kids his age arent even writing at all!!!!!!!!!! he seems like he's doing pretty good, maybe its time to play hookie or be tardy at school today....... lmao even if its in your own home...lololeah take care Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2000 Report Share Posted July 16, 2000 I am all for doing that. Does anyone know about going to another state and paying cash - what are the rules then? Jen's doc is in ND, and I have no problem paying him. Kara At 12:55 PM 7/13/2000 -0800, you wrote: >Yes, when we were making the appt for JJ psych he did not take CHAMPUS or >MediCal. For the same reason your sited, and this is CA. The way we got >around it was CHAMPUS is our primary so it worked out for us. It soulds >crazy-a dr. won't take cold hard cash. > >Some people we know have gotten around this by just saying that they have no >insurance. I wouldnt do that but.... > > > & Garry, parents of (9 ds), (8 ds/g-tube), JJ (6 >ds/autism/celiac), (5 ds), and Esther (3 ds). All adopted. > >------------------------------------------------------------------------ >Get a NextCard Visa, in 30 seconds! >1. Fill in the brief application >2. Receive approval decision within 30 seconds >3. Get rates as low as 2.9% Intro or 9.9% Fixed APR >1/6628/13/_/691668/_/963522030/ >------------------------------------------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2000 Report Share Posted July 16, 2000 No. The crappy insurance (cheapest we found) at school runs +$200 month for just Mark and I, so we dropped it after we found out that we qualified for the compete medicaid. I am worried now about losing my doc in ND. I drive Jen to see him once a year, but they are not an " Iowa " provider. Although they try to submit it, I don't think they will go though the paperwork to become one. My other daughter and I went there a few weeks ago when we were in ND for a wedding and both thought we had strep. I gave them her card, and they didn't blink. This is the first time we used medicaid there (had other insurance before). I just don't think the people accepting the cards realize the state-to-state issues. Anyway, I hope they don't figue it out before August, and say I can't see him. I am willing to pay to see a good doc - that's what Jen's SSI is for. Kara At 10:05 PM 7/13/2000 EDT, you wrote: >Kara: > >That's ridiculous! You can go to whoever you want to as long as they TAKE >Medicaid.....sometimes, we use doc's that are NOT taking Medicaid, but we >also have my husband's Prudential PPO insurance......do you have other >insurance? Search around more........you'll find someone.... > >Congrats on getting approved......now the search for GETTING someone to >PERFORM the services!!! > > > >------------------------------------------------------------------------ >Get a NextCard Visa, in 30 seconds! >1. Fill in the brief application >2. Receive approval decision within 30 seconds >3. Get rates as low as 2.9% Intro or 9.9% Fixed APR >1/6631/13/_/691668/_/963541983/ >------------------------------------------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 20, 2000 Report Share Posted July 20, 2000 if you are in iowa, the best places one can go especially with medicaid is UIHC, they will even pick you and your child up per van since she has medcaid, weve been going there for a good 8.5 years now and have little3 complaints, other than a few minor changes, we also have BCBS and since nathan has the mr waiver he quaalifies for medcaid too, they usually go through insurance first then medacaid, and the hospital has everything one needs, from a complete ds clinic to dentists and oto,opt, cardio, psych, oh they have a wonderful biobehavioral management team there, i could go on they cover everything and are a medcaid university hospital, they have helped us and ofcourse nathan many times. there are still few probs i have with the place but they are minor to the care they have and still do provide for nathan. shawna. >From: kawetzel@... >Reply-egroups >egroups >Subject: Re: Re: Medicaid >Date: Sun, 16 Jul 2000 13:34:47 -0500 > >No. The crappy insurance (cheapest we found) at school runs +$200 month >for just Mark and I, so we dropped it after we found out that we qualified >for the compete medicaid. > >I am worried now about losing my doc in ND. I drive Jen to see him once a >year, but they are not an " Iowa " provider. Although they try to submit it, >I don't think they will go though the paperwork to become one. My other >daughter and I went there a few weeks ago when we were in ND for a wedding >and both thought we had strep. I gave them her card, and they didn't >blink. This is the first time we used medicaid there (had other insurance >before). I just don't think the people accepting the cards realize the >state-to-state issues. Anyway, I hope they don't figue it out before >August, and say I can't see him. I am willing to pay to see a good doc - >that's what Jen's SSI is for. > >Kara > > > >At 10:05 PM 7/13/2000 EDT, you wrote: > >Kara: > > > >That's ridiculous! You can go to whoever you want to as long as they >TAKE > >Medicaid.....sometimes, we use doc's that are NOT taking Medicaid, but we > >also have my husband's Prudential PPO insurance......do you have other > >insurance? Search around more........you'll find someone.... > > > >Congrats on getting approved......now the search for GETTING someone to > >PERFORM the services!!! > > > > > > > >------------------------------------------------------------------------ > >Get a NextCard Visa, in 30 seconds! > >1. Fill in the brief application > >2. Receive approval decision within 30 seconds > >3. Get rates as low as 2.9% Intro or 9.9% Fixed APR > >1/6631/13/_/691668/_/963541983/ > >------------------------------------------------------------------------ > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 25, 2003 Report Share Posted April 25, 2003 Hi , I'm so sorry to read this. I know you have been trying to have a CI for some time now. Hopefully, you will find some help somewhere. I can only imagine how disappointed you are right now. Alice --- Robb <TazLovesTweety99@...> wrote: > Hello! I have been quiet for quite awhile. I am very > depressed, I just found out that Medicaid in > Washington State has cut off the benefits of > obtaining a cochlear implant. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2003 Report Share Posted September 1, 2003 Dora, As you know that the Medicaid doesn't always pay the Cochlear Implant, but I was one of the forunately to get it covered 20% as well as my primary insurance, Medicare paid 80%. I had to fight with IHC Access on the Mediciad program for one year with help from Disability Law Center in Salt Lake City. They have been extremely helpful. However, Until May 2002, I discovered that I have Medicare that I was told from my phyisican's office that I thanked them for informing me. If I hadn't know therefore I will have a long battle over it then right after, I called the DLC and urged them to try to negoitate with Medicaid to see if they can pay 20% then we won the case. It didn't happened until October 25, 2002 then I was scheduled for CI surgrey two weeks later. What's a great blessings. Battling with insurances can be pain of neck, but it's worth to fight it. Smile, Dana Brower N24C/3G 11/2002 CI activation 12/2002 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 2, 2003 Report Share Posted September 2, 2003 Medicaid paid for all of mine. I thought it was a law. I have been told they can not turn it down. My doctor did all the paper work so I don't know for sure. Just that it was all paid for. Phyllis Re: Medicaid Dora, As you know that the Medicaid doesn't always pay the Cochlear Implant, but I was one of the forunately to get it covered 20% as well as my primary insurance, Medicare paid 80%. I had to fight with IHC Access on the Mediciad program for one year with help from Disability Law Center in Salt Lake City. They have been extremely helpful. However, Until May 2002, I discovered that I have Medicare that I was told from my phyisican's office that I thanked them for informing me. If I hadn't know therefore I will have a long battle over it then right after, I called the DLC and urged them to try to negoitate with Medicaid to see if they can pay 20% then we won the case. It didn't happened until October 25, 2002 then I was scheduled for CI surgrey two weeks later. What's a great blessings. Battling with insurances can be pain of neck, but it's worth to fight it. Smile, Dana Brower N24C/3G 11/2002 CI activation 12/2002 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2005 Report Share Posted January 13, 2005 As far as I know, Medicaid will pay for 1 speech and 1 OT segment per week. If your child needs more, you have to get special permission...more forms to fill out, but provider does that. If you give the school permission to bill Medicaid, it will not affect the amount of services you get privately. They've changed that part. good luck! In a message dated 1/13/2005 4:09:43 AM Eastern Standard Time, autism writes: Date: Wed, 12 Jan 2005 23:18:35 -0500 From: "Jim s" <jgs3@...>Subject: MedicaidHello, Now that we have killed enough trees for the forms and copies we needed toget approved for the Deeming Waiver, how in the world do you use the system?We have found Medicaid therapy provider but we are really confused aboutlimits. Case worker from DFACS says "we only qualify candidates, don't knowabout billing". Provider says 2 OT and 1 speech segment a week.Provider's billing agent says opposite, 2 SP and 1 OT per week (withoutprior written preapproval). School sends us a form says "we want to tapinto some of that Medicaid too". Provider freaks out and says "but we won'tget paid"!Can anybody point me to an authoritative reference [maybe even on the web]that can help me with Medicaid limits? Thanks in advance for your help.Best Regards,Jim Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2005 Report Share Posted January 13, 2005 Jim: The Parent to Parent web site has a great description of the Medicaid programs on the " Roadmap to Services " section. Maybe the answers to your questions can be found there. I do know that I have been told NOT to provide my child's Medicaid information to his school. They have their own funds to pay for your child's needs, and I don't think you're required to give it to them. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2005 Report Share Posted January 13, 2005 I am not sure where you got this information but Medicaid does not just pay for 1 and 1. I had 4 ST’s per week for a year then 3 and now 2 respectively. OT was 3 then 2 then 1 as well. It is based on need for one. I was told by a BCW person that Medicaid paid for 10 ST’s per month back in 2001. Now they have switched out to shorter segments (30 minutes instead of 45”) that was not smart since the ST’s can now book 2 patients per hour (and noone ever even gets their full 30 minutes) and it ends up costing Medicaid more. I am not at all sure who is running the administrative office there. I was called by my daughter’s case worker to ask for more information and she said on the answering machine she does not even have a number to call to question what “they” want. Terry poling Medicaid Hello, Now that we have killed enough trees for the forms and copies we needed to get approved for the Deeming Waiver, how in the world do you use the system? We have found Medicaid therapy provider but we are really confused about limits. Case worker from DFACS says " we only qualify candidates, don't know about billing " . Provider says 2 OT and 1 speech segment a week. Provider's billing agent says opposite, 2 SP and 1 OT per week (without prior written preapproval). School sends us a form says " we want to tap into some of that Medicaid too " . Provider freaks out and says " but we won't get paid " ! Can anybody point me to an authoritative reference [maybe even on the web] that can help me with Medicaid limits? Thanks in advance for your help. Best Regards, Jim Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 3, 2005 Report Share Posted March 3, 2005 Hi, Medicaid does not usually pay for the MGB. ;-( In the past we just turned those people away to other surgeons and other surgery. We have been trying to come up with solutions for this issue. For patients that can't have the MGB (the best), but do have insurance coverage for an RNY We do offer an RNY using the skills we have learned from the MGB. We don't like it much, but feel that our experience with ~3,000 patients make us as good or better choice than other RNY surgeons. (See for example, the state of Washington's 2/100 30 day death rates after RNY...) Sorry. DrR Medicaid Is anyone aware of anyone having this type of surgery and Medicaid paying for it? I have a client who is on disabiity and wishes to have this surgery and the only way she can do it is if Medicaid pays. Thanks for any info you can provide. S. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2007 Report Share Posted January 13, 2007 A person with a disability that qualifies for HBWD would be an excellent canidate for a benefits analysis through the Work Incentives Planning and Assistance program. Please contact us and we can go over how employment affect all kinds of benefits. My contact information is .Lawrence@... and my telephone number is 312-814-8660. Thank you Lawrenceellenbronfeld <egskb@...> wrote: There is also a new program called HBWD, Health Benefits for Workers with Disabilities. It was designed to help people with disabilities work and still retain full medicaid health care benefits. This program is available in Illinois and 28 other states. The individual would likely be required to pay a small premium ($1-100 per month)You can download an application by going to: http://www.hbwdillinois.com/application.htmlIt is administered by the Dept. of Healthcare and Family Services and you can probably find that website and get more info.Ellen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2007 Report Share Posted January 13, 2007 Hi , I'm so glad you jumped into this discussion with us! Everyone, is scheduled to be our Ask the Experts guest in April, but since these questions have popped up now...., would you mind giving the group a little overview of who you are, your program/project and of the kinds of questions you can answer? You'll be a terrific resource for the group. Thanks again for joining in. Laurie --- Original Message ----- From: Lawrence IPADDUnite Sent: Saturday, January 13, 2007 10:29 AM Subject: Re: Medicaid A person with a disability that qualifies for HBWD would be an excellent canidate for a benefits analysis through the Work Incentives Planning and Assistance program. Please contact us and we can go over how employment affect all kinds of benefits. My contact information is .Lawrenceillinois (DOT) gov and my telephone number is 312-814-8660. Thank you Lawrenceellenbronfeld <egskbsbcglobal (DOT) net> wrote: There is also a new program called HBWD, Health Benefits for Workers with Disabilities. It was designed to help people with disabilities work and still retain full medicaid health care benefits. This program is available in Illinois and 28 other states. The individual would likely be required to pay a small premium ($1-100 per month)You can download an application by going to: http://www.hbwdillinois.com/application.htmlIt is administered by the Dept. of Healthcare and Family Services and you can probably find that website and get more info.Ellen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2007 Report Share Posted January 15, 2007 Hi Ellen, If you can keep your "adult child" on yours or your husbands health insurance, would you need this? My son is under my insurance with Medicare 2nd and Medicaid 3rd. Can I keep it this way, I pay a higher premium, but the coverage is good. Kayellenbronfeld <egskb@...> wrote: There is also a new program called HBWD, Health Benefits for Workers with Disabilities. It was designed to help people with disabilities work and still retain full medicaid health care benefits. This program is available in Illinois and 28 other states. The individual would likely be required to pay a small premium ($1-100 per month)You can download an application by going to: http://www.hbwdillinois.com/application.htmlIt is administered by the Dept. of Healthcare and Family Services and you can probably find that website and get more info.Ellen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2007 Report Share Posted January 15, 2007 My son has Medicare as his primary and my insurance as secondary insurance. That is what my company insists on. > There is also a new program called HBWD, Health Benefits for Workers > with Disabilities. It was designed to help people with disabilities > work and still retain full medicaid health care benefits. This program > is available in Illinois and 28 other states. The individual would > likely be required to pay a small premium ($1-100 per month) > You can download an application by going to: > http://www.hbwdillinois.com/application.html > It is administered by the Dept. of Healthcare and Family Services and > you can probably find that website and get more info. > Ellen > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2007 Report Share Posted January 16, 2007 Laurie, Do you or anyone know of a person who would be willing to speak at Fox Valley Special Recreation in Aurora, on Wed Jan 17 from 7:00 to about 8:30 re:autism, behavior modifications, communication. The speaker scheduled had a family emergency. If you know of anyone. Please call me on my cell 847-204-8344 Thanks, Richter Advocates Network Re: Medicaid A person with a disability that qualifies for HBWD would be an excellent canidate for a benefits analysis through the Work Incentives Planning and Assistance program. Please contact us and we can go over how employment affect all kinds of benefits. My contact information is .Lawrenceillinois (DOT) gov and my telephone number is 312-814-8660. Thank you Lawrenceellenbronfeld <egskbsbcglobal (DOT) net> wrote: There is also a new program called HBWD, Health Benefits for Workers with Disabilities. It was designed to help people with disabilities work and still retain full medicaid health care benefits. This program is available in Illinois and 28 other states. The individual would likely be required to pay a small premium ($1-100 per month)You can download an application by going to: http://www.hbwdillinois.com/application.htmlIt is administered by the Dept. of Healthcare and Family Services and you can probably find that website and get more info.Ellen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2007 Report Share Posted January 16, 2007 : I forwarded your request to Kris sen from Have Dreams. I know she is doing a Teacch seminar today and I do not know whether she would be available to do this, but you don't know unless you ask! Good luck. Ellen Ellen Garber Bronfeldegskb@... Re: Medicaid A person with a disability that qualifies for HBWD would be an excellent canidate for a benefits analysis through the Work Incentives Planning and Assistance program. Please contact us and we can go over how employment affect all kinds of benefits. My contact information is .Lawrenceillinois (DOT) gov and my telephone number is 312-814-8660. Thank you Lawrenceellenbronfeld <egskbsbcglobal (DOT) net> wrote: There is also a new program called HBWD, Health Benefits for Workers with Disabilities. It was designed to help people with disabilities work and still retain full medicaid health care benefits. This program is available in Illinois and 28 other states. The individual would likely be required to pay a small premium ($1-100 per month)You can download an application by going to: http://www.hbwdillinois.com/application.htmlIt is administered by the Dept. of Healthcare and Family Services and you can probably find that website and get more info.Ellen Quote Link to comment Share on other sites More sharing options...
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