Difference between revisions of "Josh/Medicaid"

From HypertWiki
Jump to navigation Jump to search
(updates: denial, and our responses to the March paperwork request)
(update on the denial)
Line 5: Line 5:
[[Image:2008-06-05 Medicaid denied - back.web.png|350px]]
[[Image:2008-06-05 Medicaid denied - back.web.png|350px]]


Basically, they're claiming we didn't send them the stuff we sent them.
Basically, they're claiming we didn't send them the stuff we sent them. The ''real reason'' for the denial (and for the irrelevance of many of the questions asked by the Medicaid office, below), however, is that we should have been applying via NC Health Choice for Children, not Medicaid; see [[htyp:Medicaid/NC|here]].


Does anyone know '''what document''' is being referred to by "The state regulations regarding this action are found in <u>2000 / 2300</u>"?
Does anyone know '''what document''' is being referred to by "The state regulations regarding this action are found in <u>2000 / 2300</u>"?

Revision as of 11:28, 11 June 2008

Denial

Click either image for a larger version:

2008-06-05 Medicaid denied.web.png 2008-06-05 Medicaid denied - back.web.png

Basically, they're claiming we didn't send them the stuff we sent them. The real reason for the denial (and for the irrelevance of many of the questions asked by the Medicaid office, below), however, is that we should have been applying via NC Health Choice for Children, not Medicaid; see here.

Does anyone know what document is being referred to by "The state regulations regarding this action are found in 2000 / 2300"?

Earlier Paperwork

This was the earlier request for paperwork, which came in the mail back in March:

Click thumbnail below for larger image:

2008-03-14 Josh Medicaid request for information.web.png

Basically, it asked for the following:

  • FL-2 completed by doctor - done (note: it's a triplicate carbonless-copy form not available online)
  • Proof of income for Josh for the months of Jan - Josh is a nonverbal autistic minor with no income
  • Bank account numbers or statement(s) showing balance for the months of Jan for Josh - We were told to substitute one of Sandy's bank statements, since Josh has no bank accounts
  • Bank Consent form / Release of Information forms signed by Josh - Josh has no bank accounts
  • Life insurance policies or the name of the insurance companies and policy numbers for Josh - Josh has no insurance
  • Apply for Social Security Disability for Josh 1 800 772 1213 - we applied for this in Feb. 2007, and submitted proof that we had applied
  • Health insurance card or the name of the company and policy number - Josh has no insurance
  • Proof of Citizenship and identity for Josh - we included a copy of his birth certificate
  • Proof of State Residence for Josh - we included copies of two items addressed to Josh
  • We were told that in the absence of any employment, Sandy could provide a copy of her most recent bank statement as evidence of income
  • We were told that the
  • How can we get copies of a life insurance policy for someone with no life insurance?
  • We applied for social security disability for Josh, but he didn't qualify because Sandy has too much money in her emergency stash (we probably wouldn't have been able to get the mortgage if she hadn't had them, but they won't count the debt on the mortgage against the emergency stash)

General note: nobody has any business requiring Josh to sign anything, as he is nonverbal and wouldn't understand what he is signing.