Currently in Medicaid pending nursing home and want to transfer to a better place. How can I check on progress and see if anything is holding up the process?
You didn't mention who prepared and filed the Application for Medicaid, so it's not clear from your question whether you are "in the loop" with the Application Process.
When MassHealth sends out a Request for Information, the Notice lists the name and phone number of the case worker assigned to the case. That is the person you need to help in every way possible to help process and complete the case.
When preparing a Medicaid Long Term Care Application, I include all the relevant financial data and information that a case worker will need to approve the Application. I use color coded categories for the financial accounts and statements, so the case worker can easily find what they need to grant approval.
I always include the family member who is in charge of the case on the list of people with Permission to Share Information, so they get copies of the MassHealth Notices.
If you are not getting copies of the Notices, ask whoever prepared the application to prepare and submit a PSI, so that you can keep track of what's going on.
If you explain your experience to your friends, they may remember the value of professional application preparation if a family member needs Medicaid care in the future.
Anything insurance related, esp if it's going to be expensive--IMHO, the slower the most common.
I had chemotherapy ending 3 months ago. Started July 1st. My insurance has paid only for the 'cheap' drugs that made up my chemo infusion. They had dodged, lied, denied, and put so many roadblocks in the way that I am crazy mad at them--they owe this money and they KNOW it--now it is supposedly in a "review board". 7 months going on and they refuse to pay-one thing after another. I don't expect they will pay anything for at least 2 more months when our attorney will be brought in.
I just kept calling each week---until they finally blocked me with the 'review board' thing. They actually sent me a document somewhere along the line that I had to sign stating that my cancer was not caused by a car accident.
Just unbelievable.
I would think a Medicaid eligibility would be as hard and as frustrating, nobody wants to part with their money.
Did the Nursing Home do the paperwork? If so ask them to find out what the holdup is. If they can't give u an answer call then call Medicaid.
I applied for Medicaid in NJ for my Mom. I had 90days to provide all paperwork, spend down and place Mom in LTC. Mom was placed on May 1st, private pay May and June. I kept in touch with her caseworker to make sure he received everything I emailed. When I had completed my check list I confirmed I had done that. Then he put in for Moms Medicaid to start July 1st, which it did.
Our Medicaid application is being handled by a lawyer who is supposed to be experienced in these applications. My sister owns 1/3 of a house which the family is trying to sell. Could this be a factor in the slow process? She is also very young, only 63.
It’s not likely a factor in why it’s taking so long but if the house is sold, 1/3 of the proceeds go to your sister and must be reported to Medicaid & the money will have to be spent on her care. Also Because she’s 1 of 3 owners, Medicaid may treat this different and it may not be an exempt asset. She’s not sole or joint owner of the house.
Owning 1/3 of the home really doesn't effect the application because ur allowed to own a home. I would ask the lawyer what is the hold up. Like I said earlier in my state I had 90days to get everything together once I started the application. See what you can do to speed up the process. I did all the footwork.
If the house is not sold while the person is in care, then a lean will be put on it at their passing. At that time, someone in the family will fill out paperwork proving that others own the home. It all depends on the situation at that time to how the house will be handled.
When MassHealth sends out a Request for Information, the Notice lists the name and phone number of the case worker assigned to the case. That is the person you need to help in every way possible to help process and complete the case.
When preparing a Medicaid Long Term Care Application, I include all the relevant financial data and information that a case worker will need to approve the Application. I use color coded categories for the financial accounts and statements, so the case worker can easily find what they need to grant approval.
I always include the family member who is in charge of the case on the list of people with Permission to Share Information, so they get copies of the MassHealth Notices.
If you are not getting copies of the Notices, ask whoever prepared the application to prepare and submit a PSI, so that you can keep track of what's going on.
If you explain your experience to your friends, they may remember the value of professional application preparation if a family member needs Medicaid care in the future.
I had chemotherapy ending 3 months ago. Started July 1st. My insurance has paid only for the 'cheap' drugs that made up my chemo infusion. They had dodged, lied, denied, and put so many roadblocks in the way that I am crazy mad at them--they owe this money and they KNOW it--now it is supposedly in a "review board". 7 months going on and they refuse to pay-one thing after another. I don't expect they will pay anything for at least 2 more months when our attorney will be brought in.
I just kept calling each week---until they finally blocked me with the 'review board' thing. They actually sent me a document somewhere along the line that I had to sign stating that my cancer was not caused by a car accident.
Just unbelievable.
I would think a Medicaid eligibility would be as hard and as frustrating, nobody wants to part with their money.
I applied for Medicaid in NJ for my Mom. I had 90days to provide all paperwork, spend down and place Mom in LTC. Mom was placed on May 1st, private pay May and June. I kept in touch with her caseworker to make sure he received everything I emailed. When I had completed my check list I confirmed I had done that. Then he put in for Moms Medicaid to start July 1st, which it did.
only 63.
If the house is not sold while the person is in care, then a lean will be put on it at their passing. At that time, someone in the family will fill out paperwork proving that others own the home. It all depends on the situation at that time to how the house will be handled.