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General Parenting
Medicaid ..spend down questions???
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<blockquote data-quote="OTE" data-source="post: 18680"><p>I'm still not sure what that pay down terminology means. Have you found anything with that wording in it? I'm also not sure what you mean by a medical care plan. Could you show me where you found that wording? If it means the case mgmt plan then you have no choice, it's necessary to get services from Medicaid under the Katie Beckett waiver category.</p><p></p><p>If you can get this I definitely would not pay money for any other medication insur at all that would include difficult child.</p><p></p><p>In terms of paperwork. Typically the provider does the service and bills your primary insur. You should then get a paper from the primary insur carrier, whatever yours calls it, a Statement of Benefits? That would tell you your co-pay. You would then submit that to Medicaid for payment. But again, going to vary by state. Unlikely that the provider will be able to directly bill because the state is worried the provider will end up collecting twice. Typically people will collect a couple of months of insur stmts and submit a pile to medicaid at a time. Easier to keep track of that way.</p></blockquote><p></p>
[QUOTE="OTE, post: 18680"] I'm still not sure what that pay down terminology means. Have you found anything with that wording in it? I'm also not sure what you mean by a medical care plan. Could you show me where you found that wording? If it means the case mgmt plan then you have no choice, it's necessary to get services from Medicaid under the Katie Beckett waiver category. If you can get this I definitely would not pay money for any other medication insur at all that would include difficult child. In terms of paperwork. Typically the provider does the service and bills your primary insur. You should then get a paper from the primary insur carrier, whatever yours calls it, a Statement of Benefits? That would tell you your co-pay. You would then submit that to Medicaid for payment. But again, going to vary by state. Unlikely that the provider will be able to directly bill because the state is worried the provider will end up collecting twice. Typically people will collect a couple of months of insur stmts and submit a pile to medicaid at a time. Easier to keep track of that way. [/QUOTE]
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Medicaid ..spend down questions???
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