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some people just can't catch a break!
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<blockquote data-quote="DammitJanet" data-source="post: 394153" data-attributes="member: 1514"><p>Mutt...were they covered by medicaid when she had the accident? How long after the accident did medicaid stop? </p><p></p><p>I am pretty sure timing is probably pretty much shot at this point to be honest. </p><p></p><p>If she was covered by medicaid at the time of the accident, it would pay up to and including the day she became ineligible for medicaid for whatever reason that was...even if it was because someone missed a review appointment. When THAT denial letter came, that was the time to go back in and appeal and get the medicaid restarted. </p><p></p><p>In reality, I have very rarely seen anyone...especially a family, denied medicaid for fraud. They may get fined or yelled at but its really a rarity. Medicaid fraud is normally gone after for doctors. But that is just my experience. If we found someone who was getting medicaid illegally, we just stopped the case. If they reapplied, we just made sure they were eligible the next time. No biggie. </p><p></p><p>Im betting more that they simply didnt go in on time to do the applications while she was in the hospital and rehab. Then those huge bills built up. Now, they should be eligible at least for the kids...not sure about the adults. The income limits change drastically with the ages of the kids. I cant tell you without looking at your states guidelines exactly what those are and at what ages each step is. There are so many different types of medicaid. The ones that would effect your son are Medicaid for Infants and Children or Medicaid for Families. MIC or MAF. I get MAD. Medicaid for the Disabled. There are ones that just pay for Part D and ones that pay for Part B and those that pay for other things...its like a maze...lol. At one time I knew every single program that social services had inside and out. Time is fraying my memory a bit. I used to know all the income limits...lol.</p></blockquote><p></p>
[QUOTE="DammitJanet, post: 394153, member: 1514"] Mutt...were they covered by medicaid when she had the accident? How long after the accident did medicaid stop? I am pretty sure timing is probably pretty much shot at this point to be honest. If she was covered by medicaid at the time of the accident, it would pay up to and including the day she became ineligible for medicaid for whatever reason that was...even if it was because someone missed a review appointment. When THAT denial letter came, that was the time to go back in and appeal and get the medicaid restarted. In reality, I have very rarely seen anyone...especially a family, denied medicaid for fraud. They may get fined or yelled at but its really a rarity. Medicaid fraud is normally gone after for doctors. But that is just my experience. If we found someone who was getting medicaid illegally, we just stopped the case. If they reapplied, we just made sure they were eligible the next time. No biggie. Im betting more that they simply didnt go in on time to do the applications while she was in the hospital and rehab. Then those huge bills built up. Now, they should be eligible at least for the kids...not sure about the adults. The income limits change drastically with the ages of the kids. I cant tell you without looking at your states guidelines exactly what those are and at what ages each step is. There are so many different types of medicaid. The ones that would effect your son are Medicaid for Infants and Children or Medicaid for Families. MIC or MAF. I get MAD. Medicaid for the Disabled. There are ones that just pay for Part D and ones that pay for Part B and those that pay for other things...its like a maze...lol. At one time I knew every single program that social services had inside and out. Time is fraying my memory a bit. I used to know all the income limits...lol. [/QUOTE]
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