Katie Beckett - NEW Eligibility Criteria posted and Process Issue with DCH Denials
http://www.lgtinc.org/articles/77/1/Katie-Beckett---NEW-Eligibility-Criteria-posted-and-Process-Issue-with-DCH-Denials
Heidi J. Moore
Heidi has a BS in Civil Engineering from Purdue. After the birth of her son Jacob, she elected to stay home to ensure his needs were met. Heidi is very involved in many organizations;last year she was appointed by the Governorâs office to be on 3 Medicaid Reform committees, looking at overhauling the entire Medicaid system.Heidi currently has an advocacy distribution list of over 2,500 members to promote awareness of the advocacy issues that affect children and adults w/ disabilities & empower parents. By Heidi J. Moore
Published on 03/14/2006
March 14, 2006
Dearest Advocates:
The new eligibility criteria for Intermediate Care Facility (ICF-MR) Level of Care (which I sent out early March 06) AND the Nursing Facility Level of Care has been posted to the Dept of Community Health's website:
Many of you asked about a child that is medically fragile, cystic fibrosis, organ transplant, premature children, hemophilia, sickle cell and Osteogensis Imperfecta, etc.........Your level of care specifics can be found under Nursing Facility Level of Care now.....
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In addition, if your child received a final notice of denial in the mail that stated that you did not submit additional paperwork (when you did).....Please let me know.
Over the weekend a number of families contacted me, regarding this issue and I need to get a list together of parents effected by this "process" breakdown. If this has happened to you, please submit to me the following information:
1. Name of Child.
2. Medicaid Number.
3. When did you submit your additional information. (if you have a delivery tracking number let me know that too).
4. When did you get a letter stating that you have a final denial based on not submitting additional paperwork (and you did).
This is EXACTLY why I say that you need to send ALL information via certified mail/returned signature receipt. You need to have proof that you submitted to them this information. Also- ALWAYS make copies of everything you submit too!
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I hope this information is helpful.
Sincerely, Heidi
--
Heidi J. Moore
(Proud Mother to Jacob - 6 years old with Down syndrome & Jared - 4 years old)
"Help The Children Now, So They Can Help Themselves Later!"
The material contained in this e-mail is for general information only. It
is not intended in any way to provide or offer legal advice. To obtain
legal advice, please consult with your attorney or a qualified legal
representative.
Heidi J. Moore
(Proud Mother to Jacob - 6 years old with Down syndrome & Jared - 4 years old)
"Help The Children Now, So They Can Help Themselves Later!"
The material contained in this e-mail is for general information only. It
is not intended in any way to provide or offer legal advice. To obtain
legal advice, please consult with your attorney or a qualified legal
representative.