Was: Famvir price / Now: Medicaid Waiver

[Guest guest]

I have come to find out that every Regional Center operates differently when it

comes to applying for institutional deeming.  In our area (East Bay) you are

assigned someone to 'review' your case and determine if it is

'severe' enough. 

Because my son has shown progress, they do not feel he qualifies.  I've heard

that this is NOT how it should be conducted and I'm looking further into

this. 

They (RCEB) do not live with us 24-7 and just because he has shown an upscale

progress on his ABA program, should not be a determination of what we deal with

on a daily basis.  I was basically told that there are much more severe kids

and

he would not qualify.  

 

Velma  

________________________________

From: Sheryl <ssaturnino@...>

" " < >

Sent: Mon, February 28, 2011 10:39:00 AM

Subject: Re: Re: Famvir price

 

,

If your child has a developmental disability, such as Autism, your Alta Regional

worker, (in California), can fill paperwork out for your child to have him

qualify for deeming. I reject that notion completely, but it allows your child

to qualify for a Medical Waiver. That means your child qualifies, regardless of

family income. It is especially helpful to cover ER visit co-pays and hospital

co-pays. ly, I don't utilize this as much as I should for things like

prescription co-pays.

Hope that helps.

Sent from my iPhone

On Feb 27, 2011, at 1:39 PM, " Pedersen " <mpedestrian@...>

wrote:

> What is a Medicaid waiver and how do I know if my son would qualify? We do

>currently have insurance... and Medi-Cal as a coinsurance... though Medi-Cal

>does not pay for many perscriptions... Sometimes our copays end up being around

>$100. Just trying to use all avenues to save money so more is available for

>treatments down the road.

>

> Any info here would be helpful, thank you.

>

>

>

>

[Guest guest]

As far as i know it is not up to them to determine your childs eligibility - if

your child is a client of the regional center then your child is considered

disabled. All the institutional deeming waiver states is that they would look

at your child as if they were living in an institution and therefore, the child

would have no income so they don't count the parents income.

Also, it is to the regional centers advantage to have this because they get

federally reimbursed for services that the child receives.

Email me offline and I would be happy to help.

Laureen

Sent from my iPad

On Feb 28, 2011, at 10:55 AM, Velma Rodrigues <vel_villalobos@...> wrote:

> I have come to find out that every Regional Center operates differently when

it

> comes to applying for institutional deeming. In our area (East Bay) you are

> assigned someone to 'review' your case and determine if it is 'severe' enough.

> Because my son has shown progress, they do not feel he qualifies. I've heard

> that this is NOT how it should be conducted and I'm looking further into this.

> They (RCEB) do not live with us 24-7 and just because he has shown an upscale

> progress on his ABA program, should not be a determination of what we deal

with

> on a daily basis. I was basically told that there are much more severe kids

and

> he would not qualify.

>

> Velma

>

> ________________________________

> From: Sheryl <ssaturnino@...>

> " " < >

> Sent: Mon, February 28, 2011 10:39:00 AM

> Subject: Re: Re: Famvir price

>

>

> ,

> If your child has a developmental disability, such as Autism, your Alta

Regional

> worker, (in California), can fill paperwork out for your child to have him

> qualify for deeming. I reject that notion completely, but it allows your child

> to qualify for a Medical Waiver. That means your child qualifies, regardless

of

> family income. It is especially helpful to cover ER visit co-pays and hospital

> co-pays. ly, I don't utilize this as much as I should for things like

> prescription co-pays.

>

> Hope that helps.

>

> Sent from my iPhone

>

> On Feb 27, 2011, at 1:39 PM, " Pedersen " <mpedestrian@...>

> wrote:

>

> > What is a Medicaid waiver and how do I know if my son would qualify? We do

> >currently have insurance... and Medi-Cal as a coinsurance... though Medi-Cal

> >does not pay for many perscriptions... Sometimes our copays end up being

around

> >$100. Just trying to use all avenues to save money so more is available for

> >treatments down the road.

> >

> > Any info here would be helpful, thank you.

> >

> >

> >

> >