Guest guest Posted April 19, 2002 Report Share Posted April 19, 2002 I believe it is named differently in each state. But ours is called Division of Children and Family Services. Or Dept. of Developmental Disablities. Or Just apply at you Dept of Social Services in you community. And ask alot of questions. BARBIE Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2002 Report Share Posted April 19, 2002 In Michigan it is called Crippled Children's Special Health Care Services, and it is through the Family Independence Agency. It is technically part of medicaid and yet it is handled differently. I heard about ours through the hospital. When Kody was admitted for his osteomylitis, the hospital social worker came up to his room and asked if we had adequate insurance, and she gave me the information for the CCSHCS insurance. It is designed for kids with big medical needs. I think that if you went to your hospital and talked to the social worker, they would know exactly what you are talking about, and they would be able to give you the name of your state's program and the phone number to call. Diane, Mom to Kody Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 20, 2002 Report Share Posted April 20, 2002 , In Ohio it's called BCMH = Bureau for Children with Medical Handicaps. I was put in contact with them through my daughter's doctor who must be a BCMH provider. Try contacted your CITY health department; not county. Good luck. This insurance covers everything that my insurance does not cover; we pay nothing out of pocket. Medical Assistance > Hi Everyone, > > I have a question about medical assistance. I had asked this question a few months ago regarding the costs of infusions, copayments, and insurance. I mentioned our infustions cost 2,000 each time, and our insurance covers 95%. 5% of 2,000 is 100.00 per time we have to pay. I applied for medical assistance and haven't received final word if we qualify. The application was so vague and only asked our income and how many people live in our home. It didn't ask about expenses regarding our specific situation. I then called the medicaid office and explained our situation. I asked about a special fund for children and she acted like she knew nothing about it? Does anyone have anymore information about this? I'm sure many others are in the same boat. We could pay the copay by working more hours, but we sure could use the help. I stretch Hunter's IVs out to 6-7 weeks because of the cost, also for his veins. He is doing well on this schedule except for occasional joint pa! > in. > > Sorry I haven't been on the internet in a few weeks, but I just went through 171 e-mails, and my prayers are with all the sick pumpkins and families in need. I am so thankful for this group even though I'm not always able to participate. > > God Bless All of You > > > Temme-Hunter age 7 agammaglobulinemia, Dylan age 9Get more from the Web. FREE MSN Explorer download : http://explorer.msn.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 25, 2002 Report Share Posted April 25, 2002 Hi , Do you have to meet income requirements? I applied for MA and was denied. We are not rich, and we are not poor. The approx 1,200 or more out of pocket per year for us to pay is a lot. MA never asked about our personal circumstances, they just look at income. I will have to do more research. Thanks for your input. Temme Dylan-9 and Hunter-7 agamma.. Medical Assistance > Hi Everyone, > > I have a question about medical assistance. I had asked this question a few months ago regarding the costs of infusions, copayments, and insurance. I mentioned our infustions cost 2,000 each time, and our insurance covers 95%. 5% of 2,000 is 100.00 per time we have to pay. I applied for medical assistance and haven't received final word if we qualify. The application was so vague and only asked our income and how many people live in our home. It didn't ask about expenses regarding our specific situation. I then called the medicaid office and explained our situation. I asked about a special fund for children and she acted like she knew nothing about it? Does anyone have anymore information about this? I'm sure many others are in the same boat. We could pay the copay by working more hours, but we sure could use the help. I stretch Hunter's IVs out to 6-7 weeks because of the cost, also for his veins. He is doing well on this schedule except for occasional joint pa! > in. > > Sorry I haven't been on the internet in a few weeks, but I just went through 171 e-mails, and my prayers are with all the sick pumpkins and families in need. I am so thankful for this group even though I'm not always able to participate. > > God Bless All of You > > > Temme-Hunter age 7 agammaglobulinemia, Dylan age 9Get more from the Web. FREE MSN Explorer download : http://explorer.msn.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 25, 2002 Report Share Posted April 25, 2002 Well, I must answer your question by saying " kinda. " They do ask for income information but they also took into consideration the cost of his treatments, medical expenses associated with his diagnosis, and how long his diagnosis will last; for him it very well might be forever (crying). He also qualified for BCMH for his asthma due to the fact that he uses inhaled steroids. We too aren't rich or poor; I guess upper middle class would classify us; maybe even middle middle class. I hope that helps. I'll help any way I can. Hope is on BCMH due to her kidney disease. In Him, Medical Assistance > > > > Hi Everyone, > > > > I have a question about medical assistance. I had asked this question a > few months ago regarding the costs of infusions, copayments, and insurance. > I mentioned our infustions cost 2,000 each time, and our insurance covers > 95%. 5% of 2,000 is 100.00 per time we have to pay. I applied for medical > assistance and haven't received final word if we qualify. The application > was so vague and only asked our income and how many people live in our home. > It didn't ask about expenses regarding our specific situation. I then > called the medicaid office and explained our situation. I asked about a > special fund for children and she acted like she knew nothing about it? > Does anyone have anymore information about this? I'm sure many others are > in the same boat. We could pay the copay by working more hours, but we sure > could use the help. I stretch Hunter's IVs out to 6-7 weeks because of the > cost, also for his veins. He is doing well on this schedule except for > occasional joint pa! > > in. > > > > Sorry I haven't been on the internet in a few weeks, but I just went > through 171 e-mails, and my prayers are with all the sick pumpkins and > families in need. I am so thankful for this group even though I'm not > always able to participate. > > > > God Bless All of You > > > > > > Temme-Hunter age 7 agammaglobulinemia, Dylan age 9Get more from the > Web. FREE MSN Explorer download : http://explorer.msn.com > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 11, 2003 Report Share Posted February 11, 2003 receives OT and speech, but why all of a sudden would money be made available to the school through 's MA? That's the part I don't get. They are two separate entities. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 11, 2003 Report Share Posted February 11, 2003 Nope, none of any kind. Are they just trying to pawn off the payment to someone else. And what will they do with the money that should go towards my son and other children who receive these services? Maybe fund a new football field or something? This just sounds fishie to me. Jackie, Mom to 15ds, 12, and Bradley 9 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 11, 2003 Report Share Posted February 11, 2003 We get funding under our Title XIX....(our federal medical waiver) for extra services that Maverick might qualify for. He gets speech through them. If the school were billing for these services, would it take away the Title XIX services...is that the type of funding that you are talking about? I for sure would not be in favor of that! His school speech therapy is NOTHING compared to the " private' therapy we get. BTW, Maverick has qualified for an aug com. Within the next couple of months he will be getting an Advantage talker.....it uses menspeak. It is similiar to the Alphatalker he had years ago..but less bulky and can do more. Anyone here have one of those? With the alpha talker I was the only one who used it.....and I was the one who LEAST needed it..I could understand him. We are hoping that this one will go over better...since there is not much that the school will have to do....I'll program it and he'll use it independently. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 11, 2003 Report Share Posted February 11, 2003 Jackie It is a way for the schools to bill medicaid for services your child is entitled to by the IDEA. It can become a very confusing issue for schools to deal with. The schools in New Mexico have been doing for many years now. It won't effect the services that your child receives if you choose not for them to bill medicaid for the services. By billing medicaid it increases that revenue for the school districts. How that money is used is determined by the district. There should be an advisory committee about this in you state. At times here in New Mexico it has created many nightmares. I have choosen here not to let them bill my daughters medicaid because we have private insurance also and since medicaid is the payer of last resort then it means that they will bill my private insurance for services and I refuse to have them do that because it will effect our eligiblity for insurance. Patty Medical Assistance > > I have a question about a letter I received from our school today about . > I will dig into it further, but I thought maybe someone here could advise > me. The letter is stating this: > > " The school district is pleased to provide your child with special education > related services that he needs under his IEP. We can access federal dollars > through the Medical Assistance Program (MA) to help us meet the increasing > cost of providing therapeutic services to our students. > > We are notifying parents that effective August 30, 2000, (I don't know why > they have 2000) the school district will begin billing MA for the IEP > services provided to our students who are eligible for MA. The receipt of > the additional funds will enable us to augment the special education services > in our district. Please note, however, that school claims for MA payment of > health-related services will not affect your child's receipt of health > services from your family physician for (another typo) health facility. > > Please sign the form below letting us know whether or not you give us your > permission to bill MA for these ongoing services. If we do not hear from you > within 7 days of receipt of this letter, we will begin billing MA. However, > you have the right to revoke permission at anytime. We appreciate your > cooperation. " > > What should I do? What does this mean? This sounds shady to me. Shouldn't > my school taxes be paying for these services and not MA? I'm confused. > > Jackie, Mom to 15ds, 12, and Bradley 9 > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 11, 2003 Report Share Posted February 11, 2003 Yup. Here in PA, we have the option by means of checking a box whether we want our MA to be billed for OT, PT, speech etc that is offered by the school. I always check NO because it will interfere with my ability to seek services outside, or beyond what the school does. I would tell them NO, in no uncertain terms. Judi - Proud mother to Jordan 7, ds and Savannah 14 weeks, nda Ambition is a poor excuse for not having enough sense to be lazy. Medical Assistance I have a question about a letter I received from our school today about . I will dig into it further, but I thought maybe someone here could advise me. The letter is stating this: " The school district is pleased to provide your child with special education related services that he needs under his IEP. We can access federal dollars through the Medical Assistance Program (MA) to help us meet the increasing cost of providing therapeutic services to our students. We are notifying parents that effective August 30, 2000, (I don't know why they have 2000) the school district will begin billing MA for the IEP services provided to our students who are eligible for MA. The receipt of the additional funds will enable us to augment the special education services in our district. Please note, however, that school claims for MA payment of health-related services will not affect your child's receipt of health services from your family physician for (another typo) health facility. Please sign the form below letting us know whether or not you give us your permission to bill MA for these ongoing services. If we do not hear from you within 7 days of receipt of this letter, we will begin billing MA. However, you have the right to revoke permission at anytime. We appreciate your cooperation. " What should I do? What does this mean? This sounds shady to me. Shouldn't my school taxes be paying for these services and not MA? I'm confused. Jackie, Mom to 15ds, 12, and Bradley 9 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 11, 2003 Report Share Posted February 11, 2003 Thank you, Patty. That is the way we use 's MA also. Our Blue Cross first and the MA to pick up what isn't covered. I'm not going to let them mess with that. This is the way I'm thinking......if I let them " free up revenue " where would it be spent? I can tell you where.........no where in special education. Maybe I'm wrong, though. Jackie, Mom to 15ds, 12, and Bradley 9 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 11, 2003 Report Share Posted February 11, 2003 In a message dated 2/12/03 6:02:04 AM Central Standard Time, jbocci55@... writes: > Hey Joy, you raise an interesting point for me. You said you didn't give > them 's MA number, but then why is my school saying they will start > billing 's MA if I don't respond. How do they have his number? Is > this > number accessible to anyone? Not sure, how do they even know he recieves MA benefits? not all kids do. Or is it something they just think because alot of sp needs kids are using MA. :-/ but it is a good question to ask them. LOL Maybe they get it through the medical release you might have signed? joy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2003 Report Share Posted February 12, 2003 In a message dated 2/12/2003 7:02:15 AM Eastern Standard Time, jbocci55@... writes: << Hey Joy, you raise an interesting point for me. You said you didn't give them 's MA number, but then why is my school saying they will start billing 's MA if I don't respond. How do they have his number? Is this number accessible to anyone? >> I don't think they need the number. Name, DOB & address should do it. NYS issued a lot of temporary numbers last year after the WTC disaster put a lot of folks out of work. The temporary numbers never got into the system and they refused to issue permanent ones for a long time regardless of the reason why you qualified (ie disability). So providers had to call in with the info (Name, DOB & address) to see if someone had coverage. It was a fight, but Liam finally got a permanent number. Kathy, Liam's mom(almost 5) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2003 Report Share Posted February 12, 2003 I know in our state the schools would just send a list to the Medicaid office and that office would highlight who was on Medicaid and they could start to bill. Most families are not aware that the school bills medicaid for services. Patty Re: Medical Assistance > In a message dated 2/12/2003 7:02:15 AM Eastern Standard Time, > jbocci55@... writes: > > << Hey Joy, you raise an interesting point for me. You said you didn't give > them 's MA number, but then why is my school saying they will start > billing 's MA if I don't respond. How do they have his number? Is this > number accessible to anyone? >> > > I don't think they need the number. Name, DOB & address should do it. NYS > issued a lot of temporary numbers last year after the WTC disaster put a lot > of folks out of work. The temporary numbers never got into the system and > they refused to issue permanent ones for a long time regardless of the reason > why you qualified (ie disability). So providers had to call in with the info > (Name, DOB & address) to see if someone had coverage. It was a fight, but > Liam finally got a permanent number. > > Kathy, Liam's mom(almost 5) > > Click reply to all for messages to go to the list. Just hit reply for messages to go to the sender of the message. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2003 Report Share Posted February 12, 2003 In SC they have gotten permission to bill Medicaid directly even if it is secondary. The thing to watch for is that private therapy and school therapy do not happen on the same day. I tell them when we have private and they schedule school therapy on a different day. If they want to use our Medicaid, they have to schedule to meet what we need privately. I have not had a problem with them or Medicaid trying to bill private insurance. You raise and interesting point about where the money goes. I'll have to inquire about this. mom to Bridget 9 ds in SC Re: Medical Assistance Thank you, Patty. That is the way we use 's MA also. Our Blue Cross first and the MA to pick up what isn't covered. I'm not going to let them mess with that. This is the way I'm thinking......if I let them " free up revenue " where would it be spent? I can tell you where.........no where in special education. Maybe I'm wrong, though. Jackie, Mom to 15ds, 12, and Bradley 9 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 13, 2003 Report Share Posted February 13, 2003 , I believe so. Though it might be called something else here. But yeah, it's basically the same thing. Judi - Proud mother to Jordan 7, ds and Savannah 14 weeks, nda Ambition is a poor excuse for not having enough sense to be lazy. Re: Medical Assistance We get funding under our Title XIX....(our federal medical waiver) for extra services that Maverick might qualify for. He gets speech through them. If the school were billing for these services, would it take away the Title XIX services...is that the type of funding that you are talking about? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 13, 2003 Report Share Posted February 13, 2003 Oh no... you're right... it would go for the new furniture in the teacher's lounge that's where. Judi - Proud mother to Jordan 7, ds and Savannah 14 weeks, nda Ambition is a poor excuse for not having enough sense to be lazy. Re: Medical Assistance This is the way I'm thinking......if I let them " free up revenue " where would it be spent? I can tell you where.........no where in special education. Maybe I'm wrong, though. Jackie, Mom to 15ds, 12, and Bradley 9 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 13, 2003 Report Share Posted February 13, 2003 The " lounge " for our teachers has two large copiers, a machine to make transparencies, a paper cutter, a Coke machine, a phone where almost all the calls made are to parents, and a bathroom. About a year ago, a couch, a microwave, and a small refrigerator (all used), appeared. They were all brought in or paid for by teachers. About the only time anyone sits on the couch is when they are waiting in line for a copier or the bathroom. Gone are the days when there is time to sit around and chat like they show it on TV shows. Bev Re: Medical Assistance Oh no... you're right... it would go for the new furniture in the teacher's lounge that's where. Judi - Proud mother to Jordan 7, ds and Savannah 14 weeks, nda Ambition is a poor excuse for not having enough sense to be lazy. Re: Medical Assistance This is the way I'm thinking......if I let them " free up revenue " where would it be spent? I can tell you where.........no where in special education. Maybe I'm wrong, though. Jackie, Mom to 15ds, 12, and Bradley 9 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 14, 2003 Report Share Posted February 14, 2003 I agree, Bev!! I rarely ever go to our lounge and when I do it's always empty!! Last year we got " booted " out of the nice lounge and it was made into offices...we got " booted " back into the OLD lounge that was the teachers lounge when I was in elementary--over 26 years ago. It had been a storage room for about the past 15 years. The teachers took up a collection to buy some cheap, but 1/2 way decent furniture. Jill RE: Medical Assistance > The " lounge " for our teachers has two large copiers, a machine to make > transparencies, a paper cutter, a Coke machine, a phone where almost all the > calls made are to parents, and a bathroom. About a year ago, a couch, a > microwave, and a small refrigerator (all used), appeared. They were all > brought in or paid for by teachers. About the only time anyone sits on the > couch is when they are waiting in line for a copier or the bathroom. Gone > are the days when there is time to sit around and chat like they show it on > TV shows. > Bev ] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 24, 2009 Report Share Posted February 24, 2009 Does anyone know if medical assistance through the state of maryland cover the doc band Quote Link to comment Share on other sites More sharing options...
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