Today my insurance company is sending in a nurse to do a six month review. This review dictates my aids hours and you just never know what is going to happen. I was changed to this plan back in July of 2018 when I became Medicare eligible. They continued with the same level I was currently receiving. My aids hours are actually covered through my secondary plan which is a Medicaid HMO plan. I have never had a problem with…
Even though I knew it was going to be be my bigger project, I never thought it was going to take as long as it did. I spent hours upon hours getting that bundle of Medicaid together. I had most of the documentation so I thought I would was just going to need a little time putting it all together. Not so much!!! I wanted to make a really good package and I wanted to make a really good list…
I’m gazing out the window, trying to decide what I want to write about, and I’m really looking at just a wall of white. There’s a very thick fog out there. I can’t see the ocean. My dog obviously sees something he keeps barking. I’m not in a happy mood today. I’ve got two things I’m dealing with insurance about, one for me, and one for my daughter and I’m just so fed up with this stuff. I got a…
I had an OT evaluation yesterday. 0T stands for occupational therapy. The difference really between physical therapy and occupational therapy is occupational therapy deals with more fine motor skills. Physical therapy deals with more of the physical stuff. I never realized my health care covered 20 days of both therapies. I thought it was 20 days total. So this will be the first time in OT. For 13 years, I worked in a nursing home as a financial billing office…
This is one topic I really didn’t want to discuss but I know I can’t avoid. First let me explain I’ve handled Medicaid applications for my job for 13+ years before I stopped working. I know the NYS Medicaid long term care system well. I should back up an explain Medicaid. There are two types of long term Medicaid. One called chronic care and one called community care. The chronic care is for someone in a rehab or nursing facility…
