Re: [QUAD-L] Medicaid cuts and caps to the states: Please call your senators

[Bobbie Humphreys]

Today my sweetheart/home health aid was told by my nurse 👨‍⚕️ that he is going 
to be getting a pay cut. He already gets bear minimum pay 💰 
Unbelievable 🙆🏻‍♂️ 🤷‍♀️ 😤

"Be the change you want to see in the world". Gandhi

> On Jul 12, 2017, at 8:01 PM, Dana Wray  wrote:
> 
> Please call your Senators ASAP through the Congressional switchboard and 
> write them on their websites as this will stop Home and Community Based 
> Services.
>  866-922-4970
>  1)   Capping Medicaid means states get a set amount per enrollee instead of 
> being reimbursed for the actual cost to care for that individual.
>  2)   Under a per capita cap, states will not receive extra federal funds to 
> cover an individual's increasing care -- due to deteriorating health or 
> changes in a chronic condition.
>  3)   Capping Medicaid will result in optional home and community-based 
> services for people with disabilities being CUT, RESTRICTED or ELIMINATED, 
> according to the Congressional Budget Office.
>  4)   Capping Medicaid is a DRASTIC CUT and COST-SHIFT to states -- who are 
> already strapped for cash and will have to: CUT Medicaid Provider rates; 
> RESTRICT eligibility for essential Medicaid care and services; and/or 
> ELIMINATE optional home and community-based services -- such as home health, 
> attendance care, and out-patient therapies -- that are not required services 
> under Medicaid.
>  5)   Further cuts to provider rates will further RESTRICT AVAILABILITY or 
> QUALITY of Medicaid services. Past provider cuts have resulted in programs 
> closing and services being restricted.
>  6)   Health care reform should DO NO HARM to people with disabilities.
>  7)   Capping and cutting Medicaid services -- as proposed in the Better Care 
> Reconciliation Act -- HURTS not HELPS individuals with disabilities.
> 

Re: [QUAD-L] Medicaid?

[Jim Lubin]

I checked the invoice for the wheelchair I got in 2010. Cost $31,085,
patient portion $0.

I don't know how it is assessed in other states, in Washington it is based
on how you score on Personal Care Assessment Key shown here
https://www.dshs.wa.gov/altsa/home-and-community-services/information-clients

this page show the types of in-home services available
https://www.dshs.wa.gov/altsa/home-and-community-services/home-care-adults

I have both agency nurses and independent private duty nurses who contract
directly with the state, my choice who I hire.

On Thu, Nov 5, 2015 at 1:10 PM, greg  wrote:

> Those with Medicaid, AZ if it matters. How much of a wheelchair does it
> cover?
> Medicare is 80%
> If I put my assets in a Trust, my SS is small enough I'd qualify. But is
> it worth changing from Medicare to Medicaid?
>
> Does Medicaid help with caregivers? If so, can you pick who, or does it
> have to be an agency?
>
> Thanks, Greg
>

Re: [QUAD-L] Medicaid?

[RONALD L PRACHT]

If you get a special needs trust through a lawyer any money within the trust 
doesn't have to be claimed and is essentially hidden. 
Ron


 On Thursday, November 5, 2015 4:37 PM, "jume9...@comcast.net" 
 wrote:
   

 Medicaid helps with caregivers in California. How does assets in a trust not 
be considered monthly income?

Meredith

From: "greg" 
To: "quad-list" 
Sent: Thursday, November 5, 2015 1:10:13 PM
Subject: [QUAD-L] Medicaid?

Those with Medicaid, AZ if it matters. How much of a wheelchair does it cover?
Medicare is 80%
If I put my assets in a Trust, my SS is small enough I'd qualify. But is it 
worth changing from Medicare to Medicaid?

Does Medicaid help with caregivers? If so, can you pick who, or does it have to 
be an agency?

Thanks, Greg




  

Re: [QUAD-L] Medicaid?

[jume9999]

Medicaid helps with caregivers in California. How does assets in a trust not be 
considered monthly income? 

Meredith 

- Original Message -

From: "greg"  
To: "quad-list"  
Sent: Thursday, November 5, 2015 1:10:13 PM 
Subject: [QUAD-L] Medicaid? 

Those with Medicaid, AZ if it matters. How much of a wheelchair does it cover? 
Medicare is 80% 
If I put my assets in a Trust, my SS is small enough I'd qualify. But is it 
worth changing from Medicare to Medicaid? 

Does Medicaid help with caregivers? If so, can you pick who, or does it have to 
be an agency? 

Thanks, Greg 

Re: [QUAD-L] medicaid question

[Jim Lubin]

http://www.medicaid.gov/medicaid-chip-program-information/by-topics/eligibility/eligibility.html

https://www.healthcare.gov/do-i-qualify-for-medicaid/

You might want to contact a lawyer about setting up a Special Needs Trust

http://en.wikipedia.org/wiki/Special_needs_trust



On Fri, Sep 26, 2014 at 10:23 AM, shirley bell  wrote:

>  Can anyone tell me if I could qualify for Medicaid if my husband has
> investments (money) in his name? thanks, Shirley
>

Re: [QUAD-L] medicaid info

[DAANOO]

I wonder if the birth certificate's that are like credit cards in your 
wallet will suffice as legal documentation, as that is what I have.  Does 
anyone know that?
 
Dana

Re: [QUAD-L] Medicaid to Medicare Part D

[Eric Olson]

The state of Wisconsin had to pass some emergency legislation because 
January 1 over 100,000 people were unable to get their medications.  As 
for me, all my medications are generic so every plan cover them.  
However I'd be screwed if they didn't because I didn't want the plan I 
was assigned.  I was assigned Blue Cross and wanted and still want 
Humana.  I applied twice on Humana's website but still haven't heard 
anything.  It's been over 2 months now so I'm assuming neither 
application went through.  I went to the drive through to get my 
medications in January and I was told baclofen was $98.  I went inside 
the next day and  straitened everything out.  Pharmacist said it's been 
a major headache. 


Eric

Just wondering if anyone had any problems with the change from 
Medicaid to Medicare Part D after all the doom and gloom predictions.


I know for me the transition was smooth. I received a letter in 
November saying that it was changing and that if I did not chose a 
drug plan I would be put on the AARP MedicareRx Plan. I checked the 
Medicare web site and saw that it covered my medications. They did not 
show my pharmacy as being included in their plan so called the 
pharmacy and asked. They assured me they were. So I did nothing. This 
month when it was time to renew my prescriptions called the pharmacy, 
they asked for my social security number, and that was it. When my mom 
went to pickup my prescriptions I had: a $3 co-pay for dantrium, $1 
co-pay for baclofen and no co-pay for docusate.


Jim

Re: [QUAD-L] Medicaid to Medicare Part D

[Dan]

I guess every state is different. My letter from the state said a co-pay
of $1 to $5.

Dan


At 06:33 PM 2/1/06 -0800, Jim Lubin said something that elicited my
response:
  
At 04:51 PM 2/1/2006, Silas wrote:
Hi everybody,
I let them chouse my prescription plan, my pharmacy would not fill any of
my meds.  He said I had to have a card, I didn't get a card.  I
had to call about three times to get my dam number, they refused to cover
two of my meds.  My Dr.had to write letters before they would
approve the meds, bygod they'll let some drug addit have anything. 
The meds they wouldn't cover wer'nt even narcotics.  I say piss on
the whole dam system!
Silas
I had even received this letter a few weeks ago.


CHRISTINE O. GREGOIRE
Governor

STATE OF WASHINGTON
OFFICE OF THE GOVERNOR
P.O. Box 40002 Olympia, Washington 98504-0002 (360) 753-6780
www.governor.wa.gov
 
January 13, 2006
 
Dear Medicaid client:
 
As you may already be aware, your prescription drug coverage changed
January 1, 2006, as the new federal prescription drug benefit - called
Medicare Part D - went into effect. Before January 1, the state’s
Medicaid program paid for your drugs. On January 1, the federal Medicare
program began paying this cost.
 
While Washington State is no longer involved in paying for the drugs you
require, I want to make sure your needs are addressed so there are a few
important things we want you to know: 

Your pharmacy must accept your word that you are on Medicaid and
Medicare. During January, your Medicare Drug Plan must give you a
30-day supply of your current drugs. Take this letter with you and show
it to the pharmacist. 
Unless you live in a nursing home, you now have a co-payment on each
prescription. But, you cannot be charged more than $3 for each
drug. 
If your Medicare Drug Plan refuses to cover a drug, you have three
choices: 


o Choose a different Medicare Drug Plan; 
o File an appeal with your current drug plan; 
o Talk to your doctor about the drug choices you have under your
plan. 


If you do not have a drug plan, your pharmacist can provide up to a
14-day supply of drugs and help you to enroll in a plan. 
You have the right to choose a drug plan that is fully paid by the
government. Be sure to ask about the premium and co-pays when you are
comparing plans. 
More information is available at a toll-free number, 1 -800-MEDICARE. 



 
For the past several months, TV and newspaper ads have told us how easy
Part D would be. Well, it’s not easy and it’s certainly confusing! But,
with help, you can figure it out so don’t hesitate to ask for assistance
if you need it.
 
Sincerely ,
Christine 0. Gregoire
Governor

Re: [QUAD-L] Medicaid to Medicare Part D

[QuadPirate]

I guess that's why Kerry lost!
Maybe John Edwards should've ran for Prez instead of vice Prez.
 
Hillary doesn't stand a chance either then lol!
 
It would be nice to have a President that really cared about all Americans instead of catering to the rich and of course  big corporations that are cutting all kinds of benefits in the name of greed.
 
Mark 
 
---Original Message---
 

From: [EMAIL PROTECTED]
Date: 02/02/06 16:00:12
To: quad-list@eskimo.com
Subject: Re: [QUAD-L] Medicaid to Medicare Part D
 
Maybe our next prez will have a brain. I've had enough of the scarecrow. Could it be true that we elect people for their looks? All these beautiful mental cases are ruining the country.
 
john
 

Re: [QUAD-L] Medicaid to Medicare Part D

[DeLiMiTeD4]

Maybe our next prez will have a brain. I've had enough of the scarecrow. 
Could it be true that we elect people for their looks? All these beautiful 
mental cases are ruining the country.
 
john

Re: [QUAD-L] Medicaid to Medicare Part D

[S. Dial]

I'm like you Jim (dual-eligible) and I went with 
AARP seemed like the most cost effective one in my book, maybe our next Prez 
will ditch this entire crazy plan and put in sensible guidelines for Medicaid 
& Medicare, hah, I'm deaming!
 
Steph

Re: [QUAD-L] Medicaid to Medicare Part D

[Jim Lubin]

At 04:51 PM 2/1/2006, Silas wrote:
Hi everybody,
I let them chouse my prescription plan, my pharmacy would not fill any of
my meds.  He said I had to have a card, I didn't get a card.  I
had to call about three times to get my dam number, they refused to cover
two of my meds.  My Dr.had to write letters before they would
approve the meds, bygod they'll let some drug addit have anything. 
The meds they wouldn't cover wer'nt even narcotics.  I say piss on
the whole dam system!
Silas
I had even received this letter a few weeks ago.

CHRISTINE O. GREGOIRE
Governor
STATE OF WASHINGTON
OFFICE OF THE GOVERNOR
P.O. Box 40002 Olympia, Washington 98504-0002 (360) 753-6780

www.governor.wa.gov
 
January 13, 2006
 
Dear Medicaid client:
 
As you may already be aware, your prescription drug coverage changed
January 1, 2006, as the new federal prescription drug benefit - called
Medicare Part D - went into effect. Before January 1, the state’s
Medicaid program paid for your drugs. On January 1, the federal Medicare
program began paying this cost.
 
While Washington State is no longer involved in paying for the drugs you
require, I want to make sure your needs are addressed so there are a few
important things we want you to know:

Your pharmacy must accept your word that you are on Medicaid and
Medicare. During January, your Medicare Drug Plan must give you a
30-day supply of your current drugs. Take this letter with you and show
it to the pharmacist.
Unless you live in a nursing home, you now have a co-payment on each
prescription. But, you cannot be charged more than $3 for each
drug.
If your Medicare Drug Plan refuses to cover a drug, you have three
choices:

o Choose a different Medicare Drug Plan;
o File an appeal with your current drug plan;
o Talk to your doctor about the drug choices you have under your
plan.

If you do not have a drug plan, your pharmacist can provide up to a
14-day supply of drugs and help you to enroll in a plan.
You have the right to choose a drug plan that is fully paid by the
government. Be sure to ask about the premium and co-pays when you are
comparing plans.
More information is available at a toll-free number, 1
-800-MEDICARE.
 
For the past several months, TV and newspaper ads have told us how easy
Part D would be. Well, it’s not easy and it’s certainly confusing! But,
with help, you can figure it out so don’t hesitate to ask for assistance
if you need it.
 
Sincerely ,
Christine 0. Gregoire
Governor

Re: [QUAD-L] Medicaid to Medicare Part D

[Silas]

Hi everybody,
I let them chouse my prescription plan, my pharmacy would not fill any of my 
meds.  He said I had to have a card, I didn't get a card.  I had to call 
about three times to get my dam number, they refused to cover two of my 
meds.  My Dr.had to write letters before they would approve the meds, bygod 
they'll let some drug addit have anything.  The meds they wouldn't cover 
wer'nt even narcotics.  I say piss on the whole dam system!

Silas
- Original Message - 
From: "Jim Lubin" <[EMAIL PROTECTED]>

To: 
Sent: Tuesday, January 31, 2006 1:28 PM
Subject: [QUAD-L] Medicaid to Medicare Part D


Just wondering if anyone had any problems with the change from Medicaid to 
Medicare Part D after all the doom and gloom predictions.


I know for me the transition was smooth. I received a letter in November 
saying that it was changing and that if I did not chose a drug plan I 
would be put on the AARP MedicareRx Plan. I checked the Medicare web site 
and saw that it covered my medications. They did not show my pharmacy as 
being included in their plan so called the pharmacy and asked. They 
assured me they were. So I did nothing. This month when it was time to 
renew my prescriptions called the pharmacy, they asked for my social 
security number, and that was it. When my mom went to pickup my 
prescriptions I had: a $3 co-pay for dantrium, $1 co-pay for baclofen and 
no co-pay for docusate.


Jim

Re: [QUAD-L] Medicaid to Medicare Part D

[Lori Michaelson]

 
Same situation as Dave.  I also CHOSE Humana.
 
Lori Michaelson
C4/5 complete quad, 25 years post
Tucson, AZ
 
---Original Message---
 

From: David K. Kelmer
Date: 02/01/06 15:03:12
To: Jim Lubin; quad-list@eskimo.com
Subject: Re: [QUAD-L] Medicaid to Medicare Part D
 
Hi Jim,
 
I am not dual eligible so I had to choose my own Plan D.  After a couple months of research and comparison of different plans, I signed-up with Humana.  I am very happy with the way their Plan has worked out for me.
 
 
With Love,
CtrlAltDel aka DaveC4/5 Complete - 29 Years PostTexas, USA Jim Lubin <[EMAIL PROTECTED]> wrote:
Just wondering if anyone had any problems with the change from Medicaid to Medicare Part D after all the doom and gloom predictions.I know for me the transition was smooth. I received a letter in November saying that it was changing and that if I did not chose a drug plan I would be put on the AARP MedicareRx Plan. I checked the Medicare web site and saw that it covered ! my medications. They did not show my pharmacy as being included in their plan so called the pharmacy and asked. They assured me they were. So I did nothing. This month when it was time to renew my prescriptions called the pharmacy, they asked for my social security number, and that was it. When my mom went to pickup my prescriptions I had: a $3 co-pay for dantrium, $1 co-pay for baclofen and no co-pay for docusate.Jim

 

Re: [QUAD-L] Medicaid to Medicare Part D

[David K. Kelmer]

Hi Jim,     I am not dual eligible so I had to choose my own Plan D.  After a couple months of research and comparison of different plans, I signed-up with Humana.  I am very happy with the way their Plan has worked out for me.        With Love,  CtrlAltDel aka DaveC4/5 Complete - 29 Years PostTexas, USA Jim Lubin <[EMAIL PROTECTED]> wrote:  Just wondering if anyone had any problems with the change from Medicaid to Medicare Part D after all the doom and gloom predictions.I know for me the transition was smooth. I received a letter in November saying that it was changing and that if I did not chose a drug plan I would be put on the AARP MedicareRx Plan. I checked the Medicare web site and saw that it covered !
 my
 medications. They did not show my pharmacy as being included in their plan so called the pharmacy and asked. They assured me they were. So I did nothing. This month when it was time to renew my prescriptions called the pharmacy, they asked for my social security number, and that was it. When my mom went to pickup my prescriptions I had: a $3 co-pay for dantrium, $1 co-pay for baclofen and no co-pay for docusate.Jim  

Re: [QUAD-L] Medicaid to Medicare Part D

[Dan]

Sorry if I was confusing. I meant $40/mo in co-pays.

Dan 

At 03:26 PM 1/31/06 -0800, Jim Lubin said something that elicited my response:
  
>Dan, 
>I'm wondering why AARP would cost you $40/mo. Since I am duel-eligible I pay 
>no monthly premium for the AARP MedicareRx Plan, and received a letter in 
>November from AARP stating that. Maybe the coverage varies by state?
>
>At 03:12 PM 1/31/2006, Dan wrote:
>>Please don't get me going on Part D! I hate it and so does my pharmacist and 
>>doctors. I'm on Medicare and Medicaid but Medicaid always trumped so I had NO 
>>co-pay and had access to ANY drug my doctor prescribed.  
>>
>>Now the government in all it's wisdom included duel-eligibles in Part D and 
>>all that changed. In my state there are 42 different plans to pick from and 
>>although I'm guaranteed no premium, co-pays vary with each plan and with each 
>>plans formulary. I too picked AARP as they covered all my prescriptions. 
>>However, after looking into what it would cost me ($40/mo), I decided to look 
>>at other plans. I take 8 medications and I spent many hours on the computer 
>>trying to find the best plan. Some offer mostly brand names which they charge 
>>extra for. Others don't have the drugs I use in their formulary. It soon gets 
>>very confusing. I am fairly computer savy and I pity the poor person that is 
>>not because trying to reach these companies on the phone is next to 
>>impossible. 

Re: [QUAD-L] Medicaid to Medicare Part D

[Jim Lubin]

Dan, 
I'm wondering why AARP would cost you $40/mo. Since I am duel-eligible I
pay no monthly premium for the AARP MedicareRx Plan, and received a
letter in November from AARP stating that. Maybe the coverage varies by
state?
At 03:12 PM 1/31/2006, Dan wrote:
Please don't get me going on
Part D! I hate it and so does my pharmacist and doctors. I'm on Medicare
and Medicaid but Medicaid always trumped so I had NO co-pay and had
access to ANY drug my doctor prescribed.  
Now the government in all it's wisdom included duel-eligibles in Part D
and all that changed. In my state there are 42 different plans to pick
from and although I'm guaranteed no premium, co-pays vary with each plan
and with each plans formulary. I too picked AARP as they covered all my
prescriptions. However, after looking into what it would cost me
($40/mo), I decided to look at other plans. I take 8 medications and I
spent many hours on the computer trying to find the best plan. Some offer
mostly brand names which they charge extra for. Others don't have the
drugs I use in their formulary. It soon gets very confusing. I am fairly
computer savy and I pity the poor person that is not because trying to
reach these companies on the phone is next to impossible.

Re: [QUAD-L] Medicaid to Medicare Part D

[Jim Lubin]

Dan,
I'm wondering why AARP would cost you $40/mo. Since I am 
duel-eligible I pay no monthly premium for the AARP MedicareRx Plan, 
and received a letter in November from AARP stating that. Maybe the 
coverage varies by state?


At 02:39 PM 1/31/2006, Dan wrote:
Please don't get me going on Part D! I hate it and so does my 
pharmacist and doctors. I'm on Medicare and Medicaid but Medicaid 
always trumped so I had NO co-pay and had access to ANY drug my 
doctor prescribed.


Now the government in all it's wisdom included duel-eligibles in 
Part D and all that changed. In my state there are 42 different 
plans to pick from and although I'm guaranteed no premium, co-pays 
vary with each plan and with each plans formulary. I too picked AARP 
as they covered all my prescriptions. However, after looking into 
what it would cost me ($40/mo), I decided to look at other plans. I 
take 8 medications and I spent many hours on the computer trying to 
find the best plan. Some offer mostly brand names which they charge 
extra for. Others don't have the drugs I use in their formulary. It 
soon gets very confusing. I am fairly computer savy and I pity the 
poor person that is not because trying to reach these companies on 
the phone is next to impossible.

Re: [QUAD-L] Medicaid to Medicare Part D

[Dan]

Please don't get me going on Part D! I hate it and so does my pharmacist and 
doctors. I'm on Medicare and Medicaid but Medicaid always trumped so I had NO 
co-pay and had access to ANY drug my doctor prescribed.  

Now the government in all it's wisdom included duel-eligibles in Part D and all 
that changed. In my state there are 42 different plans to pick from and 
although I'm guaranteed no premium, co-pays vary with each plan and with each 
plans formulary. I too picked AARP as they covered all my prescriptions. 
However, after looking into what it would cost me ($40/mo), I decided to look 
at other plans. I take 8 medications and I spent many hours on the computer 
trying to find the best plan. Some offer mostly brand names which they charge 
extra for. Others don't have the drugs I use in their formulary. It soon gets 
very confusing. I am fairly computer savy and I pity the poor person that is 
not because trying to reach these companies on the phone is next to impossible. 

I finally decided on Wellcare. They charge $5 for brand names and $0 for 
generic. Since I always use generic I thought I was all set. Ha! I'm allergic 
to most all antibiotics but the generic of Biaxin is one I can take. But it's 
not on their damn formulary so they said I should use the generic form of 
Zithromax which gives me very bad stomach cramps. So now my doctor has to try 
and convince them to put the generic of Biaxin on their formulary. 

I also use Allegra which is brand name only but once again they don't carry it. 
They told me to use Zyrtec (brand name only) but it knocks me out. 
Aaarrrggghhh! Why can't they leave us Medicaid people alone? I thought this was 
supposed to be a Medicare program?!? 

Dan

>At 01:28 PM 1/31/06 -0800, Jim Lubin said:
>  
>Just wondering if anyone had any problems with the change from Medicaid to 
>Medicare Part D after all the doom and gloom predictions.
>
>I know for me the transition was smooth. I received a letter in November 
>saying that it was changing and that if I did not chose a drug plan I would be 
>put on the AARP MedicareRx Plan. I checked the Medicare web site and saw that 
>it covered my medications. They did not show my pharmacy as being included in 
>their plan so called the pharmacy and asked. They assured me they were. So I 
>did nothing. This month when it was time to renew my prescriptions called the 
>pharmacy, they asked for my social security number, and that was it. When my 
>mom went to pickup my prescriptions I had: a $3 co-pay for dantrium, $1 co-pay 
>for baclofen and no co-pay for docusate.
>
>Jim

FW: Re: [QUAD-L] Medicaid Doctor is coming to my apartment ~ Help

[William Willis]

I got my  first power chair in 1979. I got my fourth one two years ago. I 
used each one till the wheels broke off. Too damn much trouble and expense. 
My insurance paid for a whopping 60% of the one I have now.




From: "Gloria Matthews" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>, 
Subject: Re: [QUAD-L] Medicaid Doctor is coming to my apartment ~ Help
Date: Tue, 10 Jan 2006 13:17:19 -0500

My husband gets a new power wheelchair every 5 years.5 years is a 
lot of wear and tear ...I'd say whatever it takes to get a new one, the 
truth usually works pretty good plus, the older you get, the more one 
relies on a power wheelchair..you're entitled..


Gloria Matthews
Swansboro, NC  28584
hubby quad for 43 years

  - Original Message -
  From: [EMAIL PROTECTED]
  To: quad-list@eskimo.com
  Sent: Tuesday, January 10, 2006 12:29 PM
  Subject: [QUAD-L] Medicaid Doctor is coming to my apartment ~ Help


  Hi All,
 I ordered a brand new power chair and this morning Dr. Kay, the 
Medicaid Doctor, called and said she want's to come over to my apartment 
and meet me to discuss my new power chair order.

What should I say? What shouldn't I say?
  The power chair I'm in now is only 5 years old BUT it malfunctions a 
lot, like stopping whenever it wants to. It also move's on it's own and it 
tip backwards very easily.
   In December 2005 I had an MRI that showed I have a syrinx on C 6 and 
osteoporosis in my neck.

   OH, and I've ordered a tilt for the very first time in 33 years.
   What would you guys do and not do to get this new power chair approved?
~ Bobbie ~

Re: [QUAD-L] Medicaid Doctor is coming to my apartment ~ Help

[DeLiMiTeD4]

The tilt in space is a must have for pressure relief. You should ask that 
the back and legs recline as well. This allows you the option to adjust in the 
chair easily when you spend long days up in it. Oversized heel plates protect 
your feet and most DME'
s will just cut them out and fasten them to the BS heel plates. Ask for an 
automatic headrest. Unless you are able to fasten yours on yourself? You will 
need a tray table and a seating system. Don't forget to ask that the chair have 
the largest batteries possible because bigger is better when it comes to them. I 
prefer center wheel drive with front and rear casters. very maneuverable and 
stable configuration. Be sure the chair has supports for your hips so you don't 
shift sideways. A 12 volt power outlet for your laptop is always handy...if you 
have a laptop? If you ask for things they can deny then they think they are 
saving money and you still get a chair you can live in, cause damn, I sure live 
in mine.
Good lick.
John
 
In a message dated 1/10/2006 3:59:44 P.M. Eastern Standard Time, 
[EMAIL PROTECTED] writes:

  
  You are most fortunate to have a medical doctor, review your request 
  personally.
  It is most important that you leave nothing to their imagination when it 
  comes to
  your needs and requirements and what will happen, in your life, if you 
  are not 
  equip'd with the proper electric wheelchair chair.  This is 
  important with your
  life inside and outside the house.  Especially, with your work done 
  outside the
  house.
  Best Wishes
  W
   
   
   
   
  In a message dated 1/10/2006 11:33:41 AM Central Standard Time, 
  [EMAIL PROTECTED] writes:
  
Hi All,
   I ordered a brand new power chair and 
this morning Dr. Kay, the Medicaid Doctor, called and said she 
want's to come over to my apartment and meet me to discuss my new power 
chair order.
  What should I say? What shouldn't I 
say?
The power chair I'm in now is only 5 years old BUT it 
malfunctions a lot, like stopping whenever it wants to. It also move's on 
it's own and it tip backwards very easily.
 In December 2005 I had an MRI that showed I have a syrinx 
on C 6 and osteoporosis in my neck.
 OH, and I've ordered a tilt for the very first time in 33 
years.
 What would you guys do and not do to get this new power 
chair approved?
  ~ Bobbie ~
  
   

 

Re: [QUAD-L] Medicaid Doctor is coming to my apartment ~ Help

[wheelchair]

You are most fortunate to have a medical doctor, review your request 
personally.
It is most important that you leave nothing to their imagination when it 
comes to
your needs and requirements and what will happen, in your life, if you are 
not 
equip'd with the proper electric wheelchair chair.  This is important 
with your
life inside and outside the house.  Especially, with your work done 
outside the
house.
Best Wishes
W
 
 
 
 
In a message dated 1/10/2006 11:33:41 AM Central Standard Time, 
[EMAIL PROTECTED] writes:

  Hi All,
     I ordered a brand new power chair and 
  this morning Dr. Kay, the Medicaid Doctor, called and said she 
  want's to come over to my apartment and meet me to discuss my new power 
  chair order.
    What should I say? What shouldn't I 
  say?
  The power chair I'm in now is only 5 years old BUT it 
  malfunctions a lot, like stopping whenever it wants to. It also move's on it's 
  own and it tip backwards very easily.
   In December 2005 I had an MRI that showed I have a syrinx 
  on C 6 and osteoporosis in my neck.
   OH, and I've ordered a tilt for the very first time in 33 
  years.
   What would you guys do and not do to get this new power 
  chair approved?
    ~ Bobbie ~

 

Re: [QUAD-L] Medicaid Doctor is coming to my apartment ~ Help

[David K. Kelmer]

Hi Bobbie,     I just went through the same process with my doctor.  All I did was tell my doctor that I wanted a chair that would meet all of my medical needs or I just wouldn't bother to get a chair that wouldn't meet my medical needs.  It worked great for me so give it a try.  Good luck and stay strong.     With Love,  CtrlAltDel aka DaveC4/5 Complete - 29 Years PostTexas, USA  [EMAIL PROTECTED] wrote:  Hi All,     I ordered a brand new power chair and this morning Dr. Kay, the Medicaid Doctor, called and said she want's to come over to my apartment and meet me to discuss my new power chair
 order.    What should I say? What shouldn't I say?  The power chair I'm in now is only 5 years old BUT it malfunctions a lot, like stopping whenever it wants to. It also move's on it's own and it tip backwards very easily.   In December 2005 I had an MRI that showed I have a syrinx on C 6 and osteoporosis in my neck.   OH, and I've ordered a tilt for the very first time in 33 years.   What would you guys do and not do to get this new power chair approved?    ~ Bobbie ~  

Re: [QUAD-L] Medicaid Doctor is coming to my apartment ~ Help

[SuzyToU]

I agree completely with Gloria. This is a medical and living necessity; but 
we all know you have to go through hoops just to get the basics.  Having 
said that though, I would go for broke and demand a new seating system with the 
new chair considering the osteoporosis and syrinx.  If possible, have the 
MRI films with you and something from your doc regarding those issues. And you 
will love the tilt feature of the chair-it takes so much pressure off your 
spine.
Good Luck!
Susan
Mom to Andrew 15 yo quad

Re: [QUAD-L] Medicaid Doctor is coming to my apartment ~ Help

[Mare Albano]

Bobbie, tell him it is ''medically 
necessary'' because of the prob. you're having w/your pressure area. My tilt 
chair has helped that immensely! Tell him the other probs. w/your old chair as 
well...
-Mare

  - Original Message - 
  From: 
  [EMAIL PROTECTED] 
  To: quad-list@eskimo.com 
  Sent: Tuesday, January 10, 2006 12:29 
  PM
  Subject: [QUAD-L] Medicaid Doctor is 
  coming to my apartment ~ Help
  
  Hi All,
     I ordered a brand new power chair and 
  this morning Dr. Kay, the Medicaid Doctor, called and said she 
  want's to come over to my apartment and meet me to discuss my new power 
  chair order.
    What should I say? What shouldn't I 
  say?
  The power chair I'm in now is only 5 years old BUT it 
  malfunctions a lot, like stopping whenever it wants to. It also move's on it's 
  own and it tip backwards very easily.
   In December 2005 I had an MRI that showed I have a syrinx 
  on C 6 and osteoporosis in my neck.
   OH, and I've ordered a tilt for the very first time in 33 
  years.
   What would you guys do and not do to get this new power 
  chair approved?
    ~ Bobbie ~

Re: [QUAD-L] Medicaid Doctor is coming to my apartment ~ Help

[Gloria Matthews]

My husband gets a new power wheelchair every 5 years.5 years is a 
lot of wear and tear ...I'd say whatever it takes to get a new one, the 
truth usually works pretty good plus, the older you get, the more one relies on 
a power wheelchair..you're entitled..
Gloria MatthewsSwansboro, NC  28584
hubby quad for 43 years

  - Original Message - 
  From: 
  [EMAIL PROTECTED] 
  To: quad-list@eskimo.com 
  Sent: Tuesday, January 10, 2006 12:29 
  PM
  Subject: [QUAD-L] Medicaid Doctor is 
  coming to my apartment ~ Help
  
  Hi All,
     I ordered a brand new power chair and 
  this morning Dr. Kay, the Medicaid Doctor, called and said she 
  want's to come over to my apartment and meet me to discuss my new power 
  chair order.
    What should I say? What shouldn't I 
  say?
  The power chair I'm in now is only 5 years old BUT it 
  malfunctions a lot, like stopping whenever it wants to. It also move's on it's 
  own and it tip backwards very easily.
   In December 2005 I had an MRI that showed I have a syrinx 
  on C 6 and osteoporosis in my neck.
   OH, and I've ordered a tilt for the very first time in 33 
  years.
   What would you guys do and not do to get this new power 
  chair approved?
    ~ Bobbie ~

Re: [QUAD-L] Medicaid Doctor is coming to my apartment ~ Help

[River Wolfe]

I Bobbie,

Sounds like what you said below will do the job.  What is she going  
to say to that, along with meeting you in person?  Not to say that  
you should play up the pity factor or anything...*smirk*


River
On Jan 10, 2006, at 12:29 PM, [EMAIL PROTECTED] wrote:


Hi All,
   I ordered a brand new power chair and this morning Dr. Kay, the  
Medicaid Doctor, called and said she want's to come over to my  
apartment and meet me to discuss my new power chair order.

  What should I say? What shouldn't I say?
The power chair I'm in now is only 5 years old BUT it malfunctions  
a lot, like stopping whenever it wants to. It also move's on it's  
own and it tip backwards very easily.
 In December 2005 I had an MRI that showed I have a syrinx on C 6  
and osteoporosis in my neck.

 OH, and I've ordered a tilt for the very first time in 33 years.
 What would you guys do and not do to get this new power chair  
approved?

  ~ Bobbie ~

Re: [QUAD-L] Medicaid/Medicare state differences

[Stacy Harim]

I really thought about moving to Florida when I got sick but then my Mom 
said don’t because you can't get any help here and man is she right.  That 
state is terrible in the giving help to those who need it dept but then look who 
is the Governor, Bush's bro.
 
Stacy

  - Original Message - 
  From: S. Dial 
  To: Stacy Harim ; quad-list@eskimo.com 
  Sent: Wednesday, December 21, 2005 6:53 
  PM
  Subject: [QUAD-L] Medicaid/Medicare state 
  differences
  
  Amazing, the differences in our states. I have 
  medicare/medicaid and was told with both all I could get was 1 visit (an hour) 
  a day just 3 days a week and I'm a c3-c4 quad and can do none of my ADL's 
  independently ... Before I was put on medicare I could get thru just medicaid 
  2 visits a day 7 days a week. 
   
  Steph
   
  Anyone else in Florida on here (that needs 
  full care 7 days a week) with medicaid & medicare? If so, how are you 
  making it?  

Re: [QUAD-L] Medicaid/Medicare state differences

[S. Dial]

I was on the "waiting" list for two years, never 
did get on the damn waiver list. Finally, I gave up and here I sit. I don't 
wanna spend the rest of my life in a nursing home, despite the good care I 
receive here, but I'm scared to get back out there, ya know?
 
Steph

Re: [QUAD-L] Medicaid/Medicare state differences

[wheelchair]

It's ironic that in all these years, I've never met anyone associated with 
medicare/medicaid with a disability.  Yet they never seems to hesitate offering
what they think about the terms of the new policies regarding benefits.
Usually, they are wrong.
How ironic is that?
W


In a message dated 12/21/05 5:54:25 PM, [EMAIL PROTECTED] writes:

<< Amazing, the differences in our states. I have medicare/medicaid and was 
told with both all I could get was 1 visit (an hour) a day just 3 days a week 
and I'm a c3-c4 quad and can do none of my ADL's independently ... Before I was 
put on medicare I could get thru just medicaid 2 visits a day 7 days a week. 


Steph >>

Re: [QUAD-L] Medicaid/Medicare state differences

[Bill_J]

I got on the BSCIP waiver before 
Medicare kicked in.  I get 4 hours/day, 7 days/week.  But I live with 
my caregiver and am listed as renting from her.  
 
BillC6 Incomplete since 
7/20/68Leesburg, FLI live in my own little world. But it's OK...they 
know me here.

  - Original Message - 
  From: 
  S. Dial 
  To: Stacy Harim ; quad-list@eskimo.com 
  Sent: Wednesday, December 21, 2005 6:53 
  PM
  Subject: [QUAD-L] Medicaid/Medicare state 
  differences
  
  Amazing, the differences in our states. I have 
  medicare/medicaid and was told with both all I could get was 1 visit (an hour) 
  a day just 3 days a week and I'm a c3-c4 quad and can do none of my ADL's 
  independently ... Before I was put on medicare I could get thru just medicaid 
  2 visits a day 7 days a week. 
   
  Steph
   
  Anyone else in Florida on here (that needs 
  full care 7 days a week) with medicaid & medicare? If so, how are you 
  making it?  

Re: [QUAD-L] Medicaid and ID Theft!

[B. Kimberlin]

I had a PCA that also seemed too good to be true. I used to have to give her my pin number, because I cannot push the buttons of the ATM, for my ATM card. She managed to get a hold of my card and extract a couple of hundred dollars while I was sitting in the van waiting on her to fill my water containers. She also manipulated some of the checks that I had her write for herself. The detective from the Hillsborough County Sheriff's Department thought we had enough to charge her with defrauding a disabled person, a third-degree felony in a state of Florida, but the chicken shit state attorney's office would not prosecute. Thank goodness the detective would not take no for an answer and had the contiguous County, where she just happen to have had cashed the checks in, look into the case. Pinellas County, actually the St. Petersburg Police Department and state attorneys office of Pinellas County, prosecute her with great zeal. I did get some restitution, but anything taken whi!
 ch was
 committed in Hillsborough County was not returned. I also had a problem with the credit card company. They would not take charges that she had put on my card off, despite the fact that some of the very astute companies had her put her Florida driver's license number on the receipts.
Billy from Tampa
C2-3
9 years post
My blog: http://quadius-superbus.blogspot.com/Lori Michaelson <[EMAIL PROTECTED]> wrote:






 Live & learn.  In 1998 I hired someone privately.  I was 20 yrs post & had hired 
numerous aides.  This guy was as smooth coming as a baby's butt.  When nothing
is wrong with an aide (too good to be true) there's SOMETHING wrong usually.
 
He didn't steal my identity but did take a credit card, use it, and slide it back the 
next day.  And stole nearly $20,000.00 in property ... some things non-replacable 
by insurance.
 
We felt very violated and the police say "if we can't see him taking your stuff into HIS home, we 
can't do anything."  LIKE HOW WOULD THAT OCCUR?  What a bunch of crap!
 
And the police TRIED dusting for prints on a wooden jewelry box ... saying they couldn't lift any.
More crap!  Enough dust was there to SEE them.  We were so rattled that we weren't
assertive enough at the time.
 
I'll never be TOO trusting again.
 
Lori 
---Original Message---
 

From: Dana Miller
Date: 03/01/05 10:06:12
To: quad
Subject: [QUAD-L] Medicaid and ID Theft!
 
Thats the way it worked for me, except I had private insurance that paid for
nearly everything.  After 2 years I was eligible for Medicare as my Primary
with my private picking up the rest.  When I reached the cap on my private I
had already been put on  a PCA program after being on the waiting list for 4
years.
It took several years before I was able to comprehend the medicaid red tape,
but with a very good case worker who was finally able to be able to explain
it.  Even then it took a few more years before I was able get the
"quarterly" requirement thing down.
 
But now everything is covered  nicely, I get my PCA money, I get homemaker
services--I don't ask, my case worker did not tell me how--I have a cushion
that finally works, figured out that I need to lay flat in bed, so my skin
is finally "not" a problem!
 
Now I need to find a replacement for an attendant that will probably be
spending some time in prison as she stole my ID!  Fortunately it was caught
soon enough that I only personally was taken for $100.  And I shred
"everything!!  Seems she has a record back in Philadelphia too, but the
officer working on the case did not seem to think they would want her back.
She was pregnant when I hired her, took a couple of days off for a
DNC--guess that was when she had the baby--then came back to work as if
nothing had happened!  I never knew or noticed anything in that
  area.  In hindsite it does explain a few times she came and was very hot
and had a difficult time getting the job done.
 
She was very dependable, always picked up extra hours when someone else
wanted off.  Never missed worked.  Was good at her job--she got me up on the
weekend mornings, did supper M-F and put me to bed M,T, &W nights.  It will
be hard to replace her.
 
One time I asked for a background check just for the heck of it from the
Independant Living Center that handles the payroll etc.--2 months later it
came in the mail.  The police will not do it.
 
I have since been told not to hire anyone who I do not get a copy of a state
wide background check that the person is su;pposed to send an information
sheet and $5 in to have done.  I had not looked at that  paper at all, so
did not know I was supposed to get a copy of it.  I thought they were not
supposed to get paid unless the person had done this. ( the independant
living center is now considering that) It includes a zerox of their SS
number and drivers license.  If I had waited for that to be done, I'm not
sure I would have hired her.  And in another hindsite, I doubt she sent that
in, altho the only record she seemed to have w

Re: [QUAD-L] Medicaid and ID Theft!

[Lori Michaelson]

 Live & learn.  In 1998 I hired someone privately.  I was 20 yrs post & had hired 
numerous aides.  This guy was as smooth coming as a baby's butt.  When nothing
is wrong with an aide (too good to be true) there's SOMETHING wrong usually.
 
He didn't steal my identity but did take a credit card, use it, and slide it back the 
next day.  And stole nearly $20,000.00 in property ... some things non-replacable 
by insurance.
 
We felt very violated and the police say "if we can't see him taking your stuff into HIS home, we 
can't do anything."  LIKE HOW WOULD THAT OCCUR?  What a bunch of crap!
 
And the police TRIED dusting for prints on a wooden jewelry box ... saying they couldn't lift any.
More crap!  Enough dust was there to SEE them.  We were so rattled that we weren't
assertive enough at the time.
 
I'll never be TOO trusting again.
 
Lori 
---Original Message---
 

From: Dana Miller
Date: 03/01/05 10:06:12
To: quad
Subject: [QUAD-L] Medicaid and ID Theft!
 
Thats the way it worked for me, except I had private insurance that paid for
nearly everything.  After 2 years I was eligible for Medicare as my Primary
with my private picking up the rest.  When I reached the cap on my private I
had already been put on  a PCA program after being on the waiting list for 4
years.
It took several years before I was able to comprehend the medicaid red tape,
but with a very good case worker who was finally able to be able to explain
it.  Even then it took a few more years before I was able get the
"quarterly" requirement thing down.
 
But now everything is covered  nicely, I get my PCA money, I get homemaker
services--I don't ask, my case worker did not tell me how--I have a cushion
that finally works, figured out that I need to lay flat in bed, so my skin
is finally "not" a problem!
 
Now I need to find a replacement for an attendant that will probably be
spending some time in prison as she stole my ID!  Fortunately it was caught
soon enough that I only personally was taken for $100.  And I shred
"everything!!  Seems she has a record back in Philadelphia too, but the
officer working on the case did not seem to think they would want her back.
She was pregnant when I hired her, took a couple of days off for a
DNC--guess that was when she had the baby--then came back to work as if
nothing had happened!  I never knew or noticed anything in that
  area.  In hindsite it does explain a few times she came and was very hot
and had a difficult time getting the job done.
 
She was very dependable, always picked up extra hours when someone else
wanted off.  Never missed worked.  Was good at her job--she got me up on the
weekend mornings, did supper M-F and put me to bed M,T, &W nights.  It will
be hard to replace her.
 
One time I asked for a background check just for the heck of it from the
Independant Living Center that handles the payroll etc.--2 months later it
came in the mail.  The police will not do it.
 
I have since been told not to hire anyone who I do not get a copy of a state
wide background check that the person is su;pposed to send an information
sheet and $5 in to have done.  I had not looked at that  paper at all, so
did not know I was supposed to get a copy of it.  I thought they were not
supposed to get paid unless the person had done this. ( the independant
living center is now considering that) It includes a zerox of their SS
number and drivers license.  If I had waited for that to be done, I'm not
sure I would have hired her.  And in another hindsite, I doubt she sent that
in, altho the only record she seemed to have was in Philadelphia.
 
Her arrest was in the paper and all she was charged with was 2 counts of
misuse of a credit device. Her bail was $5500.  That will be a slap on the
hands!  So she is out on bail and will probably skip town.  If she does that
at least all I have to do is show up to court and if she does not, I win and
a warrent goes out for her.  I am still waiting for a warrent to catch
another person I took to court about 4 years ago and she did not show up.
So much for warrents!  ugh.
 
I do not know how to keep this from happening again, tho.  The 2 people
still working for me and have been for years, can't do it all.  Then there
are the homemakers that buy my groceries.  I give them a check.  I suppose
could just start using my debit card.
So anyway--be as careful as you can be!
take care,
 
Dana
[EMAIL PROTECTED]
- Original Message -
From: "Stacy Harim" <[EMAIL PROTECTED]>
To: ; "Julie A Napper" <[EMAIL PROTECTED]>
Sent: Sunday, February 27, 2005 4:34 PM
Subject: Re: [QUAD-L] anniversary/medicaid
 
 
I don't know.  I have been getting disability all along.  I have been
getting attendant care services all along and I am surprised you aren't
getting Medicare already since you are getting SSI.  I am on the waiver
program in maryland.  I started getting medicare after 2 yrs on disability.
My brother gets ssdi and started getting medicare right away