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Medicaid eligibility is a complicated matter. The law, regulations, and eligbility handbook materials are voluminous.
We spend a good deal of our time just keeping up with these changes. When we take on a Medicaid case, we are working
for the applicant. In other words, the applicant is our client. In most cases, however, the applicant has limited
mobility and, therefore, we prefer to have a fully authorized Power of Attorney, known in the Medicaid field as a "Responsible
Party" available to assist in the process. We always meet the client, assess their capacity, and determine their desire
to be involved in the process. Then we build as accurate a picture of the assets, income, and gifts made by the applicant/spouse
as possible. We then determine eligibility and create a set of recommendations of steps necessary to satisfy the criteria
for eligibility. We assist the Responsible Party in implementing these steps, and, then, represent the applicant in
applying for benefits. In many cases we also provide post approval services necessary to be completed within the first
year of eligibility for the applicant.
Please note that this office does not provide medical services. The health assessment standards applicable to Medicaid
applicants changed significantly during fall, 2008. EACH APPLICANT MUST BE ADMITTED UNDER A DOCTOR'S ORDERS. Self
admitted patients will NOT qualify under the new health assessment standards without a doctors order confirming the need for
care. All inquiries about medical necessity must be made with your doctor or nursing home staff. We do handle
appeals from denials of Medical Necessity.
We have a "White Paper" that explains all about out process, fee practices, etc. Please feel free to download this
.pdf document.
DOWNLOAD "White Paper" in .pdf format
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