Tuesday, February 26, 2008

Denial of Medicaid services

Family Voices has been contacted by families having difficulties with Medicaid services. Apparently, current claims are being denied across the state for some individuals.
In order to try to address the issue, we'd like to gather more information.

First, we need to know what TYPE of Medicaid the individual has:
Hoosier Healthwise
Traditional Medicaid
Home and Community Based Waivers/Medicaid
Disability Medicaid

Most cards look identical, so you need to look at statements like prior authorizations, claims, or correspondence from a managed care organization like Anthem, Managed Health Services and/or MDWise. The first 2 probably indicate you have Hoosier Healthwise. MDWise has more than one program, so you'll have to investigate this further.

We also need to know what's being denied-most are indicating it's therapy services-and if it has been covered in the past.

Please send the info to Family Voices at fv.indiana@gmail.com or reply to this email through yahoogroups.

We will update our membership as we obtain information. You might also let your legislator know that you're having difficulty and the impact on the individual. You might want to copy Senator Broden as he has been particularly receptive:
Senator Broden: S10@in.gov

No comments: