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Showing posts from February 24, 2008

Article 7-final language and opportunity for comment

Priority Criteria for Medicaid waivers

FSSA ENCOURAGES INDIVIDUALS TO APPLY

Today, the Indiana Family and Social Services Administration's (FSSA) Division of Disability and Rehabilitative Services (DDRS) issued a public reminder of several Priority Criteria that allows individuals with disabilities to bypass the waiting list and make application for an Indiana Home and Community-Based Medicaid Waiver. Those meeting the criteria should contact their local Bureau of Developmental Disabilities Services (BDDS) as soon as possible to determine eligibility and begin the application process.



"We have identified certain life situations that put people with developmental disabilities at immediate risk for institutionalization," said DDRS Director, Peter Bisbecos. "The Priority Criteria enable us to serve these individuals earlier and potentially avert the need for more restrictive, higher cost services in the future."



Last year, the Centers for Medicare and Medicaid Services (CMS) approved FSSA's request to…

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 updat…