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Terrible news [Jul. 3rd, 2006|11:26 am]
There is a new Medicaid law that will deny Marsha coverage, since she doesn't have a birth certificate or any other documentation.

I wasn't too worried at first, since Delaware sent me my birth certificate some years ago only requiring that I knew my parent's full names. But Texas requires something like a driver's license, or other documentation Marsha doesn't have.

It's not clear to me yet whether this is going to hit Marsha almost immediately, or next year. I hope it's next year, because I am barely functional right now. It looks like Marsha will be going into a wound-care program here at the hospital until her bed sores are healed, which should be very good news; but while I think I could cover a year in a regular nursing home by selling my house, I don't know how much of this program I can cover. Months? Weeks?

There are various things I can try, but I am so damned tired. If anyone can refer me to a good Medicaid lawyer I'd be grateful.

[User Picture]From: luguvalium
2006-07-03 04:34 pm (UTC)
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[User Picture]From: angelweed
2006-07-03 05:17 pm (UTC)
Yes. Thanks, though.
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[User Picture]From: jimtbari
2006-07-04 03:33 am (UTC)

It looks to me like it's not immediate. This says

Effective July 1, 2006, Public Law No. 109-171 Deficit Reduction Act of 2005 Section 6036 requires individuals to provide satisfactory documentary evidence of citizenship or nationality when initially applying for Medicaid or upon a recipient's first Medicaid re-determination.

So since she's already on Medicaid, it sounds like it *will* be a problem but it's not necessarily a problem right away. (How often does re-determination happen?)

Given the re-determination, it does sound like may need to try to get the birth certificate soon though. It seemed to be that it says that you can use other things (like utility bills) if the person in question doesn't have a photo ID, but you need at least one thing with her signature, she needs to be the one asking, and the PDF of the application claims that you must have photo ID.

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[User Picture]From: northlighthero
2006-07-05 02:00 am (UTC)

Something to try

A friend suggests:

Get the hospital's notary public up to Marsha's room to witness the taking of a photograph of you, and Marsha, and Marsha's doctor.

Have the notary witness Marsha's verbal statement that she wants a copy of her birth certificate and authorizes you to act as her agent; a written statement from you attesting to these facts and agreeing to act as her agent; the 'request form' filled out and signed by you as Marsha's agent; a written statement by the doctor to the effect that Marsha cannot sign her own name and has not been eligible for any of the suggested government-issued IDs for XX years.

Have the notary sign-and-seal the printed photograph itself.

Send these with a letter of explanation to the Texas officials.

My friend, a nurse-practitioner with extensive experience in both hospitals and legal-disability law, says she has seen this work.

My personal suggestion is that you ask for TWO copies, and put one in the safe-deposit box just in case (wry grin).

Hoping you are taking care of yourself, dear one.

Wishing you light, and love, and even some laughter

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[User Picture]From: luguvalium
2006-07-05 11:46 am (UTC)

Re: Something to try

Sounds like the best idea, I've heard yet.

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[User Picture]From: angelweed
2006-07-05 04:58 pm (UTC)

Re: Something to try

Thanks, that sounds like excellent advice.
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[User Picture]From: yezida
2006-07-06 02:46 am (UTC)


I have no advice, but I'm sending some love your way.
I wish strength and some beauty for you.

- Thorn
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[User Picture]From: angelweed
2006-07-10 03:48 am (UTC)

Re: Love

Thanks, I can use all three...
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