Do you have a Question about Medicaid?
September 21, 2013
ASK YOUR MEDICAID QUESTION IN THE COMMENTS SECTION BELOW!
546 Comments
ASK YOUR MEDICAID QUESTION IN THE COMMENTS SECTION BELOW!
“The guardianship statutes differ widely state by state, and although most states have enacted the Uniform Adult Guardianship and Protective Proceedings Jurisdiction Act, which seeks to provide a mechanism for resolving multi-state jurisdictional disputes when people subject to guardianships migrate, the complicated fabric of substantive guardianship statutes still varies.
Resources A Knotty Issue
The federal law governing the state-by-state management of Medicaid programs, 42 U.S.C. §1396a(a)(17), and the section that controls the extent of resources that a Medicaid applicant or recipient can retain says that the Medicaid program should take into account “only such income and resources as are…available to the applicant or recipient…”
In most states, once an application for guardianship is filed, the person with the alleged incapacities is deemed to no longer have access to his or her resources and income.
The practical implication is that for a resident who is in the throes of applying for Medicaid, a pending guardianship application will force the Medicaid department to review that application as though the resident has no income and resources.
As long as the rest of the Medicaid application is complete, this could be a relatively quick path to Medicaid qualification. The rub, so to speak, occurs once the guardianship application has been resolved.
At that point, the Medicaid department would return to the application and determine from the resources and income of the applicant whether they are indeed eligible for Medicaid coverage under the traditional means-tested approach.” Source: http://www.providermagazine.com/archives/2014_Archives/Pages/0214/Guardianship-And-Medicaid.aspx
I have Nevada Medicaid and Nevada Check Up. I chose Silver Summit as my provider, largely because they CLAIM they will pay for eye exams and one set of glasses per year. I desperately need new glasses – I haven’t had a new pair of glasses in TEN YEARS. I had the exam and it was covered – but the associated eyeglass maker refused the insurance. I finally found out it is actually Envolve eye insurance. I cannot contact Envolve on the phone and the website simply lists all the optometrists in Las Vegas. I have looked online. I have made numerous phone calls. Either no eyeglasses maker in Nevada or the United States ACTUALLY accept Envolve to pay for eyeglasses (in which case, the Silver Summit information given is a fraud, as is the information on the Envolve website) or I can only go to each and every eyeglasses provider one by one in the entire city asking for glasses until MAYBE someone will say yes. As you may have guessed, I am not rich and I can’t go to every eyeglass maker in this city one by one. Does ANYONE know of ANYONE who REALLY takes this insurance, or is this all a fraud and a lie? If so, perhaps the State of Nevada should investigate this company that claims to provide services it does not provide.