Q) I have P.O.A. on my brother. My brother is a senior citizen and disabled. He is in need of full time care. He is not able to make any decisions and is mental incompetent and has been diagnosed as such. He was receiving Medicaid in Adams County and as moved to Denver County. I was told he qualifies for Medicaid at Adams County. Now he is told , he is not. I request to appeal this decision . I am able to send you my P.O.A. if necessary. Please advice.
A) I understand that you are in a difficult situation. It sounds like your brother is in need of significant medical care, and you are trying to make sure that he has access to the benefits he needs.
I am happy to help you appeal the decision to deny your brother Medicaid in Denver County. Here are the steps you need to take:
- File an appeal with the Denver County Department of Human Services. You can find the contact information for the Denver County Department of Human Services on the Denver County website.
- When you file your appeal, you will need to provide some basic information about your brother, such as his name, date of birth, and Social Security number. You will also need to provide information about his income and assets.
- You will also need to provide information about the reason for your appeal. In your case, you will need to explain why you believe that your brother qualifies for Medicaid in Denver County.
- Once you have filed your appeal, the Denver County Department of Human Services will review your appeal and make a decision. If the Denver County Department of Human Services decides to uphold the decision to deny your brother Medicaid, you can appeal the decision to the Colorado Department of Health Care Policy and Financing.
Here are some additional things to keep in mind when appealing a decision to deny Medicaid:
- You must file your appeal within 60 days of the date of the decision to deny Medicaid.
- You may be asked to provide documentation to support your appeal.
- You may be able to get help with your appeal from a legal aid organization or a Medicaid advocacy group.
I recommend that you bring all your brother’s diagnosis documents and proof of Medicaid coverage in Adams County to your local Denver County Medicaid Office and reapply (or appeal the current denial) for coverage. You need to show strong proof of your brothers condition.
Keep in mind that “In all states, Medicaid provides health coverage for some low-income people, families and children, pregnant women, the elderly, and people with disabilities. In some states the program covers all low-income adults below a certain income level – https://www.healthcare.gov/do-i-qualify-for-medicaid/#howmed