I was on medicaid & Medicare prior to my pregnancy, so now I have pregnancy Medicaid. My original renewal is May however it changed to pregnancy Medicaid in July of last year, my son turns a year old in February. Just curious about when my renewal will be as I have a new caseworker due to mine retiring

So i am on sadi and i work in indiana

I recently changed jobs

And was sent a request for earnings oaper for both jobs

My question is i look up my case and it said under solici to ed documents that i dont have anything that's needed for my case

I have been turning in paystubs

Are they going off those

Thank you all

i was in a car accident a week and a half ago that the other party was liable for. the insurance of the liable party paid me a settlement of $1500 for pain and suffering. i did NOT receive any medical care that Medicaid paid for as a result of the accident, as the only physical injuries i received were bruising on my chest and neck from the seatbelt locking. it did however result in a lot of emotional distress and anxiety revolving around the incident as this was the first accident i've ever been in, and that is primarily what the payout was for.

i received the check as of yesterday, and obviously i want to make sure i'm following the right procedures for all this because i have a lot of health conditions that i would otherwise not be able to afford to maintain without Medicaid. do i need to call and report the settlement, and will the amount itself be endangering my eligibility? what would be the best way for me to handle this? honestly, the money was likely going to go straight into credit card bills, but i'm kind of scared to touch it until i know for sure what the right move is.

thanks in advance for reading and any help is appreciated!

EDIT: adding that i am 29 years old and not receiving SSI/SSDI

Wondering if anyone in Colorado has had an experience similar to this, we are concerned about reapplying for the program - the time it takes and the information we need to reassemble.

Background:
My 67-yo mother will be getting a one-time lump sum estate settlement that will disqualify her for the Medicaid Working Adults with Disabilities Buy-In Program for that month, as it will shoot her monthly income beyond the 450% FPL threshold with deductions. She was receiving SSDI when she originally applied for the program, but when she turned full retirement age, it auto transitioned her to Social Security Retirement Income, so we believe her SSDI disability diary date may have lapsed.

Concern/Question:
We are concerned that she will have to completely reapply for the WAwD program the month after her disbursement and potentially go through the hoops and medical appointments to "re-certify" her lifelong disability. Does anyone have experience with a one-month income increase and is willing to explain the process of re-qualifying the next month after the income has turned into a resource? Should we expect to completely reapply for the program and the disability through the Disability Determination Application and state contractor, or will it remain on the same case number and just update as a change to income when the money turns into a resource and therefore qualify again?

Any help is greatly appreciated!

How does it work with Medicare? Does it cover your premiums for A/B/C/D? Does it cover co-pays? The Michigan website doesn’t say much so I’m curious. It could be well worth the cost if it covers the Medicare premium? I’m currently trying to figure out how to make things affordable if approved on disability I just learned that I’d have to pay a $220 premium for Medicare out of the 1420 I’d be eligible for so I’d have only $1200 to live off a month… that doesn’t include the cost of copays for my condition or anything which would easily be a couple hundred. Will Medicaid freedom to work help? I’m so anxious.

I have schizophrenia and I am on disability and medicare and I'm not worried about my own survival here I already have a way to prove I'm disabled, I went through the years long process to get SSDI, multiple denials and an appeal with assistance from my therapist before I finally got approved.

But that is the normal length of time it takes to get on disability... years. I ran out of all my savings, 401k, everything and the only reason I could afford my antipsychotic meds was medicaid. And the only reason I could even eat some days was food stamps.

I'm worried that the current system could be leaving people out to dry that are applying for disability, where you're unable to work the 80 hours a month, but if the process takes as long to prove you're disabled for medicaid requirements as it does disability, people could end up not even being able to afford their treatments and meds post diagnosis or disability and you're just fucked in the meantime.

To the people implementing this, please just let a diagnosis or doctors letter qualify for people instead of whatever bs they have going on in social security that takes years for newly disabled people to prove they're disabled enough, because these programs are the only safety net in the long waiting period.

We have insurance through the ACA. We recently took a really big pay cut, so I applied for coverage for the kids through CHP+. They sent a denial because they have insurance, but I don't want them to be uncovered during the decision period and have someone break a bone or something. Does anyone know anything about this? Is the only way to drop them and then appeal?

My wife and two kids are currently insured through Medicaid/AllKids. My work’s open enrollment ends soon but I was wondering if my wife and two kids would get kicked off of state insurance if I either deny my work’s insurance or only add myself for my work’s insurance. We have an annual income of less than $50k a year.

Hey everyone! I recently got approved for Virginia Medicaid and I'm trying to decide between these five plans:

1) Aetna Better Health
2) Anthem HealthKeepers Plus
3) Humana Healthy Horizons
4) Sentara Community Plan
5) UnitedHealthcare Community Plan

I've been dealing with back pain for almost 3 years, along with burning and tingling around my hips and thighs, especially when sitting or driving for too long. I had an MRI about 3 years ago that showed a mild disc bulge.

My main priority is finding a plan with a good network of doctors, specialists, and hospitals, especially if I end up needing more advanced treatment or even surgery. I'm in Northern Virginia, but I'm willing to travel anywhere in the state for good care.

I also read that Sentara partners with Kaiser Permanente for Medicaid. Has anyone had experience getting care through Kaiser with Sentara?

For those who've used these plans, which would you recommend? I'm especially interested in how easy it is to see specialists, get MRIs, and get treatments or surgeries approved.

Also, if anyone has dealt with similar back or nerve pain, I'd really appreciate any doctor recommendations or hearing what helped you.

Thanks in advance!

Please come join the thread and share some of the “hacks” with those of us who are clueless.

I am in Michigan and have 3 dependent as a single parent. I bring home $2500 a month (net income) after all deductions. Does this qualify me for Medicaid? Does Medicaid look at my gross instead ($3600). Should I apply to help my expenses?

Please visit the link to help compile a catch-all list of little known benefits.

Not entering a state as the list would be best if it had benefits for each of the states.

I’m 63F who is confined to a wheelchair because of mobility issues for unknown reasons. I am getting released from rehab because Medicaid says that I don’t need the services that the nursing home. They wanted me to go to an assisted living facility 2 hours away from my granddaughter and where I have lived all my life. I went to an assisted living facility in Baltimore after I got released from rehab for the same reasons now. Too much wrong to go into now but I did report. One major thing she let us go with out our medication for 3 weeks. I saved up money and took a Lyft back to my hometown. I then was put in the rehab I am currently in. I found a place to rent a room at (saving me over 800 a month and house privileges. Own bathroom and paid utilities I only pay for whatever ever food I want. I have to be out of here Halloween. Most things I can do but slow. Will Medicaid priority partners pay for someone to come out for 2-3 hours maybe less each week or every other. What I would need is help washing my hair every couple of weeks or whatever. Changing my bed linen If there are clothes in the washer transfer to dryer and I can get them out later. Probably the most important thing is putting my medication in organizers I take upwards of 25 pills a day and I have difficulty reading the labels

Does this sounds possible? What would I need a physician order? I am just curious about other people’s knowledge. I will be contacting priority partners for requirements. Thanks

I'm so worried writing this and trying to navigate this confusing system, any kindness and help is appreciated.

I started the year on unemployment and with only other income from a small side hustle. Qualified for a year of medicaid, a friend's coworker at a health related company helped me apply so I thought I was good for the year, unless I got a 9-5.

Side hustle immediately began growing over the limit into a full-time biz, but because it was highly variable (talking day by day), not guaranteed to keep progressing, I thought maybe the income was a fluke and it wouldn't continue or make me ineligible.

Well biz grew to where I have been making maybe 3-4k a month. I know now that it's way over the income limit. I thought there would be months where I may not be making anything, and this would average to put me around the limit, but I'm now thinking this was a silly thought and the state will think so too.

Medicaid told me a few weeks ago I'm up for renewal at the end of this month.

I've been having health issues now too. I had a colonoscopy and have been having a lot of tests for a potential chronic GI issue for the rest of my life.

I didn't know that such a variable and unpredictable self-employment income should've been reported because I didn't even know how to report it at the time. I guess it sounds silly, but everything was moving so fast, I've just noticed the numbers and am concerned. And now I'm reading that I am likely on the hook for these medical issues I've been dealing with that I didn't consider before.

The income I made from the biz, I didn't really use it to 'pay myself' or as throwaway income, I've just been investing it back into the biz.

My renewal closes at the end of the month. I had a doctor's appointment today about my health issues. I'm thinking I fill out the change of income notice, but I'm not sure what to expect in penalty. I'm already worried about my health and not knowing how much these tests will cost if the state determines I was ineligible and has me pay out of pocket. Any advice or insight is appreciated

Ohio

I am 27f, got diagnosed with SCA two+ years ago, started having symptoms at 21 yo. I had an MRI done, cerebellum damage, and some gene testing, they found nothing on that. So I don’t know what type yet. My aunt has the same stuff but she’s estranged from the family. Surprisingly, she actually called me to ask if I’d be willing to do a blood test for her, if her doctor wanted, but that never came through yet lol. She briefly mentioned on the phone SCA has been in the family for five generations but it’s always been unidentifiable. She said she’s taken lots of type tests but they all came back negative, so I should save my money and not do em. I’m unsure of what to do about that but besides that, I have Medicaid. I have no idea about any of this health stuff I was just automatically enrolled, now I need to decide if I want to keep my Medicare part b or cancel. I am not doing well on money, I don’t drive or have a job, the 200 Medicare will take will affect me, that’s why I want to cancel. But I’ve read that it’ll hurt me financially to sign back up if I do need it. As of now, I’m not doing any doctor visits or medicine but I might later?? I need advice.

In California, Medi-Cal covered my care after a 2020 crash in Vallejo that caused a frontal lobe brain injury. I'm trying to find a reliable patient navigator or social worker who can help coordinate follow-up resources. Incident number: 20-1397. Have any California Medi-Cal members received help from their plan's case management or member services after a serious injury? What department or phrase should I ask for?

I am in Oregon. I receive, or received LTC Medicaid for in home support for a disability at the age of 24. I tried to reapply today because I failed to renew and I was told by the DHS representative on the phone that I will need to sign up for an Income Cap Trust/Miller Trust because I earn $21 an hour, working 42 hours a week. I have looked into these trusts and it seems that these are incredibly restrictive and it seems like most of the posts in this subreddit are from adult parents looking into setting up these trusts for their parents in nursing homes. I might not understand how these work completely but from what I've read all of my income would go into a trust managed by a trustee, and all of the money first and foremost goes towards my care, I receive a small allowance and there are strict limits on what the money can and cannot be spent on. I'm not really sure if I could afford to live if I signed this? I'm also not really sure if I know anyone that could serve as a trustee. I've also read that in Oregon I could alternatively sign up for Oregon Medicaid Pay In, and then I could simply pay a monthly fee and keep my income as a disabled adult? I will of course talk to my case manager about this but I wanted to see if anyone had any advice on what I should do here. I really enjoy my job because there are a lot of opportunities for advancement in my field.

So I got my renewal paperwork in MN this week and it said I was automatically renewed for 2027. For reference, I have Medicaid only for insurance but no other benefits (I am not disabled & don’t get EBT).

The paperwork said that as long as nothing had changed, I did NOT need to return it (similar to previous years).

I had gone online a month or so ago & reported that I would be fulfilling the “community engagement” requirement in some way (it didn’t require specifics).

Has anyone else gotten similar info? Should I be worried? I know one of the main concerns is people not getting paperwork in on time & being dropped… but it literally says I don’t need to send it in, just like it has in several past years.

Central NY here. Why are these companies so terrible? Never show up at pick-up time. They can’t drive either. How to find a better company?

A good friend of mine has a mom who has Keystone First Medicaid in the Philly area. She is in a wheelchair and needs to find a good dentist. Any recommendations? Any help is greatly appreciated 🙏🏻 Thank you!

My husband and I are moving back to California in early November, and I will be 31 weeks pregnant when we land. We are completely stuck on health insurance:

• My husband starts a new job with an ICHRA on December 1st, but our current income is of course $0.
• If we try to get Medi-Cal, processing takes time.
• If we buy a private plan for December, we'll hit our out-of-pocket max for December careonly for it to reset to $0 on January 1st, right when I'm due

With my due date so close, how can we handle immediate care and avoid this financial trap? If you've navigated a late-stage pregnancy move to CA, what would you do?

We live in Georgia and my son is currently enrolled in Peach state insurance through peach care for kids/medicaid. From my understanding, there is a big change about to happen with the companies Medicaid is using and Peach state will no longer be one of them (I’m not positive why this keeps happening, but it might be important)

My son has autism and has been in ABA since last year. Around October of last year the ABA center her was at informed me they would no long be accepting peach state (they said it was because of that big change I mentioned). They said I could either switch his insurance providers or find a new ABA center. I tried to get them to change the insurance provider, but it was phone call after phone, with everyone telling me I needed to talk to someone else, so eventually I just gave up and got on a waitlist for a new center (centers in my area have very long waitlists). He got accepted into a new center around March/April and everything has been good. He is thriving at the new center, making so many improvements.

A few weeks ago his current ABA center informed me of the same thing as the last, that they would no longer be accepting peach state and that I need to switch insurance providers or find a new center. I talked to peach state and they said to try a “single case agreement”. His center works on that, but I was informed today that a “single case agreement” would be denied after December 23rd when they stop taking peach state. I thought the whole point of a “single case agreement” was to take his insurance even if it’s out of network?

My main question is how do I get them to let us switch his insurance provider when it’s not his designated enrollment period (I believe it’s not until April from what I was told last time)?
Who do I need to speak to?
I just need help. He is doing so good and at this rate could even be preschool ready when that comes back around.

So my mom has a mobile home in Ohio. She had to go into a nursing home. The county auditor's website lists the home at $17,000 value, but there is damage inside the home. I got it appraised and it appraised for $14,000. I listed it at $14,000 but it's been a month and no one will pay it. No one will even pay $12,600 which is 90% of the appraised value.

I've had 44 inquires on it. I am trying to sell it. I currently have two offers for $10,000 which is only 71% of the appraisal value. Is it possible medicaid would not penalize her if no one is willing to pay the appraisal amount? I can't keep paying lot rent to keep it on the market.