Don't Get Turned Down - Ensuring Your Medicaid Success

mingly endless paper work and the grindingly slowconducted face-to-face. This differs from county to
inefficiency of the government's processing systemcounty, throughout the state of course, but as a
can make Medicaid application appear to be ageneral rule of thumb, either you or a legal, eligible
daunting, if not impossible, task. Add to that the factrepresentative for you, will have to go to the local
that many state and local offices often fail to upholdoffice to initiate the application process. Some offices
the federally mandated guidelines, fail to file paperworkeven limit the actual completion of the application to
on time and in completion, and make errors in renderingtheir case workers. Know who you need to see, who
dispositions on applications, and the applicant shouldmay go in your stead if you can't, and what they may
take heed to be as well-prepared to ensure theneed to take with them before attempting to file your
success of his/her application for assistance asMedicaid application.
possible. Following are some issues that should be5.) Know your paperwork - The Medicaid application is
addressed before and during filing to ensure that youra multi-page document. Each question's answer must
application for Medicaid is handled with success andbe supported with other legal or medical
not met with unnecessary delays or denials.documentation. These support documents might
1.) Know what you want and what you can get - Withinclude: social security cards, Medicare cards, health
many different Medicaid assistance programsinsurance cards, birth certificates, marriage certificates,
available, the applicant should be well-versed in whichdeath certificates, life insurance policies, property
programs he might be in need of or qualify for. Somedeeds, car registrations, monthly household bills, funeral
programs focus on individuals with various physicalarrangement documents, pay or pension stubs, and
needs or ailments, such as Alzheimer's Disease. Stillfinancial statements typically going back three years
other programs have strict income and asset limitationprior to the time the Medicaid application is filed. The
requirements. How much you make and/or how muchlocal office can obtain certain information from its
you own can affect your eligibility status for thesecomputer records, should you need it. They should also
programs. Applying for the right program or programsbe able to help you in obtaining records from the
can make the difference between acceptance andstate's Office of Vital Statistics, should you be missing
denial of your application.any birth, death, or marriage certificates that may be
2.) Know your deadlines - Filing too soon for Medicaidrequired. The IRS regularly sends income and financial
assistance can be as deadly to the success of yourrecords to local offices, and your Medicaid can be
application as missing a deadline. Certain assets maydenied or even revoked if certain vital financial
have to be liquidated or transferred first to meetinformation is withheld. Medicaid fraud is taken
income eligibilities. Certain paperwork may have to beseriously. It is better to not file until all your supporting
completed by your medical practitioner. Likewise,paperwork is in order than to file without it and risk
missing a filing deadline, or waiting too long to producedenial or worse. Having all of your ducks in a row and
certain documentation may doom your application toall your paperwork lined up behind them can greatly
denial, as well. Filing during a period of ineligibility is neverenhance the chances of your application's success, as
a good idea, as that can lead to serious delays in thewell as speed up the application completion itself.
completion of the application process. Knowing when6.) Know your rights - Medicaid application success
to file, and when to file what paperwork will greatlydepends not only on you, but on the individuals at your
enhance your chances of success.local office who manage your case for you. The
3.) Know your abilities - Most Medicaid applicants mustfederal government has mandated that all Medicaid
prove that they are unable to care for themselves inclaims must be decided upon within 90 days. An
the course of everyday living. You will have toadministrative law judge can expedite an application
demonstrate through a physical exam that you can nodisposition at a fair hearing. If your application disposition
longer dress yourself, feed yourself, bathe yourselfis taking longer than you think it should, you may need
and attend to your other basic everyday needs. Thisto arrange for just such a fair hearing to be held. This
exam is usually conducted by a medical practitioner orwill involve retaining an attorney, but it could save you a
someone affiliated with an agency such as a hospice,wait time of a year or more to learn whether or not
or institution such as a nursing facility. If you performyour expenses are covered by Medicaid benefits, and
too well on this exam, you may not receive yourto what extent that coverage will take.
application approval. A mental exam is often a part ofApplying for Medicaid benefits for assisted living may
this exam, as well, to determine if, even though yoube a necessary evil, but the process itself doesn't
may be physically capable of looking after yourself,have to be devilish. Knowing these 6 simple basics can
your mental state prevents you from doing so.speed the application disposition process and have you
4.) Know your county's procedures - Most Medicaidwell on your way to application approval, without
intake interviews, at least the initial ones, must beanxiety, delays or denial demons.