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Q: Medicad determinations ( on health qualifications ) IF state specific... for TN ( Answered 5 out of 5 stars,   14 Comments )
Question  
Subject: Medicad determinations ( on health qualifications ) IF state specific... for TN
Category: Family and Home > Seniors
Asked by: fredboy-ga
List Price: $75.00
Posted: 19 May 2004 20:34 PDT
Expires: 18 Jun 2004 20:34 PDT
Question ID: 349155
My dad ( and mom) are in a Chattanooga Nursing home ( recent post
hospital admission with the help of their docs).
They are dead broke.

Mom cannot do the ADLS and def qualifies when her MediCARE rus out to go to
MediCAID. Dad however is more ambulatory... but no way can he take
care of himself for psychological and physiological reasons. WHO will
( soon) make the
determination IF he is PHYSICALLY qaulified to go on medicaid with my
mom?
Their docs? Some Social Worker at the Home? Some beaureacrat from the state?

They told us mom would qualify-but never said who makes the final medicaid
detrmiation? They are in a Really NICE place and together that takes medicaid !

I am thrilled with the place !

WE do meet the 4000 in assets  rule for the financial side of this.

If we need to appeal, whats the chances of success and do we need an
elder care atty to do this or does the home? Who will pay pending appeal? The home?
Will they be tossed out if state says... no ( I heard they do on every app 1st
go around)or worst case scenario is the home resp to find an alternative?
Even eat the bill !?

The answer may be state of TN specific.

I do know the docs and nurses are trying everything they can to help
us with diagnosis and " negative" charting....
BUT I somehow think its not their decision in the end

and I dont know In TN whose it is and what to do if we are denied on
medical grounds !
Answer  
Subject: Re: Medicad determinations ( on health qualifications ) IF state specific... fo
Answered By: hummer-ga on 21 May 2004 10:29 PDT
Rated:5 out of 5 stars
 
Hi fredboy,

The state Medicaid agency is responsible for administering Medicaid
(in your case, the Tennessee Medicaid Office). If there is a dispute
regarding eligibility, your father will be entitled to request a "fair
hearing" after he receives written notice of the denial from the state
Medicaid agency. It is your father's responsibility to request the
fair hearing and seek legal aid (advocacy programs are available to
help, and contacts are supplied in the written notice).

Centers for Medicare and Medicaid Services:
Table of Contents for the State of TN:
http://www.cms.hhs.gov/medicaid/stateplans/toc.asp?state=TN

CONTACT:

Tennessee Medicaid Office
Department of Finance and Administration of Tennessee
729 Church Street
Nashville, TN 37247
Local: 1-615-741-4800
Toll-Free: 1-800-669-1851
"Please remember that you need to contact Department of Finance and
Administration of Tennessee offices to obtain information regarding
enrollment, eligibility, and coverage in Tennessee. Please use the
information provided above to either visit Department of Finance and
Administration of Tennessee website or use the phone number to contact
them."
http://www.cms.hhs.gov/medicaid/state.asp?state=TN

Appealing Medicaid Decisions:
"Under federal Medicaid law, a Medicaid applicant or recipient is
entitled to an administrative hearing any time a decision is made
which affects his or her right to Medicaid or to any service for which
Medicaid funding is sought. This is known as a "fair hearing" and will
be available in all states."

"A person whose Medicaid benefits or right to services funded by
Medicaid are either denied or terminated is entitled to a written
notice of that decision. The notice must explain: the action that is
being taken, the reason for the action, the right to a hearing to
appeal the decision, and the availability of free services from a
Legal Services, Legal Aid or similar program (such as a Protection and
Advocacy program). States are permitted to establish their own time
limits for requesting hearings. Typically, the Medicaid recipient will
be permitted a time limit (30 - 60 days) for requesting the hearing.
However, if the notice indicates that an ongoing benefit, such as
funding for home health care services, is to be terminated on a
certain date, the recipient will need to request the hearing before
the termination date if continued services are going to be requested
pending the appeal. Federal Medicaid law provides that benefits are to
be continued pending the appeal (a concept often referred to as "aid
continuing") if the hearing is requested before the effective
termination date and the recipient (or advocate working on his or her
behalf) specifically requests the continuation of benefits.
http://www.ilr.cornell.edu/ped/ssa_curriculum/2003_BPAO/2003_TEXT/Section4/Chapter18.htm#9

THE MEDICAID RESOURCE BOOK
Chapter I: Eligibility:
http://www.kff.org/medicaid/loader.cfm?url=/commonspot/security/getfile.cfm&PageID=14259

Chapter IV: Administration:
State Medicaid agencies administer the program on a day-to-day basis.
Primary duties of a state Medicaid agency include:
? Informing individuals who are potentially eligible and enrolling
those who are eligible.
? Determining what benefits it will cover in which settings.
? Determining how much it will pay for covered benefits and from whom
it will purchase services.
? Processing claims from fee-for-service providers and making
capitation payments to managed care plans.
? Monitoring the quality of the services it purchases.
? Ensuring that state and federal health care funds are not spent
improperly or fraudulently.
? Collecting and reporting information necessary for effective program
administration and accountability.
? Resolving grievances by applicants, enrollees, providers and plans.

Processing Appeals:
"In any health insurance program there will be disputes among
patients, providers, and payors over whether particular services meet
the standards for payment. In the means tested Medicaid program, these
coverage disputes are augmented by disputes arising in connection with
the determination and redetermination of eligibility. Because Medicaid
is an entitlement to individuals as well as to states, state Medicaid
agencies are subject to constitutional and statutory ?due process?
requirements regarding denials of eligibility or coverage. In
particular, state Medicaid agencies are required to grant an
opportunity for a ?fair hearing? to each individual (applicant or
beneficiary) whose claim for Medicaid benefits is denied or is not
acted upon with ?reasonable promptness.
The ?fair hearing? entitlement includes the right to written notice of
the opportunity to request a fair hearing, the right to a hearing
before an impartial decision-maker, and the right to the continuation
of benefits pending the hearing decision. The ?fair hearing?
protections apply to all Medicaid beneficiaries, including those who
are enrolled in MCOs and seek to challenge denials or delays of
covered services.
Beneficiaries who are residents of nursing facilities also have a
right to a hearing in the event of an involuntary transfer or
discharge."
http://www.kff.org/medicaid/loader.cfm?url=/commonspot/security/getfile.cfm&PageID=14262

Additional Links of Interest:

Medicaid and Medicare Nursing Home Basics:
http://www.elderlawanswers.com/resources/s7/r36958.asp

Centers for Medicare and Medicaid Services, formerly the Health Care
Financing Administration's Web Site:
http://www.hcfa.gov

Not-for-Profit Agency Web Sites:

National Health Law Project 
http://www.healthlaw.org

National Senior Citizens Law Center:
http://www.nsclc.org

National Assistive Technology Advocacy Project:
http://www.nls.org/natmain.htm 

I hope I've been able to help you sort this all out. If you have any
questions, please post a clarification request before closing/rating
my answer and I'll be happy to respond.

Thank you - and good luck!
hummer

Google Search Terms Used

"medicaid resource book"
medicaid advocacy tennessee
tennessee "appealing medicaid decisions"
tennessee medicaid appealing
tennessee medicaid
tennessee state medicaid agency
tn medicaid appealing
plus following many links within websites

Request for Answer Clarification by fredboy-ga on 22 May 2004 05:29 PDT
I may have missed this somwhere..

At what point in the proccess does the state send someone out to SEE
them and their charts etc?

If we start the appeals proccess...
who pays the bills ( when their 100 medicare days end) ! Does the
nursing home wait and get arrears?
Do they get "put out" on the street ?
Is this now the homes responsibilty or stil me and my sisters?

Of course they may GET accepted right away..
Just wana be prepared !

Clarification of Answer by hummer-ga on 22 May 2004 07:55 PDT
Hi fredboy,

Thank you for your clarification. Ok, let's see if we can nail this down for you. 

Have your parents (or you on their behalf) already applied for
TennCare Medicaid at the Department of Human Services (DHS)? What did
they say? Are your parents eligible to apply for TennCare Medicaid? If
not, did they apply for TennCare Standard?

Thanks,
hummer

Request for Answer Clarification by fredboy-ga on 22 May 2004 09:01 PDT
fredboy,

Thank you for your clarification. Ok, let's see if we can nail this down for you. 

Have your parents (or you on their behalf) already applied for
TennCare Medicaid at the Department of Human Services (DHS)? What did
they say? Are your parents eligible to apply for TennCare Medicaid? If
not, did they apply for TennCare Standard?

Thanks,
hummer

Hummer...  The application has been made and the "PAE" or application
for benefits sent from Chattanooga ( where they are) to Nashville (
where I am)
the capitol . It was sent around early 2nd week April. We have NOT
heard bac from them as of yet one way or the other ( parents on the
100 days of skillable
medicare  coverage which will run out soon) I do not know if Tenncare
for their meds  docs etc has been applied for. My sister is doing the 
"work" in Chattanooga.. Im just
doing the reasearch here in Nashville. If Tenncare was deemed needed
to be aqpplied for...Im sure the social worker or admin at the nursing
home would have had her (or do it themselves as they did medicaid
application for us)

Hope this clarifies your request for clarification of my request for
clarification ! :)

fred

Clarification of Answer by hummer-ga on 22 May 2004 09:38 PDT
Hi fredboy,

Let's deal with one issue at a time - first, the medical end of your
question and then we'll move on to the appeal.

"At what point in the proccess does the state send someone out to SEE
them and their charts etc?"
"The application has been made and the "PAE" or application for
benefits sent from Chattanooga ( where they are) to Nashville (where I
am) the capitol."

The PAE stands for "Pre-Admission Evaluation". If the PAE has already
been filed, that means your parent's medical provider has already
assessed them and filled out the form. It should just be a matter of
waiting to see if they are accepted or not.

WHAT ARE THE MEDICAL ELIGIBILITY GUIDELINES?
"The Medical application called a PRE-ADMISSION EVALUATION (PAE) IS
USUALLY FILLED OUT BY THE MEDICAL PROVIDER. This application is then
sent by the medical provider to the TennCare Bureau. The state looks
at the application and determines if you need nursing -level care on a
daily basis."
WHAT CAN I DO IF THE STATE OF TENNESSEE DECIDES I AM NOT ELIGIBLE?
"APPEAL! If you are turned down for financial or medical reasons you
will be given a right to appeal in the notice. Be sure to read the
notice carefully for the number of days you have to appeal If you miss
the appeal deadline, you may lose the right to appeal."
http://www.setnlegalservices.org/financing_long_term_care_in_tenn.htm

Medical Eligibility.  To determine medical eligibility for Medicaid,
applicants must have a Medicaid-approved examination called a
Pre-Admission Evaluation and a mental health screening (pre-admission
screening and annual resident review, or PASARR). The PAE determines
the level of care a patient needs and whether the patient meets
Medicaid?s medical criteria. The PASARR determines if the patient has
any mental illness or mental retardation that require special
treatment. If so, the applicant cannot be admitted to a nursing home.
If the Bureau of TennCare approves the applicant?s PAE, the applicant
is medically eligible for Medicaid."
http://www.thca.org/paying.htm

>>>>>>>>>>>

"If Tenncare was deemed needed to be applied for...Im sure the social
worker or admin at the nursing home would have had her (or do it
themselves as they did medicaid application for us)."

The Medicaid you are applying for *is* TennCare (TennCare Medicaid).

Please let me know if that all makes sense or if you have any other
questions. I'm all yours for the day, and it's impossible to post too
many clarifications - as they say, "let's do this thing." 8-)

hummer

Request for Answer Clarification by fredboy-ga on 22 May 2004 12:07 PDT
Thanks Hummer your a Godsend if you dontr realise it:

OK

IF  we get shot down...
Who pays the tab/where do they go whie we appeal and do we NEED an
elder care  atty?

We were told do the PAE early on  when they look theyre "worst"

Dad IS bi polar dissorder under control  is not retarded  nuerotic as hell
Will we be able to keep mom and dad TOGETHER at this awesome facility
assuming Approval? ! He seems to manage fine mentally...mild dimentia tho.

Are ( Im such a pessimist or just scared s..less) appeals fairly easy to win?
Do they turn everyone down the "first" time they apply?

Man  you are sent from heavan
I CANNOT THANK you ENUFF

Clarification of Answer by hummer-ga on 22 May 2004 13:53 PDT
Dear Fred,

Have a look at these:

New Applications: 
Applicant Submits TennCare Medicaid/TennCare Standard Application:
http://www.thcc2.org/resources/newappflow.pdf

How Long We Can Take to Decide About Your Application:
...45 or 90 days...or longer for TennCare.
http://www.tenncareadvocacy.org/files/DHSinfo.pdf

How to File Appeal:
http://www.tenncareadvocacy.org/files/HowToFileAppealBrochure.pdf

"The medical component of the Medicaid program in Tennessee is called
TennCare. But you may be able to get TennCare even if you don?t
qualify for Medicaid. TennCare is now two programs: TennCare Medicaid
and TennCare Standard. You can apply for TennCare Medicaid by going to
the Department of Human Services (DHS) and completing a Medicaid
application. DHS will be able to tell you if you meet the guidelines
for Medicaid. If you are not eligible for Medicaid, you may be
eligible for TennCare Standard. You can apply for TennCare Standard at
DHS. To qualify for TennCare Standard you may need to prove you are
medically eligible."
http://www.tenncareadvocacy.org/faq.html#17 

>>>>>>>>>>>>

Your questions:

If we start the appeals proccess...

"who pays the bills ( when their 100 medicare days end) ! "
You do.

"Does the nursing home wait and get arrears?"
They probably will give you a grace period - it is up to them.

"Do they get "put out" on the street ?"
I'm sure they won't while your application is still being processed or appealed.

"Is this now the homes responsibilty or stil me and my sisters?"
No, it's not the home's responsibility (have your parents given you
Power of Attorney?).

>>>>>>>>>>

"Who pays the tab/where do they go whie we appeal and do we NEED an
elder care  atty?"
No, you do not need an attorney although it wouldn't be a bad idea to
consult with legal aide. The contacts are supposed to be included with
the rejection notice.

"We were told do the PAE early on  when they look theyre "worst"
Dad IS bi polar dissorder under control  is not retarded  nuerotic as
hell. Will we be able to keep mom and dad TOGETHER at this awesome
facility assuming Approval? ! He seems to manage fine mentally...mild
dimentia tho."
Unfortunately, I don't think they will be assessed as one unit - they
each will receive separate assessments. If they are both approved, I
don't see why they couldn't stay together.

"Are ( Im such a pessimist or just scared s..less) appeals fairly easy to win?
Do they turn everyone down the "first" time they apply?"
I've not read anywhere that new applications are routinely turned down
and I highly doubt that that would be the case. If it were true, it
would increase the traffic to the court of appeals and I'm sure the
courts wouldn't look too kindly on that.

>>>>>>>>>>>>>

Fred, I would do this:

1) Ask the nursing home how long a grace period they will give you
after the 100 day deductable has ended. I'm *sure* that they have a
policy in place for taking care of residents while TennCare is in
deliberation or being appealed.

2) Write down all of your questions and call TennCare - that is what
they are there for. I tried calling, but they are closed on Saturdays.
They're open 8 - 4:30 Mon - Fri. If you call them today, you'll be
able to listen to a brief recorded explanation of TennCare.
TennCare: Toll-Free: 1-800-669-1851

3) Persistence is the key. You're dealing with a mega-bureaucracy,
each worker knows about their own little world but they don't see much
beyond that. Even when things look the bleakest, if you continue to
persevere, more alternatives will usually pop up, but you have to keep
probing and looking under every rock. Don't take just one person's
opinion or advice - ask another person, and another, and another. We
know from personal experience with nursing homes that often you have
to keep digging (and pestering!) to find information or more options
that are open to you.

4) Try to relax - you are not doing yourself or your parents any good
by thinking the worse. It is one thing to *plan* for the worse, but it
is another to *think* the worse. If you believe in karma, or vibes, or
whatever you want to call it - good thoughts help (if nothing else,
they'll help to keep your blood pressure down 8-)).

5) Promise to let me know when the TennCare decision comes in - after
all this, I would really like to know how it goes!

I *think* I've answered all of your questions except for that pesky
100-day potential problem - I'm sure the nursing home people are the
ones to ask about that one. If anything else is unclear, or I've
misunderstood you, or whatever, just give a whistle and I'll have
another look.

Take care, Fred,
hummer
fredboy-ga rated this answer:5 out of 5 stars and gave an additional tip of: $20.00
whew Hummer !  Thanks for sticking by me here ! How do I reach you to
let you know? A pal in New Orleans does La. state reviews hes a
psychologist. He told
me that its more expensive to treat dads mental (non curable) issues
at a seperate facility and theyll keep him-assuming approval-in a
conventional home
vs mental health home ( THE  most expensive BED for the state) He also said
He felt that the nursing home took on the responsibility of RE
placement IF we are denied and as you said: appeal  appeal  appeal (
meanwhile documenting inncontinence possible dimentia, bad progress
etc POST PAE submission which hey
may be "bad enough" based on doctors assesment in Chattanooga!

I just didnt know at what STAGE someone like him- a state contracted
professional   goes in. Apptly in our case it would be on appeal since
the PAE
already is hand. He felt optimisitc ( we spoke today as I was anxious
and didnt know he does this for Louisiana)He said they go by federal
guidlines so state to state is not an issue !  He also felt that the
home would wait for the appeals to get arrears monies!

Watch, after all this   we get approved !

I do think worst case scenrios-bad habbit  needs correcting  youre right !

Thanks again for all your help  and yea  a bit of hand holding-which
is more than Google states it offers in this service !  Fred

any final thoughts welcome...how do I let you know outcome..are you in the region?

Comments  
Subject: Re: Medicad determinations ( on health qualifications ) IF state specific... fo
From: tedehrich-ga on 19 May 2004 20:43 PDT
 
Hello,

Your states home page seems to be very informative.  Please try these links:

http://www.tennesseeanytime.org/residents/health.html
http://www.state.tn.us/tenncare/eligible.html

If you cannot determine the eligibility by these links, please let me know.

HTH

-Ted
Subject: Re: Medicad determinations ( on health qualifications ) IF state specific... for TN
From: fredboy-ga on 20 May 2004 06:17 PDT
 
thanks for the links...

they do not tell who makes the determination and what happens if there
is a turndown ( ie does the home carry the bill till we appeal)

the answer may not be on the net

fredboy
Subject: Re: Medicad determinations ( on health qualifications ) IF state specific... fo
From: hummer-ga on 22 May 2004 17:18 PDT
 
Oh, Fred, I just returned from a walk and found your comment - I feel
so bad! So much for my goody-two-shoes attitude - phooey.  Well, as I
said, keep plugging away. We found that if we asked enough people
something, we'd eventually find someone who could help with a
particular issue.

In regards on how to contact me, it is simply a matter of posting a
comment or clarification. The question will stay live for a long time,
so you can always post an update now and again.  Posting personal
email addresses is not allowed on GA, so your comment will probably be
removed by the editors.

I'm glad you found a friend you can talk to who knows the system - he
will be a big help in keeping you grounded. I know it's all worrisome,
but try not to let it get to you - things usually have a way of
working out just when you are at your lowest (oh wait, that's
goody-two-shoes again 8-). I feel bad for your Mom and Dad - I hope
there is a way to keep them together.

I mustn't forget to thank you for the nice rating and generous tip -
it was a nice surprise but tempered somewhat by your sister's news -
but thank you, I really appreciate it.

Best of luck with the appeal, Fred, and may better days be ahead for
you and your family.

Sincerely,
hummer
Subject: Re: Medicad determinations ( on health qualifications ) IF state specific... for TN
From: fredboy-ga on 24 May 2004 17:47 PDT
 
Hummer

The staff at the facility said that my parents do not fit the medical criteria
for medicaid. If these two dont...I dont know who in the world does.
My brother in law faxed me the criteria ( medical) and in this state, you 
have to be already dead for two weeks seems like

They said an appeal would be fruitless and IF we loose we would owe
them thousands in arrears.

I begged him to call an elder care lawyer down there asap...

Its pretty grim

Seems like other states all you need to be is broke   not even broke!
Millionaires shiels assets and get free care and we cant get it on
MEDICAL criteria that are absurd to qualify for in TN

We are clueless
Subject: Re: Medicad determinations ( on health qualifications ) IF state specific... fo
From: hummer-ga on 25 May 2004 05:18 PDT
 
Dear Fred,

Why the heck didn't the nursing home tell you that a month ago? I
don't know, Fred, I'd get another opinion before abandoning the appeal
process (the nursing home is not an unbiased observer). Trouble is,
you don't have much time - you guys need to find an advocate, the
sooner the better.

Any help here?

Not-for-Profit Agency Web Sites:

National Health Law Project 
http://www.healthlaw.org

National Senior Citizens Law Center:
http://www.nsclc.org

National Assistive Technology Advocacy Project:
http://www.nls.org/natmain.htm  

If they really aren't eligible for Medicaid, perhaps they are eligible
for something else?

Major Medicaid Eligibility Categories in Tennessee:
http://www.state.tn.us/tenncare/eligible.html

I'll let you know if I can come up with anything else.
hummer
Subject: Re: Medicad determinations ( on health qualifications ) IF state specific... for TN
From: fredboy-ga on 25 May 2004 06:01 PDT
 
Thanks Hummer

Ya know I was JUST thinking that... the nursing home here is NOT our friend !
They wana turn that bed(s) !( No word on MOM yet) I relayed a copy of your
post to me ......... to my brother in law.

Last night I implored him to call an elder care atty in CHA asap on my nickel! ]
I am also talking with my friend in New Orleans later today who does 
medicaid reveiws in LA.

We have about 2-3 weeks left of the 100 days !
Yhey'd want $168/day apiece ( Nashville average is $130 !)If we lose
appeals in arrerars

Were not letting grass grow under our feet!

Im buying Long term care ins THIS week and IM only 47 !

thanks for input and concern :)
fred
Subject: Re: Medicad determinations ( on health qualifications ) IF state specific... for TN
From: fredboy-ga on 25 May 2004 19:55 PDT
 
Hummer

?
I called a woman I met recntly here in Nashvillle. She used to be head
nurse at THEIR Chattanooga facility is now at one in Nashville ! This
is a case of
"meant to be goddsend luck" !  Called her tonight

She told me tonight  exactly what to do:


Go to UNIT Mgr...tell them the situation and that we want them to re
file the PAE ( aka an appeal) (as is ourright) and to NEGATIVE CHART
BOTH PARENTS ! They cannot function on their own they are broke and
have nowhere to go

They should have done this for us anyway-the social worker shoulda
said weel refile relax we can take of this ! My resource was amazed
the social worker
didnt do that  and just sent us on our way !

We go 3 PAES if needed THEN someone physically goes out there..
Sees the negative charting AND the  doctors (post PAE #1) dementia
notation(from a test he gave  to help us)..........on dad.... ! :)
THATS AN AUTOMATIC ACCEPTANCE !!!!!

It?s a done deal. They get paid in arrears

If it fails...and it wont

Its like my dad ran up a huge hotel bill...
Am I responsible????????????????

Sect 8/home health care in that scenario

It?s a game Tennessee plays hoping weeel go away-and were not !
Esp since we know the rules of the road from an insider !!!!!!!!!!!

And how TO PLAY the game !
No LAWYERS NEEDED

Just a higher power looking after me and my family  and my faith that
"wede find a way..somehow !"

Fred
Subject: Re: Medicad determinations ( on health qualifications ) IF state specific... fo
From: hummer-ga on 26 May 2004 06:10 PDT
 
Fred, that's *exactly* what I was talking about! Remember my advice
"Don't take just one person's opinion or advice - ask another person,
and another, and another.", and, "Well, as I said, keep plugging away.
We found that if we asked enough people something, we'd eventually
find someone who could help with a
particular issue."? I don't know what it is about nursing homes and
everything surrounding them, but people need to know that they have to
keep probing to find solutions - and the good news is, nine times out
of ten *someone* will come through. I'm so glad you found your
someone, Fred - good job! Now you understand what I meant and when you
hit another brick wall, you'll know what to do!

I bet you had a good sleep last night -
Take care, Fred,
hummer
Subject: Re: Medicad determinations ( on health qualifications ) IF state specific... for TN
From: fredboy-ga on 26 May 2004 10:24 PDT
 
Hummer 

I was following your ask another   ask  another  etc advice !
The advice I got hours before this was the WORST IDEA ( abandon them
and making it "their" problem !)thank goodness I went one more round

Theyda been put in a stae home and subject to major abuse
Not to mention my sister works for the ownership company !

I see light at the end of the tunnel

thanks for stickin with me !

fred
Subject: Re: Medicad determinations ( on health qualifications ) IF state specific... for TN
From: fredboy-ga on 27 May 2004 09:29 PDT
 
Hummer
WE  have an otion

My brother in law renovates homes for a living.
IF we fail appeals -and we wont

He has a house to put him/them
He goes every day to work on it
We get home health to come out
and

meals on wheels

I feel alot better
Subject: Re: Medicad determinations ( on health qualifications ) IF state specific... fo
From: hummer-ga on 27 May 2004 09:45 PDT
 
Dear Fred,

There, now even *I* can sleep better! I can tell you're feeling better
- your notes are getting shorter ...and then they'll dwindle to none
...and you won't need me anymore ...sniff

Seriously, I *am* happy for you and your family - let's see, as I
said, way back when (or did I just think it but not say it)... "Things
usually work out for the best" (my mother's motto).

Take care, Fred,
hummer
Subject: Re: Medicad determinations ( on health qualifications ) IF state specific... for TN
From: fredboy-ga on 27 May 2004 11:00 PDT
 
Thanks Hummer :)

yea

We got insider info on how to file the appeal
and....Confirmation in a  round about way that thats howya do it !

( My sister works in anursing home but is skilled  so never deals with
this stuff...but asked HER boss :))( Same ownership  different property)


( I cannot believe the BAD advice we got from their home  and AN ELDER ATTY !)

and now my bro in laws backup on the renovated house !!!!!!!!!!!!

For first time since Saturday  
NOW  I am breathing   and sleeping better !!!!!!!!!!!!!

and my bro in law/sister are on same page too    thats a BIG WOW 

Thanks for all your help  advice and input!

If your allowed to tell me....
Just curious  are you male or female and do you live in TN?

If you cant answer  or dont want to   thats fine I understand !
Just Curious

THANK YOU !!!!!!!

fred  aka fredboy( its a southern thing and my real nickname !)
Subject: Re: Medicad determinations ( on health qualifications ) IF state specific... fo
From: hummer-ga on 27 May 2004 14:40 PDT
 
Dear Fred,

It's a lovely day today, the Lilacs are in full bloom and the Hummers
couldn't be happier. I thought what better way to close this off but
with a virtual bouquet of Lilacs for your folks.

Cheers!
hummer
Subject: Re: Medicad determinations ( on health qualifications ) IF state specific... for TN
From: fredboy-ga on 27 May 2004 15:36 PDT
 
:)

My folks are quite greatful for the virtual bouqet!

.....and so is their eldest son !

fred

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