a new year, more medicaid frustration
So what else is new? right? Received this notice from the facility where our son resides. I am sure you will be receiving a hard copy in the mail, but I wanted to notify you that as of 1/10/2015, David’s Medicaid has denied coverage for residential care and we were notified of this yesterday. (See attached letter) Facility is currently in the process of appealing this decision. I will keep you notified of the results of the appeal process which will be submitted early next week. They enclosed a copy of the notice that they received from the determination company that is under contract to our state Medicaid. The rationale for this decision is: David is a 13 year old boy who is diagnosed with Bipolar disorder and pervasive development disorder. He was in a residential setting in North Dakota for over a year and transferred to the