Tag Archives: Medicaid

Insurance Preauthorization Still Not In

We are finishing week 1 of the wait for pre-authorization for David’s meds. How frustrating it is that we can be held by hostage by an insurance company and/or medicaid decision. Of course, the doctor is never around when I need to talk to her. Time to annoy some people to no end so that they do their damn job. Sorry, just a bit frustrated with the “system of care”. Update: Psychiatrist didn’t submit the request until Tuesday morning, but helpfully, she marked the request “URGENT” Tweet #fighting4answrs

calls from staff in mental health unit

Just got off the phone with a social worker from the unit. She explained that they will work with us as much as they can to get him into a residential treatment center (rtc). Limitation on his stay where he is at while we get this sorted is Medicaid. Medicaid could decide at any time that he has stayed there long enough. Sucks when bureaucracy can make life decisions on your behalf. Some one watching their computer screen could see his case pop up on their screen, and decide that it has been 48, 72 or 96 hours and that he needs to come home.  Because there “is no therapeutic need for him to be there”. Never mind that he is there while we work placement arrangements. So I said, “if they decide that, we will pull him out, put ourselves up in a hotel and then check him back

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Medicaid frustrations again.

Why is it that Medicaid knows what is best for a child?  More so than the doctors, psychiatrists and therapists that are treating said child? I am tired of Medicaid telling me what is best for my son. BCBS is his primary insurance, Medicaid is secondary.  Medicaid refuses to pay for 2 doses a day of a particular medication. So now, not only is it deemed best for him to be at home, we don’t have access to the medications needed to ensure that he is stable. We have enough of the medication to file an appeal, but what do those people do who don’t know how to appeal, or that they even can? Thankfully we have a pharmacy that understands finances are limited. Dear readers, please know that if you, your doctor, or pharmacist disagree with a medicaid decision, you can appeal the decision. Tweet #fighting4answrs