Many older adults who rely on Medicaid for their long-term services and supports also need transportation to medical services. Federal regulations require states to ensure eligible, qualified Medicaid beneficiaries have access to services to take them to and from providers. However, each state’s Medicaid and managed care programs may implement the regulations differently, making it difficult for older adults to get the transportation they need.
Long-term services and supports (LTSS) are vital to millions of Americans. According to a Department of Health & Human Services Research Brief, of persons turning age 65 today, 52 percent will need some form of LTSS in the future. In many cases, the necessary LTSS will be funded through Medicaid. The financing and quality of LTSS often depend upon Medicaid laws and policies. Despite the importance of these laws and policies, they often are not well known among both consumers and aging network professionals. Read More
FOCUSED ON CLASS MEMBERS WITH CLOSED CLAIMS
When: September 7, 2017
Because of the poor quality of his exams, many people who were examined by Dr. Frank Chen for their Social Security disability or SSI disability claim may now be able to have their disability claim reviewed if they request it. Notices were scheduled to go out on September 25, 2017 to over 4,000 people with closed claims, who may be eligible for some type of relief and will now need to decide whether to elect relief under the settlement. This training gives practical details of who is eligible for relief, what type of relief they are eligible for, and how to obtain relief. The settlement is very complex, and representatives will benefit from learning about the variations in the types of relief, depending on the status of a claim.
Medicare providers are prohibited from billing Qualified Medicare Beneficiaries (QMBs) for any Medicare co-payments or deductibles. This includes most dual eligibles. However, the problem of improper billing persists.
Dual eligible individuals, those with both Medicare and Medicaid coverage, represent the most medically needy and costly population for both Medicare and Medicaid. In an effort improve health outcomes and reduce healthcare spending, the Centers for Medicare and Medicaid Services (CMS) has been testing financial alignment demonstrations in thirteen states to better coordinate and integrate care for dual eligibles. Read More
Understanding Medicaid is a key to understanding the health and long-term care delivery system for older adults. Every year, over 6 million older Americans rely on Medicaid every year to pay for necessary health services. Over two-thirds of all older adults who receive long-term care at home or in a nursing facility, participate in the Medicaid program. Read More
Focused on class members with open claims
When: August 10, 2017
Hart v. Berryhill (Colvin) is a Social Security and SSI disability class action that challenged the Social Security Administration’s continued use of medical reports from Dr. Frank Chen even after he had been disqualified from performing medical examinations for Social Security because of serious deficiencies in his reports. The settlement, which was approved on April 25, 2017, provides an opportunity for new disability determinations for many class members.
Why do many clients receiving Supplemental Security Income (SSI) benefits only receive $490 each month instead of $735, and what can we do about it? In many cases, the reason is “in-kind support and maintenance” (ISM). A person who receives shelter and food from a friend or family member they live with is receiving in-kind support and maintenance. The Social Security Administration (SSA) counts that support as income and lowers their benefit.
An increasing number of older consumers are struggling with unmanageable debt. Debt collectors are using aggressive tactics to pursue older adults with limited resources, making it critically important for legal services attorneys to understand protections that may help their clients. Bankruptcy may help older consumers eliminate debt and preserve income needed to pay rent, buy food, and keep the lights on. Read More
The Victims of Crimes Act (VOCA) supports crime victims programs that assist victims of sexual assault, spousal abuse, child abuse, or other previously underserved victims of crimes. In recent years, VOCA has supported elder abuse programs, including certain specified legal assistance expenses that help crime victims.