New Medicaid rules for ancillary services

Agnus · Sep 14, 2003

Originally posted by caffine addict
Has anyone heard that as of Oct 5th Medicade will no longer cover podiatry, dental services unless they are emergency services? What is this going to mean for LTC? The regs say these are services we need to make sure our residents get. But now there not going to pay for them? Medicade says it has to come out of their patient pay ammount if it's not considered an emergency. By the way, if you are in the process of obtaining dentures for anyone, you only have 180 days from the date of the prior auth. to complete this transaction. If the residents don't have teeth to eat with, that will be a quality of life TAG.

God bless America. What next?! Thanks for the notice.

Long Term Care Columnist / Guide · Sep 14, 2003

Silly people----why would we waste good money on old folks' teeth when we've got a WAR to pay for??!

Peppermint · Sep 14, 2003

caffine addict · Sep 14, 2003

I'm seriously thinking of a way to sign all of the residents up on the same group plan the employees use. I would be alot cheaper and they could still get their routine cleaning done. Ha, Ha

renerian, BSN, RN · Sep 14, 2003

Wow I wonder if that is just in Michigan?

renerian

caffine addict · Sep 17, 2003

Renerian

I'm still trying to find the answer to that

Also ANYONE OUT THERE IN MICH. I have been bombarded by other homes this week all trying to find out how to handle this situ. What are you doing at your places? any sugestions?

PLEEEEEEESE :confused:

caffine addict · Sep 17, 2003

You know what? We don't know if this applies to Ohio yet. No one in Michigan seems to know what's going on or what to do about it. EXCEPT The ancillary service providers. I'll explain later.

Home Health Columnist / Guide · Sep 18, 2003

Seems like this is a reduction in the Michigan MA benefit

See:

http://www.michigan.gov/documents/All_Provider-03-09_72611_7.pdf

Will check if PA having similar reduction as across the board health cuts have occured tdue to this years budget.

caffine addict · Sep 19, 2003

Still doing research.

Was at the dentist today for a root cannal:crying2:

The dentist has been flooded with people trying to get teeth fixed and dentures ordered before the cut off date.

She says they were also flabergasted. It seems someone up there sent letters to the recipients and sent nothing to all us providers till just now. She only knew what happened because her clients told her about the letter. She has been calling Medicad and she hasn't been able to get thru.

This is just crazy

P.S. ancillary (mobile) companies jumped on the band wagon and saw an opportunity to make money off of these people in LTC. They are also taking advantage of us providers. SO BEWARE. READ ALL CONTRACTS THOUROUGHLY.