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Showing posts from July 31, 2016

Importance of Medicaid

From NDNRC: Earlier this year, we shared a report by the Kaiser Family Foundation which estimated that approximately 8.8 million people remain uninsured but would be eligible for Medicaid or CHIP if they would apply. (To see our news item on that report,  click here .) This week, the NDNRC has released three new videos which highlight the benefits that Medicaid has had for real people. These videos are part of an effort to increase outreach for Medicaid enrollment. To view the stories from three families who have benefited from Medicaid coverage, check out the videos from  Cyndi ,  Sally  and  Carol . All of these videos are also available on our YouTube channel which can be found  here . Do you have questions about how eligibility and enrollment are coordinated between Medicaid, CHIP and the marketplace? Last week, CMS issued new guidance on the coordination of all three of these programs. To learn more or to download a copy, read our news item on the new guidance by  clickin

Case Management and the Life Course

TO: DDRS Families, Case Managers, Providers, Advocates, Stakeholders  FROM:  Kylee Hope, Director, Division of Disability and Rehabilitative Services DATE: August 4,  2016  RE: Next Steps – Developing the DDRS Vision: Case Management, Life Course Alignment Project  This past June, the Division of Disability and Rehabilitative Services laid the foundation for a collective vision for supporting individuals with disabilities in Indiana. Rooted in the LifeCourse Framework developed by the National Community of Practice for Supporting Families of Individuals with Intellectual and Developmental Disabilities, DDRS’s vision brings together commonly held values and beliefs into a comprehensive approach to developing integrated supports that empower individuals with disabilities and their families to chart a LifeCourse consistent with their needs and aspirations.  In order to begin moving towards realizing this vision, the division is taking steps to align current case management systems

How Families of Children with Special Needs Can File Insurance Complaints

A recent blog post from the National Disability Navigator Resource Collaborative mentioned that families who had concerns about their insurance claims can file complaints.  The blog also mentioned that Community Catalyst has new tools for consumers on how to do this.  The tools can be found in the “Resources” section at the end of this post. What are Consumer Complaints? It is important for families to know and understand they can appeal or file complaints when an insurance claim is denied.   Only 1/3 of families appeal denials of insurance claims, even though half the time the denial is reversed in the favor of the consumer on the first try.  Generally, a family must file an “internal appeal” with the insurance company before filing a complaint with an outside agency. Sometimes, payment for a service is denied even though that service is supposed to be covered by the plan.  Therefore, it is important to make sure that a denial is consistent with the plan’s benefits, as spelle