Do you have a loved one in a nursing home or assisted living facility who is receiving Medicaid? If so, you may be familiar with the Medicaid Managed Care plans that seniors are required to sign up with once they are approved for Medicaid. The system is confusing and some seniors may be signing forms that allow the managed care plan to receive notices, such as annual eligibility notices. In one case, a client missed the deadline for their annual review because the managed care plan didn’t file the required information during the given deadline.
Or, are you finding it hard to reach your case manager under the managed care plan? Are you having other issues that are not being resolved in a timely fashion? If so, you can utilize the Agency for Health Care Administration’s (AHCA) website and file a complaint. Go to http://www.ahca.myflorida.com/MCHQ/Field_Ops/CAU.shtml. Complaints can be filed by clients who are having any difficulties with Florida’s Medicaid Managed Care.
Filing a complaint is the only way to track if the system is failing and to resolve issues. AHCA monitors the complaints and is working with members of the Task Force (a group of attorneys who are members of the Academy of Florida Elder Law Attorneys and the Elder law section of the Florida Bar) in an effort to seek resolutions of complaints.
If you have a question about Medicaid or how to pay for nursing home care, you should seek the help of a qualified Elder Law attorney. Please contact Board Certified elder law attorney Laurie E. Ohall for assistance. Elder law attorneys specialize in understanding and educating clients about issues pertaining to senior citizens such as Nursing Home Medicaid, resident’s rights in nursing homes and elder exploitation issues.