Denial of Medicaid
What should you do if you are denied medicaid?
There is no requirement that you have an attorney to apply for Medicaid, and some people fill out their own applications. However, the Medicaid application form is lengthy and complex, and mistakes can be made when you are not familiar with the process. Unfortunately, these mistakes can be costly, if Medicaid benefits are denied or delayed.
There are a large variety of reasons why Medicaid applications are denied, for example, missing information, incorrect information or coding, failure to include required attachments, incorrect dates of service, or erroneous calculations.
You Have 90 Days or Less
If your application or claim has been denied, you have 90 days if you are a New York City resident (less, if you live outside New York City) to make an adjustment request to Medicaid. If your adjustment request is not timely submitted, it will be automatically denied and you will be back to "square one." If this happens, you will lose your original Medicaid "pick up date," which means that you will be personally liable to private pay nursing home bills, or the fees of home care providers, until your entitlement to benefits is established under a new application.
The Medicaid pick-up date under your new application could be many months later than the one established under your original application, making the delay an extremely costly one for you.
Lamson & Cutner can help if you find yourself in a difficult situation because Medicaid has denied your application or claim. The firm's experienced attorneys and staff know how to correct mistakes, and get your Medicaid application back on track, so that you can obtain the benefits and health care that you need.
If your Medicaid application has been denied, don't delay asking for help. Lamson & Cutner has assisted many clients with similar problems, and the firm will be pleased to assist you too.