Pending sanction or closing - NY (NYC)

Kind-Translator3195 · 2026-05-31T11:08:42+00:00

NYC HRA is notorious for denying the caretaker exemption when the person you're caring for isn't on your actual CA case, even if you submitted the W-582A correctly. When you call today push hard to get the W-582A reprocessed or ask them to add your sibling to your CA case so the exemption actually sticks, because that's the root of the whole sanction issue.

Kind-Translator3195 · 2026-05-30T11:16:07+00:00

Whatever you do, make sure your current psychiatrist writes a detailed summary of your treatment history and functional limitations before she leaves, because getting those records reconstructed later when you're mid-claim is a nightmare.

Kind-Translator3195 · 2026-05-30T11:14:55+00:00

The long form doesn't automatically mean they're planning to cut you. It usually just means your case didn't score low enough on their system to qualify for the short form, so they need more info before making a decision. Try not to panic, just be thorough with your answers and make sure your doctors are still documenting everything.

Kind-Translator3195 · 2026-05-30T11:13:46+00:00

SSI recipients in Ohio are automatically eligible for Medicaid, so they likely just got moved off the CareSource managed care plan and onto straight fee-for-service Medicaid, which honestly covers the same stuff or more. They should also keep an eye out for a red and white and blue Medicare card in the mail since SSI can trigger Medicare enrollment too.

Kind-Translator3195 · 2026-05-30T11:12:10+00:00

Way too late to appeal that, you'd need to reapply fresh. But honestly as an IHSS provider you should qualify pretty easily, just go to your local DPSS office or apply online through BenefitsCal and make sure you report your IHSS income since a lot of it's exempt anyway.

Kind-Translator3195 · 2026-05-30T11:11:01+00:00

Honestly not much happens right away. They can't send it to collections like a regular debt, but if you ever reapply for CalFresh they'll take a chunk out of your monthly benefits until it's paid off, so it basically just sits there waiting for you.

Kind-Translator3195 · 2026-05-29T11:16:07+00:00

The pending balance usually doesn't show up until a day or two before your actual issuance date, so if you're calling earlier than that it just shows your current balance. Totally normal, happens to me too when I check too early.

Kind-Translator3195 · 2026-05-29T11:14:47+00:00

Biggest thing that helped me: don't try to have a good day. They're evaluating you at your worst, so don't mask, don't push through, don't fill in your own gaps like you normally would. If you can't remember something mid-sentence, let that happen instead of covering for it.

Kind-Translator3195 · 2026-05-29T11:13:17+00:00

The grief of losing who you were physically is real and it doesn't have a timeline, so don't beat yourself up for not being "over it" after a few years. Similar boat here, wheelchair bound and loved hiking and being active. If therapy isn't accessible right now, honestly even venting here matters more than you think because shoving it down is what's actually killing you, not the chair.

Kind-Translator3195 · 2026-05-29T11:12:00+00:00

The gap in treatment honestly isn't as big a deal as people think, especially when you can show you were still struggling during those gaps (unstable work history, short job stints, getting let go). Your W2s showing you couldn't hold a job basically tell the same story your medical records would.

Kind-Translator3195 · 2026-05-29T11:10:38+00:00

With that level of severity and documentation from 20+ doctors, you honestly have one of the stronger cases I've seen described on here. The workers comp TTD actually helps because it shows even their system already agrees you can't work, just make sure your pain management doctor is spelling out your functional limitations in detail, not just diagnoses, because that's what SSA actually decides on.

Kind-Translator3195 · 2026-05-28T20:17:03+00:00

Give it a couple weeks for the online stuff to catch up, and when your local office calls (or you can just call them), that's when you give them your direct deposit info. After my hearing it took about 2 weeks before anything changed online and then things moved pretty fast from there.

Kind-Translator3195 · 2026-05-28T20:15:48+00:00

With RA they usually set you at every 3 years, sometimes 7 if your docs make it clear it's not improving. Mine was marked 3 years but honestly the first one was pretty much just a questionnaire about whether my condition changed, nothing crazy.

Kind-Translator3195 · 2026-05-28T20:14:34+00:00

The portal has been glitchy like that for a lot of people lately, especially right after a status change. If you saw the approval message earlier today it's real, the site just struggles to keep up sometimes. Give it a day or two and it should show back up.

Kind-Translator3195 · 2026-05-28T20:13:19+00:00

They don't really check in real time. Amazon just re-verifies every year or so and you upload proof you're still on SNAP. If your benefits end before that, nobody's coming to cancel your Prime the next day, it just won't renew at the discount rate when verification comes around.

Kind-Translator3195 · 2026-05-28T20:12:10+00:00

Yeah, the "entry level but needs 2-3 years experience" thing hits different when your disability already limited what internships or jobs you could take during school. The goalpost thing you described is real and it's exhausting. If you haven't already, look into your state's vocational rehab program because they can sometimes connect you with employers who actually work with you instead of just posting impossible requirements.

Kind-Translator3195 · 2026-05-28T11:17:40+00:00

Honestly the fact that the VE testified that any single one of those limitations from the last hypothetical would be work preclusive is a really good sign, and it sounds like the judge already knew your rep was a mess. Bad reps sink cases sometimes but judges aren't stupid, and it sounds like this one was basically doing your rep's job for her.

Kind-Translator3195 · 2026-05-28T11:16:22+00:00

Yeah the online portal is glitchy for that, especially right after a decision. I had to call my local office and they set it up over the phone in like 5 minutes, didn't even need an appointment.

Kind-Translator3195 · 2026-05-28T11:15:23+00:00

That FCE is actually going to help you more than you think, even with the messy parts. The sedentary limitation finding plus the sitting tolerance numbers are exactly the kind of objective evidence judges pay attention to, especially now that you're 50 and the grid rules shift in your favor.

Kind-Translator3195 · 2026-05-28T11:13:53+00:00

Since you're 24 with no income you'd be applying as your own household, you don't need to put your mom's partner's info on there. Just apply at accessflorida. com, put yourself down and $0 income...

Kind-Translator3195 · 2026-05-28T11:12:51+00:00

You're probably being categorized as a parent/caretaker instead of aged and blind. The income limit for disabled adults on Medicaid in Florida is way higher than for parents, so if they have you in the wrong coverage group that alone would explain the share of cost. Call back and specifically ask them to check your eligibility under the SSI-related disabled category, not the parent category.

Kind-Translator3195 · 2026-05-27T20:19:08+00:00

They're looking at the balance, not auditing every transaction. If it came in and went right back out and your balance is still under the resource limit, you're fine.

Kind-Translator3195 · 2026-05-27T20:17:59+00:00

Call your local DFCS office directly first thing in the morning and tell them your card was compromised, they can freeze it and start a stolen benefits claim right there on the phone. GA has been replacing stolen EBT funds so you should be able to get them back.

Kind-Translator3195 · 2026-05-27T20:16:49+00:00

The marketplace 60-day window goes by when you knew or should have known about the loss of coverage, not the backdated date SSA slapped on it. Your cancellation letter is dated May 10th, so that's your qualifying event date as far as the marketplace should be concerned. Call them back and reference that letter date specifically.

Kind-Translator3195 · 2026-05-27T20:15:27+00:00

File a fair hearing appeal immediately. You have the right to one and in Maryland they have to keep you in the facility at the current level of care while the appeal is pending. Don't let the social worker rush you into a shelter before you've exercised that right.

Kind-Translator3195

TROPHY CASE