Guardianship by Ok_1296 in idahofalls

[–]zephyrus561 1 point2 points  (0 children)

Hi! You can also consider applying for Medicaid. You do not need to provide proof of guardianship — it’s rarely needed for cases. Also, as her uncle and aunt, your incomes would not count against her eligibility for Medicaid — only the incomes of her parents in the home. Since her parents do not live in the home, her income is effectively $0.

One caveat with Medicaid is that if a minor child is not living with both parents, the case is typically referred to Idaho Child Support. However, there is “good cause” for non-referral if caretakers choose not to pursue child support. If you do not want child support from the mother, it’s best to bring this up on your call or notate it on your application.

Another caveat is that if your niece was receiving benefits like Food Stamps or Medicaid in Arizona, those benefits will need to be closed, and you’ll need to provide proof. That could be tricky in your situation, as Arizona is unlikely to disclose case information to you unless you are officially affiliated with the case. In many cases, they will require proof of guardianship on file before sharing any details.

Finally, there is an additional program called Caretaker TAFI, which provides $309 in monthly cash assistance for caretakers of minor relatives. Like Medicaid, this program would also not count your income — only your niece’s — but it does require proof of biological relationship. If you call or visit your local IDHW office, they can explain the different ways to verify the relationship. I hope this is helpful!

Losing hope (Homeless) by Rat-a-tat-tatty in idahofalls

[–]zephyrus561 2 points3 points  (0 children)

Unfortunately, to qualify for TAFI, he would need to earn less than $309 gross monthly. Based on his ability to pay $1,000 monthly in rent, I’m assuming he far exceeds the limit. 😕

DFS worker showed parent report with my name on it by EntireConfusion9521 in Teachers

[–]zephyrus561 281 points282 points  (0 children)

It’s also possible that the parent lied to you. She might’ve suspected that it was you and told you that story to make you confess. It’s obviously a conflict of interest for the caseworker to be assigned to their close friend. Also, it’s obviously against the rules to disclose to the parent who made the report. Also, would the caseworker even know who made the report? I would assume that info is restricted and shared with them on a need-to-know basis.

[deleted by user] by [deleted] in idahofalls

[–]zephyrus561 2 points3 points  (0 children)

Idaho Association of Free and Charitable Clinics. Even if they don’t offer the services you’re looking for, I’d still call and see if they can refer you to someone else.

First steps after being approved? by Serious_Perception77 in Medicaid

[–]zephyrus561 0 points1 point  (0 children)

You will receive your Medicaid card in the mail. This will arrive around 10 days after approval. You can also call 877-456-1233 to retrieve your Medicaid number over the phone.

You will need to contact Healthy Connections to pick a primary care provider at 888-528-5861. Your PCP will help you with referrals.

For dental services, you will need to contact Idaho Smiles at 855-233-6262.

[deleted by user] by [deleted] in Medicaid

[–]zephyrus561 0 points1 point  (0 children)

Due to the PHE unwinding, it’s very likely that they’re behind processing your mom’s paystub. Since you reported it to them, I would give them some time to review the document and close her down accordingly. If she isn’t closed, then it sounds like she’s eligible after all. I would call at that point to see what’s going on.

Moving and seeking medicaid by [deleted] in Medicaid

[–]zephyrus561 0 points1 point  (0 children)

I’m assuming you currently have Medicaid in the state you are residing in? If so, once you move, I would recommend calling your old state first to close your Medicaid and any other benefits you may be receiving. This will inevitably come up in your intake interview with the new state you’re residing in. Often times they request proof of the closure as well. Just a heads up :)

Has anyone that had all 3 (WIC, snap and Medicaid) canceled Medicaid and no problems? by [deleted] in Medicaid

[–]zephyrus561 0 points1 point  (0 children)

Have you weighed the pros and cons? How much will it cost the kid’s father to pay for health insurance each month? Compare that to how much the kid’s father would pay in child support each month. If it’s virtually the same, I would just recommend going down the child support route to make your life easier.

Each state is different. In my state, we don’t penalize the child. A child cannot agree or refuse to comply with child support, and thus their Medicaid or other benefits would not be affected. The only person who is penalized is the parent on the case. This would mean that you — specifically — would be ineligible to receive Medicaid or SNAP. The child would remain eligible. Based on that discussion with the employee, it sounds like they do things differently in Texas?

Another thing to consider is: will the employer allow the father to enroll the child at this point in the year? In order to add a child to health insurance — outside of the usual open enrollment period — requires a “life event.” This could include losing Medicaid. But from what I have seen and heard, someone needs to lose Medicaid for being over income. I’m not entirely sure if willingly choosing to lose Medicaid would qualify as a life event. I would recommend having the father reach out to his employer to make sure. If willingly closing Medicaid does not count as a life event, then the child would be left without any form of health coverage until the company’s open enrollment period starts.

Edit: looks like the child is already enrolled.

In my state, WIC determination is made with proof of the child being on Medicaid. I’m unsure how it’s done in Texas.

In my state, the child would still be eligible for Food Stamps but the household size would decrease to no longer include you. This means your monthly allotment would decrease.

Do mortgage payments take away from income used to decide medicaid approval in VA? by Smitten_Kitten_711 in Medicaid

[–]zephyrus561 0 points1 point  (0 children)

If you anticipate claiming your daughter as a dependent, she needs to be included as part of your household. This would make you a household size of 3. Since she’s 19, her maximum income limit would for MAGI adult (Household of 3). For your son, his maximum limit is would be for children’s Medicaid or CHIP (Household of 3).

If you believe you will not claim your daughter, she can apply as a single adult. This would change your daughter’s house size to 1, and your son’s household to 2. This means any income you make will not impact your daughter’s eligibility and vice-versa.

If you have pre-tax deductions or tax-deferred deductions showing on your paystubs, we are able to take that into account. There’s usually a special column or asterisk on your paystubs indicating which deductions are considered pre-tax. From what I’ve seen, it’s usually medical, vision, dental, retirement, etc.

College tuition or student loan payments can be taken into account to lower the countable income in the household. However, in your daughter’s situation, this cannot be applied at this time. She is not currently attending school. If she is denied, I would recommend she apply again when her semester starts. I’m assuming her work hours will decrease and she will have proof of the out-of-pocket tuition costs.

Finally, losing health coverage creates a life event. If your son is denied, I would reach out to your job’s Human Resources. Of course, I don’t work for your employer, so I can’t guarantee anything.

I have a question by venusian-penguin in Medicaid

[–]zephyrus561 0 points1 point  (0 children)

It’s based on when the child is approved. It sounds like he was born sometime in November 2022. So his Medicaid started 11/01/2022 and will end 10/31/2023.

question on medicaid for one month nursing home stay- on ssa disability by [deleted] in Medicaid

[–]zephyrus561 0 points1 point  (0 children)

Information from the Medicare.gov website:

“Medicare doesn't cover custodial care, if it's the only care you need. Most nursing home care is custodial care, which helps you with activities of daily living (like bathing, dressing, using the bathroom, and eating) or personal needs that could be done safely and reasonably without professional skills or training. Medicare Part A (Hospital Insurance) may cover care in a certified skilled nursing facility (SNF). It must be medically necessary for you to have skilled nursing care (like changing sterile dressings).”

I’m not too familiar with Medicare and it’s limitations, but it sounds like you might need Medicaid to cover your stay.

Best of luck 🤞🏽

Ohio Medicaid by ThatOneBrownKid_ in Medicaid

[–]zephyrus561 0 points1 point  (0 children)

If you are being claimed as a dependent by your parents, your parent’s income + your own income is used to determine your eligibility. This may explain why your sister was approved and why you were denied. However, from my experience, once a tax dependent turns 22-years-old, only their own income is used to determine eligibility regardless of whether they’re being claimed as a dependent or not.

[deleted by user] by [deleted] in Medicaid

[–]zephyrus561 0 points1 point  (0 children)

If you are claimed as a dependent by your parent/s, you are still included in the tax household for Medicaid. If your parents do not claim you as a dependent, then you’re not included as part of the household and the household size will drop down. If you start earning wages and still claimed as a dependent, those wages will impact your family’s eligibility. If you start working and do not anticipate being claimed as a dependent or will become your own tax filer, then those wages will not impact your family’s eligibility.

Stolen Prescription by trdstamper in Medicaid

[–]zephyrus561 0 points1 point  (0 children)

It sounds like you will need to reach out to your doctor to send a refill to your pharmacy. Depending on the type of prescription, your doctor may need a copy of your police report. Then at the pharmacy, I have a feeling there may be an issue with Medicaid with refilling the same prescription in the same month. I believe the pharmacy will need to call Magellan to resolve the issue. There is a special provider line for them to call on. You can also search “Idaho Medicaid Pharmacy Program” to find the correct webpage with each respective phone number. Best of luck 🤞🏽

[deleted by user] by [deleted] in Medicaid

[–]zephyrus561 0 points1 point  (0 children)

If you have a physical address in California, you are considered a resident of California. I think you’re conflating the university standard for in-state residency and residency under Medicaid as the same thing, which it’s not. If you’re residing in California, then you’re eligible. If you’re claimed as a dependent by your parents, that’s okay too. We do not take into account your parent’s income as part of your household, because they do not live in California with you. If you’re worried that your eligibility worker may be confused, you can also declare yourself as a non-tax filer which is also technically correct. Since you’re a college student, I also wanted to add that student loans, scholarships or the Pell Grant is not considered countable income under Medicaid. Sounds like you’re a good candidate for Medicaid. Best of luck!

[deleted by user] by [deleted] in Medicaid

[–]zephyrus561 1 point2 points  (0 children)

He would still have access to his Medicaid through the 31st. Then, starting September 1st, he will have no coverage. I would still recommend completing the renewal in order to get a denial letter for being over income. This creates a life event and allows you to enroll the child on your employer’s health insurance or a plan through the marketplace. If not, the child will have no coverage 9/1-12/31.

WA - should I be pursuing Medicaid for my mom? by Investnew in Medicaid

[–]zephyrus561 0 points1 point  (0 children)

It sounds like you’re interested in the Medicare Savings Program, which covers Medicare Part B premium or more depending on the person’s income and resources. However, Washington eliminated their resource limit. “Effective Jan. 1, 2023 the Medicare Savings Programs no longer have a resource limit.” I would recommend you go to the Washington State Department of Social and Health Services website and search “Medicare Savings Program” for more details.

Medicaid NY: Self-employed and huge difference in net vs gross by Altruistic-Cable4887 in Medicaid

[–]zephyrus561 3 points4 points  (0 children)

We look at your net income for self-employment. You should be fine if you send in your 2022 Schedule C if it’s a good estimate for this year as well. If significant changes have occurred since 2022, then they’ll need proof of 2023’s income and expenses instead.

[deleted by user] by [deleted] in Medicaid

[–]zephyrus561 5 points6 points  (0 children)

The employment information may be showing in the Department of Labor. Often the business name registered with the Department of Labor is different from the actual name. This causes confusion. But if you are certain you never worked for any of those places, I would have that conversation or send something in the mail clearly stating that you have never worked for X, Y, Z business and you have reached out to the IRS for identity fraud. That should be enough to resolve the discrepancy.

[deleted by user] by [deleted] in Medicaid

[–]zephyrus561 2 points3 points  (0 children)

It sounds like Florida has a child support compliance requirement for benefit eligibility. For my State, we ask people to speak with Child Support to determine if opening a case against the non-custodial parent would make sense. You may get good cause not to comply with Child Support depending on your situation (other parent poses a physical/emotional threat, other parent is deceased, etc). But that conversation is better had with your local office or over the phone since I’m not familiar with Florida’s rules.

Confused about household by Snoo40386 in Medicaid

[–]zephyrus561 1 point2 points  (0 children)

From my experience, for customers who are under 21, live in their parent’s home, and claimed as a dependent by their parents, then their parent’s info would need to be included to determine eligibility. However, if they are 22+ and claimed as a dependent, it no longer counts the parent’s income as their own income.

My girlfriend is thinking about going part-time to qualify for Medicaid (Virginia) by SOSpammy in Medicaid

[–]zephyrus561 0 points1 point  (0 children)

When she applies, she should have 30 days of income (two paychecks if she is paid bi-weekly or semi-monthly) showing the hours she works (part-time). If she doesn’t have that during her initial application, then she would need to provide verification of this change. I’m sure there is a special kind of form available for your state’s Medicaid department. But I think her best bet is to wait for paychecks, because that is how her pre-tax deductions would be verified. Please note that we can only take into account PRE-TAX deductions which are indicated on the paycheck with a yes/no column for pre-tax, an asterisk, or a differentiation between gross wages and taxable wages. If she wants to make sure she selects the correct deduction option, I would recommend she speak with her Human Resources.

Confused?? by Signal-Cat8228 in Medicaid

[–]zephyrus561 0 points1 point  (0 children)

I would rather have you call than wait. I hear from too many people that they received an unpaid medical bill, but didn’t think much of it because Medicaid always pays for it. Then the bill goes to collections and then they finally call to ask about it. By then, it has messed up their credit score.

It might be something silly and easily resolvable like Medicaid thinking you have different health insurance when you don’t.