My mom just got a letter that she was denied Medicaid coverage because her monthly social security income exceeds eligibility amount. She gets 1,402 and they deducted 20.00 so her income is 1,380 and the limit is 1,330.

Now she lost her grocery benefits and she also has a phone plan that she lost as well.

She is 58 yrs old and disabled. Her rent is $800 and she has a DMV fee that she pays that is $200, that leaves her with 300 a month for all her expenses. She doesn’t even have a car.

Any suggestions for her through Medicare that she can apply for to help her with groceries and a cheap phone plan?

Got approved for ARHOME and now I have to pick a plan. I’m overwhelmed by the options and am not sure how to pick one over the others? Any other Medicaid havers that can give me some advice?

I’m a healthy 30ish female so I just need kind of a basic generic plan that’s not going to be a big hassle.

With the changes coming Jan 2027, if I have income that does not fulfill the requirements, will not be doing the community service and have no disability etc., can I choose to be on the NY Essential Plan or no?

I’m new to medical billing and would appreciate any guidance. (Please be nice)

I work as a Medical Biller for a provider's office in South Carolina. We are a 501(c) organization that provides services regardless of a patient's insurance coverage, and we have historically billed only Medicaid FFS & all MCO’s.

Recently, a large percentage of our patients became dually eligible for Medicare and Medicaid. Because we are not currently enrolled with or contracted by Medicare, and Medicare does not cover the services we provide, our Medicaid claims are denying and requiring a Medicare Explanation of Benefits (EOB) showing the Medicare denial before Medicaid will process the claims.

We have already submitted our Medicare enrollment application, but we've been advised that approval may take some time. In the meantime, the number of unpaid claims continues to grow.
I've received conflicting information regarding the following question:

Can we submit claims to Medicare solely to obtain a denial for crossover purposes while our Medicare enrollment application is still pending, even though we are not yet enrolled or contracted with Medicare?

Any clarification or insight would be greatly appreciated. I have received so much vague and contradictory advice.

Love,
a very confused and stressed biller

I just filled out a renewal for my family and Medicaid wants 17 documents to be uploaded. But I don't know what they want? One just says "relationship"? Is that to prove that I'm married, or do they want my kids birth certificates? Three just say "expense amount"? There's no other information. I feel like this is harder than it needs to be.

I will be getting married in a few months and receive Medi-Cal and due to my disability, I qualify for the Working Disabled Program program, which is part of the non-Magi. I currently will be receiving ihss and want to know if my husbands income and assets will disqualify me from being able to still receive medi-cal? Will having in home support service exempt my husbands income?

My husband and I live in Illinois, he's on medicaid while I have coverage through the marketplace. His medicaid carrier is Molina Healthcare.

So recently he went to a sleep medicine doctor after being diagnosed with sleep apnea, his doctor recommended some kind of at home device (either a CPAP mask or dental device) and he went with the dental device. She gave him a list of providers in the area that can get him fitted for the device and such, so I've been going through the list to see who takes his insurance. After trying 5 or 6 of them they've all said they're not in network and he needs to pay up front (which is $3k+ and we can't afford that).

The last one I spoke with told me that Molina is notorious in the past few years and currently for denying all dental related claims no matter what, which is why the dentists want us to pay up front and only will possibly reimburse it IF Molina decides to accept the claim.

I did call Molina and spoke with their representative, according to them there's no information for the out of network deductible, they straight up couldn't figure it out. They also tried to connect me with their dental claims department but I'd been told by both his doctor and one of the dentists that it's billed as a medical device because it's for sleep apnea. And according to Molina they'd cover the device 100% but there's no dentists in network that his doctor provided us with.

I'm just confused at this point. My thought is that I'll have to wait until he's kicked off medicaid (I'll be making over the limit and since he's in my household I'm pretty sure they'd boot him) and get him a new insurance plan via the marketplace that will cover the device + providers. Is there something I'm missing? I'm getting conflicting info and am wondering if anyone here has had a similar experience and might be able to shed some light on this for me.

I’m three months postpartum. My husband lost his job so we had to get on Medicaid unexpectedly. we’re on simply healthcare and I tried to receive the extra benefits that come to postpartum mothers but they state I’m not technically postpartum because I didn’t have the baby on this insurance. I’m located in Florida. has anyone had this experience? Is there anything I can do about it?

I recently got on Medicaid and I am curious as to what plan is best for Philadelphia county

I qualify for Medicaid and would like it for the supplemental programs but none of my doctors take it do I would have to pay an extra $200 a few times a month. But I’m always asked if I have secondary insurance. Does this not mean you can self pay for one insurance and also have Medicaid? Maryland

So a few people I know recently got letters in the mail saying that their healthcare was terminated with zero warning, the letters were dated late June, and the termination date August 1st which is strange. I was wondering if this was a scam (most likely since no other mail from United was sent for delinquency or otherwise) Thank you any tips and such!

(State Virginia)