Hello! I'm sorry I should have started a new thread on my issue regarding this topic back when I started the discussion last week.

Here is my situation: I have had Medicaid for over a decade in Florida. I have been seeing a doctor not on a Medicaid plan, but he graciously granted me assistance as both my parents have him as their primary care physician as well.

I received notices to sign up with a new doctor with United Healthcare for Medicaid coverage. It was done because my mother believed that there had been a change in the state law. Apparently to the state I haven't had a doctor who takes Medicaid.

I have been in contact with the state's healthcare agency since July 14 on this issue. The Program Operations Administrator took it upon herself that I wanted a Medicare exemption request... which I obviously did not and have no reason to do. I received the exemption notice on July 23 and the Social Security Review Update on August 9.

The Field Office Manager talked with my mother on the morning of August 1 (and again to verify the information that afternoon) saying that I could continue seeing my doctor [and if any referrals as has been the case all these years].

So now, I am in the process of being re-enrolled in the Medicaid Program.




Me: I just received an update report form for the first time today... after receiving benefits for about 15 years.

My diagnoses was made by a psychologist about two years prior to that and I have not and have no reason to see such a doctor.
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Janke:

So what will happen is a consultative exam with * an SSA appointed doctor* will be used to determine whether or not benefits continue.
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Me:

I would think and hope a copy of the diagnoses report I received in 1999 would be adequate. They knew when I was evaluated in person, in 2000 that my case wouldn't change.

There is a possibility that a situation I had with the Health Agency in my state in the last three weeks caused speculation, as I am understanding that random updates on certain individuals cases are reviewed years less than 15 years.
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Jo*mar:

It might be wise to make a check up appt. with same dr if you can, just to save yourself some possible red tape issues. I'm sure SSDI would like to see a recent evaluation as proof.\
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LIT LOVE:

Agencies aren't linked that way. It is possible they reported that they didn't believe you should qualify.

Did you receive the long or short form?

SS does expect you to keep up with your med/psych care. You need to go back to your former doc asap. New therapies and meds are introduced that could make a difference for some.

We are all subject to reviews and SSI/SSDI isn't awarded permanently for anyone.
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Me:

Social Security deals with Social Security Income and MediCaid.

The doctor may not even be still practicing and he is in another state. I saw him one time when I was evaluated and he made the diagnosis soon after.

The determination that I was eligible for, and them knowing that day that I have what I have since birth, then oddly to come up fourteen to fifteen years later.

If everyone is periodically reviewed, then I should have been so eight and/or ten and/or twelve years ago.

There has been ongoing issues with individuals receiving benefits they are not entitled for.

I'm not sure whether it's the short or long form.
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Jo*mar:

Might be good to get your records if you can from that dr or whoever has the records now.. If the office totally closed sometimes the affiliated hospital may have the records..

I think with the aging baby boomer generation and the slowed economy - SSDI is having to tighten up the purse strings, you may have slipped through the other times.

If you can't get to the same dr find out who replaced him & has his records now?
Or make appt with another dr, just to have a visit on record for now.
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echoes long ago:

the short form would be six questions the long form is much longer.

you are getting good advice. get an appointment as quickly as possible with someone so that you can how a visit. if you have no visits in the last 14 years, then you are going to have problems with the review.

my review period was 3 years but i didnt get one until 7 years, so you probably just slipped through the cracks.
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Me:

I don't see why sending them the report that the doctor made wouldn't be as equal as the doctor that diagnosed.

You're making it sound like no matter what is filled out on the form, I will be denied.