logo
Stop unannounced home inspections of those with special needs

Stop unannounced home inspections of those with special needs

Yahoo11-04-2025
More than 1 in 3 individuals with special needs rely on Medicaid for their medical care. Caring for a child with special needs is challenging enough without the added stress of unannounced visits from representatives.
This situation occurred with Plain Township resident Catherine Smith, who along with two other women, joined a state lawsuit challenging an Ohio Department of Developmental Disabilities directive that allows the visits.
As someone with siblings who have special needs, I understand the dedication required for their care, including various therapies and learning programs. Ensuring adequate support for these children is crucial, and it's frustrating when someone shows up without proper notice, similar to the practices of Child Protective Services. Catherine noted that the employee made inappropriate comments about her daughter's drooling and reprimanded her for answering the door too slowly.
Such remarks are not only unprofessional but also irrelevant to the client's care. Arriving with an outdated schedule while expecting immediate compliance is unreasonable. Proper notification allows parents to prepare and clear their schedules, making it easier for everyone involved.
I commend Catherine for pursuing legal action, as services like Medicaid often seek ways to minimize their financial responsibilities, potentially harming children in need. Essential equipment like braces and wheelchairs can be costly, and instead of supporting families, there is a tendency to undermine their benefits. It's vital for media outlets to continue reporting on these issues, as they impact families significantly and deserve more attention from the community.Angelica Austin, Jackson Township
This article originally appeared on The Repository: Stop unannounced home inspections of those with special needs | Letter
Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

Planned Parenthood ‘defunding' threatens women's health beyond abortion
Planned Parenthood ‘defunding' threatens women's health beyond abortion

The Hill

timean hour ago

  • The Hill

Planned Parenthood ‘defunding' threatens women's health beyond abortion

Planned Parenthood stands to lose a huge portion of its federal funding under President Trump's 'big, beautiful bill,' which could result in the closure of up to 200 clinics, according to the organization. Not only will many Americans lose access to abortion care if those clinics close, but millions of people treated by the provider may delay or go without primary health care. 'It's going to pretty devastating if that happens,' said Nisha Verma, senior adviser of reproductive health policy and advocacy at the American College of Obstetricians and Gynecologists. 'The health care system is already struggling to take care of patients.' A provision in the massive policy and spending package signed on July 4 bans health care providers who perform abortions and receive more than $800,000 in federal reimbursements from getting Medicaid funding for one year. Planned Parenthood sued the Trump administration this week over the measure, arguing that its clinics make up most of the impacted entities. A federal judge approved its request to temporarily pause the Medicaid funding cut for two weeks. A spokesperson for the Department of Health and Human Services (HHS) declined to comment on the lawsuit. Massachusetts District Judge Indira Talwani, who issued the injunction, will hear arguments on July 21 on whether to extend the pause further. Planned Parenthood officials argue that if Medicaid funding is withheld, the resulting elimination of health care services, staff layoffs and health center closures will 'dire and compounding' consequences on the nation's public health, according to the lawsuit. Most of its Medicaid reimbursements are for health care services unrelated to abortion,since the procedure is covered by the joint state and federal program under limited circumstances like cases of rape, incest or if the pregnancy endangers the life of the pregnant person. Planned Parenthood has offered sexual and reproductive health care services since its founding in 1916 and sees more than 2 million people a year throughout its nearly 600 clinics across the U.S., according to an analysis from the health care policy nonprofit KFF. Those services include cancer screenings, sexually transmitted infection testing and treatment and 'well-woman exams,' which are general annual physical exams that take reproductive health into account. If Medicaid reimbursements are banned for a year, what will suffer is its clinics' ability to provide preventative and primary health care procedures, Planned Parenthood officials said, which will shake the country's primary care landscape. 'It's going to exacerbate the chaos of the fragile reproductive health care infrastructure [and] disrupt access to care like birth control screenings, cancer screenings and other important and essential preventative sexual and reproductive health care services,' said Karen Stone, vice president of public policy and government relations at Planned Parenthood. In many communities, particularly in rural areas, Planned Parenthood member clinics are the only place where Americans with Medicaid can receive sexual and reproductive health care. If those clinics disappear, it's unclear where those patients would turn for care. Stephvonne Steele, a 25-year-old eligibility specialist in Florida, knows firsthand how essential Planned Parenthood clinics are in some communities. Steele needed to see a gynecologist for a yeast infection in 2020 and when she called a doctor's office, she was told she could not be seen for months. The infection worsened to the point where she stopped being able to sleep, and she turned to her nearest Planned Parenthood clinic, which booked an appointment for her to see a provider within 24 hours. 'I would have been in trouble without being able to go there,' she said. Even if there are other providers nearby, that does not mean that they will be able to accommodate the influx of patients that once used to rely on Planned Parenthood, said Alina Salganicoff, senior vice president and director of women's health policy. Many private OB-GYN offices, for example, do not take Medicaid due to the program's low reimbursement rate. And like Steele, many Americans struggle with long wait times for doctors' appointments, in part, due to a growing physician shortage. The U.S. is facing increasing shortages of both primary care physicians and obstetricians and gynecologists. The Association of American Medical Colleges anticipates the country will have a shortage of 20,200 to 40,400 primary care physicians by 2036. And about 3,000 fewer OB-GYNS will be practicing in the U.S. by 2030, according to a 2021 report from HHS. One option for Medicaid patients is to visit a federally qualified health care center (FQHC), which is a community-based health care provider that receives federal funding to provide primary care. But FQHCs, Verma said, are not equipped to serve the volume of patients that Planned Parenthood does. Planned Parenthood health centers served 1.6 million — or 33 percent — of the 4.7 million people looking for contraception care in 2020, according to an analysis from the Guttmacher Institute. FQHCs would need to increase their capacity by 56 percent — or by an extra 1 million patients — to meet the need for contraception care alone met by Planned Parenthood, the analysis found. Delaying preventative care like cancer screenings or avoiding emergent care like STI treatment is going to make Americans sicker, Verma stressed. Conditions like cervical cancer can be prevented with regular pap smears, and many STIs, if left untreated, can cause serious health problems like infertility, organ damage, or even death. She predicts that if more Planned Parenthood clinics close, more Americans will be stranded in 'health care deserts' and suffer more progressive diseases. 'Some people don't really realize how many people go to Planned Parenthood for some of their routine care,' Verma said.

Hospital, health system M&A falls in Q2 as Medicaid cuts loom: report
Hospital, health system M&A falls in Q2 as Medicaid cuts loom: report

Yahoo

timean hour ago

  • Yahoo

Hospital, health system M&A falls in Q2 as Medicaid cuts loom: report

This story was originally published on Healthcare Dive. To receive daily news and insights, subscribe to our free daily Healthcare Dive newsletter. Mergers and acquisitions between hospitals and health systems were down in the second quarter compared to recent years, as impacts from new healthcare policy and trade uncertainty came into focus, according to a report by Kaufman Hall. Eight transactions were announced in the second quarter, the lowest in the quarter since at least 2017, according to the healthcare consultancy. About half of the transactions were divestitures. Hospital and health system M&A is expected to accelerate, although it 'may return at a slower pace than it fell' as the sector absorbs the impacts from federal policy changes, including cuts to Medicaid, the report said. No mega-mergers, or transactions in which the annual revenue of the smaller party exceeds $1 billion, were announced in the second quarter. That pushed the average seller size down to $175 million, 'relatively low' compared to recent year-end averages, according to Kaufman Hall. Other metrics were low, including total transacted revenue in the quarter, which hit $1.4 billion. The metric is the lowest second-quarter result since at least 2017. The next lowest quarter was 2018, which logged $3 billion in transacted revenue across deals. Hospital and health system transactions announced in Q2, 2017-2025 This embedded content is not available in your region. Still, the number of deals in the second quarter was a modest uptick from the five deals announced in the first quarter, according to Kaufman Hall. Deal numbers were probably low in the first quarter as market volatility and economic uncertainty from the Trump administration's new tariffs had a chilling effect on M&A, according to Kaufman Hall. The potential of significant cuts to Medicaid also likely dampened deals. Those cuts were realized after President Donald Trump signed a reconciliation bill in early July with over $1 trillion cuts in healthcare spending over the next decade. Most of those cuts will be concentrated in Medicaid, with providers bracing for hits to their revenue as the uninsurance rate rises. That chilling effect has consequently bled through into the first half of the year, according to the consultancy. 'Business challenges and uncertainty about federal and state policies have affected both the divestitures and affiliations we're seeing in the market,' said Anu Singh, managing director at Kaufman Hall. 'Now that some of the policy uncertainty has resolved, we expect providers will refocus their strategy and transformation efforts, which could spark greater activity in future quarters.' Recommended Reading Historic Medicaid cuts to come as Trump signs domestic policy bill Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data

What documentation is required for Medicaid in New York state? A guide
What documentation is required for Medicaid in New York state? A guide

Yahoo

time3 hours ago

  • Yahoo

What documentation is required for Medicaid in New York state? A guide

Paying attention to the documentation required to apply for and sustain Medicaid coverage in New York is more important than ever under President Donald Trump's tax cut and government spending bill. That's because the federal bill includes a $1 trillion reduction in spending over the next decade for Medicaid, the state-federal government insurance program for low-income Americans. And a big chunk of those cuts involve imposing a nationwide Medicaid work requirement that takes effect Jan. 1, 2027. The legislation requires "able-bodied" Medicaid recipients to work 80 hours a month or qualify for an exemption, such as being a student, caregiver or having a disability. The work requirement applies to parents of children older than 13. Further, the bill requires states to double Medicaid eligibility checks to twice a year. And states, which administer Medicaid, would have to set up systems to verify a person's employment or exemption status. While it remains unclear exactly what state regulators would use to verify Medicaid recipients are meeting the new work requirement. Below are key details to know about the Medicaid enrollment process under the current state-run program. Medicaid, like all 'means-tested' programs where eligibility is based on income and assets, requires extensive documentation to establish eligibility, state records show. Proof is required to verify identity, residence, citizenship, disability (if the applicant is under 65 and is claiming to have a disability), marital status, income and resources and, in some cases, other information which may be necessary for an eligibility determination. The documentation includes: Personal identification — Birth certificate; baptismal certificate; hospital certificate of birth; passport or immigration papers; current driver's license. Financial information — Documentation must be submitted to verify all sources of earned and unearned income. The applicant's total monthly income will be compared against the Medicaid income standard to determine if the applicant has excess income. Applicants with excess income are offered Medicaid under the Surplus Income Program. Those income records include: Award letter from a benefits program; copy of check from benefits program; pay stubs showing earnings; bank statement of interest earned. More: 58% of NY's rural hospitals were at risk of closing. Now more are in danger. See the list Asset and resource statements for the last 36 months — Medicaid requires all applicants to open their financial history to a review process. The purpose is to see if the applicant has any unreported income or whether there are any large withdrawals that are not allowed by the Medicaid program. This documentation includes: savings bank books checking statements stock and bond certificates life insurance policies burial fund, burial plot, or funeral agreement deed to real property If the documents requested by the Medicaid agency are not obtainable, the applicant should present any substitute evidence available to establish eligibility. Medicaid is jointly responsible with the applicant for exploring all factors concerning eligibility and should assist the applicant. There are various Medicaid enrollment assistance programs through NY State of Health, the state-run health insurance marketplace. That includes assistors and brokers who are certified experts who provide free and personalized Medicaid application and enrollment assistance to individuals, families, and small businesses. Politics: House GOP-led committee probing whether NY 'unlawfully abused' Medicaid. What they allege To speak with the NY State of Health marketplace customer service center call (855) 355-5777. You can also call the the Medicaid helpline (800) 541-2831. There are also staff members at local Department of Social Services Offices devoted to aiding with the Medicaid enrollment process. A list of those offices is available through the Health Department's website, at That Social Services list includes the Monroe County offices at 111 Westfall Road, Rochester (585) 753-2750 and Westchester offices at White Plains District Office, 85 Court St., White Plains (914) 995-3333. This article originally appeared on Rockland/Westchester Journal News: Medicaid in NY: What documentation is required? A guide, what to know

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store