A provider is not required to accept Medicaid or private insurance. However, if the provider indicated to you that s/he was doing so in your case, there's at least an ethical problem. In Illinois, a provider who accepts a patient as Medicaid cannot bill the patient if Medicaid fails to pay due to the provider's negligence in billing.
You are not responsible for your mother's Medicaid bills. However, CA will file a claim against your mother's estate to recover assistance issued.
Medicaid may file a claim against the estate of the deceased recipient, including any real property.
Yes, the criminal history of the parent does not count against the child when it comes to insurance assistance.
One can guard against Medicaid fraud by looking after any documentation provided for claims. One can also report anyone they suspect of offering fraudulent treatments.
There is no statute of limitation on medicaid fraud. See below link for an excellent source: Page 10.Added: MedicAid Fraud is a crime against the government. There are no SOL's for crimes committed against the government.
This is straight from the medicaid website - it basically says that not everyone with low income is eligible for medicaid, there are other screening tools. Even if you are low-income, having certain assets may prevent you from being eligible. "Medicaid does not provide medical assistance for all people with limited incomes and resources. Even under the broadest provisions of the Federal statute (except for emergency services for certain persons), the Medicaid program does not provide health care services for everyone. You must qualify for Medicaid. Low-income is only one test for Medicaid eligibility; assets and resources are also tested against established thresholds. As noted earlier, categorically needy persons who are eligible for Medicaid may or may not also receive cash assistance from the Temporary Assistance for Needy Families (TANF) program or from the Supplemental Security Income (SSI) program. Medically needy persons who would be categorically eligible except for income or assets may become eligible for Medicaid solely because of excessive medical expenses."
This is directly from the CMS website (Centers for Medicare and Medicaid Services) www.cms.gov Medicaid does not provide medical assistance for all poor persons. Even under the broadest provisions of the Federal statute (except for emergency services for certain persons), the Medicaid program does not provide health care services, even for very poor persons, unless they are in one of the designated eligibility groups. Low income is only one test for Medicaid eligibility; assets and resources are also tested against established thresholds. As noted earlier, categorically needy persons who are eligible for Medicaid may or may not also receive cash assistance from the TANF program or from the SSI program. Medically needy persons who would be categorically eligible except for income or assets may become eligible for Medicaid solely because of excessive medical expenses.
If she is under their insurance that should pick up the bill, if not the pregnant child should be eligible for medicaid for prenatal care and for her unborn child.
Question is not clear, but your father's Medicaid eligibility is not affected by his financial troubles. The credit card folks may get a judgment against him, which will affect his credit rating. If he comes into some money in the future, presumably they will attempt to collect that judgment, possibly from his estate.
In general, yes. Medicaid normally acquires a lien for the amounts that it paid on your behalf. The lien is enforceable against the proceeds of a claim from the underlying occurrence. It is unlawful to ignore the lien, and if you are represented by an attorney, he/she has both a legal and ethical obligation to honor it. That said, depending upon the dynamics of the underlying occurrence (for example, the existence of comparative negligence) and/or other circumstances, the amount for which the lien may be settled may be negotiated.
If what you are asking is whether Medicare can seize an insurance policy, the general answer is "No". Medicare is a government benefit program that pays a monthly amount to citizens reaching a given age, or upon the occurrence of certain contingencies specified by Federal law. To qualify, they must have worked for a given period of time and paid into the system enough to earn a requisite number of "credits". In the absence of fraud, Medicare is currently an entitlement, and is paid irrespective of other assets that the recipients may have, including insurance policies. If some sort of Medicare fraud was committed, the Federal government may decide file a civil suit or lodge criminal charges against the perpetrator. The outcome may be that he/she has to reimburse Medicare for the ill-gotten gain. If not paid voluntarily, the government may seize assets, which could include life insurance policies. The savings element of whole life insurance (called "cash value") is what would be applied to the debt. Medicaid, another government program, works differently, and could involve the seizure of a life insurance policy. Medicaid is a joint Federal-State program. It is a type of welfare program intended for the indigent. When Medicaid pays a recipient, it acquires a lien on the assets of that person to the extent of its payment. When the recipient dies, Medicaid attempts to collect that lien from the assets. The life insurance could be part of those assets.
Normally no. It will not pay for infant circumcision as that is not a necessary medical procedure. It will not pay for any circumcision done for cosmetic reasons. However, Medicaid will cover circumcision when it is medically necessary, for example when an adult male has phimosis, a chronic constriction of the foreskin that prevents normal functioning of the penis.