Reply to Medicaid - Culling the Rolls

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Lawyer or the Congressman. Contact in the geographic area of the nursing home. Contact them about specific services denied - not about fears.[/quote]

State Senator or US Senator?[/quote]

OP, before you contact elected officials, I would make sure that you understand every step you described in your post and that they are accurate. If you incorrectly describe the situation and the state senate staff (or whomever) find that out when they are following up with the nursing home/state Medicaid office/etc, then they may not advocate as vigorously for your mom.

When I was in a somewhat similar situation with my mom, I contacted the state rep, the state senator, and the county ombuds office for senior services. I also found a nonprofit legal team based in the state capital, who lobby for seniors, including on nursing home conditions, Medicaid, etc. I also reached out to the press, but my mom's situation was not individual, but involved the whole wing where she resided in the retirement home. If it were just her, I would have probably not done so, but the story involved one of the leading non profit institutions in the city. Finally, when on the phone with nursing home staff, I shared that I was based in DC, knew folks at CMS, etc. That helped break the logjam - they were already getting bad press with lots of comments from the Dem state rep and the GOP state senator - and the home reversed their decision. Sadly too late for one resident who was transferred out and ended up dying from transfer trauma soon after.

If it were me, I would probably ask to speak with the home's social worker and ask them to explain the situation to you point by point. Perhaps reach out to the ombuds rep first and see what their understanding is of the circumstances. After that, approach the elected officials. If you can find any other residents similarly affected, then try to engage them/their relatives/friends too.

My thoughts are with you. Please keep us posted as this unfolds.[/quote]

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