February 2016

Reid Health Celebrates HIP 2.0 Success

Our partners at Reid Health in Richmond, IN are seeing the benefits of the HIP 2.0 program.  Indiana Medicaid director, Joe Moser, acknowledge the efforts in Wayne county stating “Richmond and Wayne County have been a model, with outcomes significantly better than other areas of the state.” Read the entire article here: https://reidhealth.org/press_release/reid-health-event-celebrates-success-of-hip-2-0-in-indiana-wayne-county-region/ ClaimAid Patient Advocates […]

February 26, 2016 Read More

IHCP Provider Enrollment Revalidation Requirements

IHCP recently posted a bulletin clarifying the Provider Enrollment revalidation requirement pursuant to federal law.  All providers enrolled with the IHCP before January 1, 2012, are required to revalidate their enrollments by March 26, 2016.  CMS has instructed states to disenroll any provider than fails to revalidate by this deadline. Key notes from the revalidation […]

February 24, 2016 Read More

Social Security Disability and Unemployment Insurance

Can an applicant apply for Social Security Disability while collecting Unemployment Insurance?  The problem with filing for disability while collecting unemployment is that you are asserting that you can work to one agency, while saying you cannot work to another.  This creates a tricky situation! Disability v. Unemployment Claims If you apply for Social Security […]

February 22, 2016 Read More

Why a SSD Claim May be Denied

 Why A Claim May Be Denied: Failing to Follow Doctor’s Orders One of the ways Social Security evaluates the credibility of an applicant’s complaints is to look at whether he or she has complied with their doctor’s recommended treatment. Medical Compliance – what does that mean?  Here is what Social Security is looking for: Are […]

February 15, 2016 Read More

Social Security Benefits and Imprisonment

As a general rule of thumb, the Social Security Administration (SSA) will not pay benefits to someone who is incarcerated. Please read below: Why are disability payments denied (if applicant) or suspended (if recipient) when someone is incarcerated? Disability benefits are intended to provide a disabled person with funds to meet their basic living expenses. If […]

February 8, 2016 Read More

IHCP Provider Workshop Dates Announced *Updated*

IHCP First-quarter Provider Workshops Provider workshops offered through the Indiana Health Coverage Programs (IHCP) will be held throughout the state beginning in March 2016.  The meetings will cover important updates and discussions with Managed Care Entities (MCEs).  Topics to be discussed will include: Provider Healthcare Portal registration overview (replacing Web InterChange later this year) IHCP […]

February 5, 2016 Read More

HAF Adjustments to be Applied

The Indiana Health Coverage Programs (IHCP) announced that it will modify Hospital Assessment Fees (HAF) for services provided to all Health Indiana Plan (HIP) members.  The modification will also include services provided to PE HIP members. Adjustments will include increased reimbursement to eligible hospitals for services rendered on or after January 1, 2016.  HIP managed […]

February 1, 2016 Read More

February 2016 Update

HIP 2.0 Updates As HIP 2.0 celebrates its 1 year anniversary, ClaimAid continues to be an integral part of the enrollment and redetermination process for Hoosiers throughout the state.  An estimate of over 370,000 individuals is currently enrolled in the coverage and will have the opportunity to renew that coverage annually.  If you or your […]

February 1, 2016 Read More

SSD Benefits and Drug Use

 Social Security Disability Benefits and Drug Use  Prior to 1996, applicants were eligible for disability benefits based on alcoholism and drug addiction alone. Since 1996, regulation changes mandate that applications for benefits be denied if drug addiction and/or alcoholism is a contributing factor to the applicant’s disability. How does SSA determine whether drug use is […]

February 1, 2016 Read More