Leaving Treadmarkz Across the Universe

Posts Tagged ‘Medical Assistance

When the Medically Necessary is Deemed Unnecessary, You Get the Feeling You’re on a Sinking Ship

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by Treadmarkz

This ought to raise the ire of apologists for both sides of the political scene, but I don’t really intend it as such. Though I am sure it will become a big issue during this election season, I think this is the result of a problem that has been stewing over the course of the last three administrations, if not longer. The problem? Intermittent Catheters have been deemed not to be “medically necessary” and therefore not covered by UCare. Many people on Medical Assistance have recently been moved over to UCare or a similar program.

I have to be very blunt, I fail to see how something so basic as emptying the bladder has been deemed not necessary. Its kind of like how insulin is covered for diabetics but the syringes necessary to inject it are not covered.
Has anybody faced either of these problems or anything similar? What have you done to solve it?

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Wheelchairs Anonymous

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by Treadmarkz

I went the other day to pick out my new wheelchair, and to fill out the paperwork for the wheelchair dealer to send in to the State of Minnesota so I could get my request approved by Medical Assistance, and two things stuck out, for me.

First thing: I had to get a prescription for my wheelchair. Why? I am clearly disabled and in need of an alternative method of locomotion. My legs won’t cut it. Why do I need proof that I need a chair? Are there people who are abusing wheelchairs? Are people overdosing on wheelchairs? Is there some illegal underground trafficking of wheelchairs that I don’t know about? Well, okay, with this one, if more people lose their social security, and MA and all that, this may happen. But as far as I know, this has not become an issue.

And secondly, when I was filling out the paperwork, I was asked my Social Security # and my MA card’s number, of course, and my address and phone number so they could contact me, of course. But then, out of the blue, Question #5 read, verbatim: “What is your role in society?” I thought “What the bloody hell?” I didn’t know where to start. But I knew what they were getting at. Again they don’t want to be giving away wheelchairs to just any bum off the street! You never know what the hell they’ll do with ’em! So I told them about my job where I am in a hectic office environment where I put on a lot of miles, not to mention the fact that I have a life and occasionally I, imagine this, go places!

But I didn’t need that. It’s National Disabled Employment Awareness Month for cryin’ out loud, and they want to know why I need a functional wheelchair? They don’t ask walkies that question when they buy a pair of shoes, do they? Nope. Just us.

My Wheelchair Is My Car…and Yeah, I Beat the Hell Out of It

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by Treadmarkz

       Well, ladies and gentlemen, after years and years with this old piece of metal, plastic and upholstery, I am finally going to get a new wheelchair. Well, let’s not be hasty, actually. On October 3 I am going to see my doctor to see if I can get a prescription for a new wheelchair. I am hoping that:

       1. the fact that my current chair has no working breaks

       2. the upholstery on the backrest is worn out and exposed metal is touching my shoulder blades

       3. one of my tires is worn away to what’s under the rubber in one small area

       4. one of my tires is separating from the wheel in a small area

       5. my front casters wobble

       6. the shaft in which my caster is mounted is supposed to be capped by I lost that cap a long time ago, and haven’t found anything that will stay on it, and in the winter it gets wet and rusty in there and sometimes the caster does not turn properly

       7. several spokes are loose or bent on both wheels

               and

       8. it’s filthy

         will be sufficient reasons to warrant a new chair. I was told last year by Medical Assistance that the chair would have to be unfixable in order to get a new chair. In other words it couldn’t just be something that could simply be replaced. I told them that would leave me without a chair if it was unfixable, but these reasons combined should add up to a situation where it would be easier just to start fresh with a new chair.

         I am looking for something that is sporty but not too much so. I am not really an “athlete” but I am active. I do wear out the tires. I want something lightweight and easily trasportable since my wife and I have a Ford Taurus. The one I have has removable wheels and the backrest folds down, and I think I’d like to stick with something like that.

         Any suggestions?

         Wish me luck.

My One Problem with Medical Assistance

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by Treadmarkz

I live in Minnesota and I have had the same wheelchair for several years now. It is still a decent chair but from time to time, parts of it break down or wear out. I was interested in getting a new one at some point soon, so I called MA to see how soon I would be eligible. The representative told me that they have discontinued the “Every 4 Years” rule (quite some time ago) which is fine because I think that is too often anyway, but what she told me next didn’t make any sense. She said that MA will pay to get parts replaced or fixed but will not pay for a new chair unless the problem area cannot be fixed or replaced. Do you see the problem here? This means that in order to get a new chair from MA, I would have to have a chair that was irreparable, i.e., I would have a chair that I could not use, which would make the waiting period until I got my new one quite intolerable given that I cannot use my legs.

Has anyone had this same experience? Was I given unclear or inaccurate information? The MA website is no help on this.