New York is going to have Medicaid reform. OUCH!

Hayabusa Rider

Admin Emeritus & Elite Member
Jan 26, 2000
50,879
4,268
126
I've been critical of the government for doing nothing to reform the system.

Well I found out today that there is a new policy. Before, one could use their medicaid card and if they didn't have it, things were OK as long as we had the number for billing. If the patient lost their card then they could get the numbers for billing.

No more.

The patient is now required to give us their card each and every time. One of the key numbers are now randomized and new cards were to be sent out. Unfortunately the government implemented the changes before the cards were mailed.

No problem, right? The patient can just call his or her social worker and get the number. Well no. As part of the changes no one is authorized to give patient or provider any billing information under any circumstances. If a card is lost then a new sequence number is issued and patient must use that instead.

Unfortunately that means it will be 4 to 6 weeks before the patient can get medications.

On chemo? Nope. Aids? Nope. You go without.

So we asked the Medicaid representative what we can do for them. The answer was literally "We don't know. That's not our problem".


Nice.
 

JSt0rm

Lifer
Sep 5, 2000
27,399
3,948
126
if they didn't want to be on medicaid they should of just worked harder right? Its a choice. Just like aids is a choice (having sex) and chemo - clearly they didnt do gods bidding and got cancer for it or they chose to live near a chemical plant.
 

Hayabusa Rider

Admin Emeritus & Elite Member
Jan 26, 2000
50,879
4,268
126
if they didn't want to be on medicaid they should of just worked harder right? Its a choice. Just like aids is a choice (having sex) and chemo - clearly they didnt do gods bidding and got cancer for it or they chose to live near a chemical plant.


You are a special flower.
 

DucatiMonster696

Diamond Member
Aug 13, 2009
4,269
1
71
I've been critical of the government for doing nothing to reform the system.

Well I found out today that there is a new policy. Before, one could use their medicaid card and if they didn't have it, things were OK as long as we had the number for billing. If the patient lost their card then they could get the numbers for billing.

No more.

The patient is now required to give us their card each and every time. One of the key numbers are now randomized and new cards were to be sent out. Unfortunately the government implemented the changes before the cards were mailed.

No problem, right? The patient can just call his or her social worker and get the number. Well no. As part of the changes no one is authorized to give patient or provider any billing information under any circumstances. If a card is lost then a new sequence number is issued and patient must use that instead.

Unfortunately that means it will be 4 to 6 weeks before the patient can get medications.

On chemo? Nope. Aids? Nope. You go without.

So we asked the Medicaid representative what we can do for them. The answer was literally "We don't know. That's not our problem".


Nice.

Now scale this comedy of errors up to the Federal level and you'll get a hint as to why folks oppose Obama-care.
 

Patranus

Diamond Member
Apr 15, 2007
9,280
0
0
Sounds like a good plan and a way to cut down on fraud.

Props to New York for finally doing something about it.
 

Hayabusa Rider

Admin Emeritus & Elite Member
Jan 26, 2000
50,879
4,268
126
hehe

Hayabusa what do you do; you work in a hospital?


I work at a few places. This was at a medical center, where we have a few specialties and an in-house pharmacy.

We're not really happy about this. Yes, fraud needs to be reigned in, but if someone loses a card, then they should be able to get a replacement like one does a drivers license. Going to the county medicaid office with a few forms of ID should get an authorized temp replacement. It's insane that the legislators didn't think this through, but then again we're used to this. Not to this degree though.
 

Hacp

Lifer
Jun 8, 2005
13,923
2
81
I've been critical of the government for doing nothing to reform the system.

Well I found out today that there is a new policy. Before, one could use their medicaid card and if they didn't have it, things were OK as long as we had the number for billing. If the patient lost their card then they could get the numbers for billing.

No more.

The patient is now required to give us their card each and every time. One of the key numbers are now randomized and new cards were to be sent out. Unfortunately the government implemented the changes before the cards were mailed.

No problem, right? The patient can just call his or her social worker and get the number. Well no. As part of the changes no one is authorized to give patient or provider any billing information under any circumstances. If a card is lost then a new sequence number is issued and patient must use that instead.

Unfortunately that means it will be 4 to 6 weeks before the patient can get medications.

On chemo? Nope. Aids? Nope. You go without.

So we asked the Medicaid representative what we can do for them. The answer was literally "We don't know. That's not our problem".


Nice.

So basically, if you are irresponsible and lose your card, the government isn't there to hold your hand? The solution sounds simple. Don't lose your card!

A simple solution would be to encase your card in a giant picture frame. No matter what happens, I don't think you can lose a picture frame.
 

JSt0rm

Lifer
Sep 5, 2000
27,399
3,948
126
A simple solution would be to encase your card in a giant picture frame. No matter what happens, I don't think you can lose a picture frame.

This makes a lot of sense. Something so important should be laminated and duct taped to a 50lb weight :D
 

StageLeft

No Lifer
Sep 29, 2000
70,150
5
0
So basically, if you are irresponsible and lose your card, the government isn't there to hold your hand? The solution sounds simple. Don't lose your card!

A simple solution would be to encase your card in a giant picture frame. No matter what happens, I don't think you can lose a picture frame.
Read it again.
 

cubeless

Diamond Member
Sep 17, 2001
4,295
1
81
This makes a lot of sense. Something so important should be laminated and duct taped to a 50lb weight :D

...and put in your pocket and then go for a theraputic swim in the east river...

bubububut the democrats in ny did this... it must be good...
 

Carmen813

Diamond Member
May 18, 2007
3,189
0
76
if they didn't want to be on medicaid they should of just worked harder right? Its a choice. Just like aids is a choice (having sex) and chemo - clearly they didnt do gods bidding and got cancer for it or they chose to live near a chemical plant.

How you got this out of what Hayabusa said is beyond me...

This is another example of a fundamentally good idea (to reduce fraud) implemented in the most idiotic manner possible.

Out of curiosity Hayabusa, is this just a Monroe county thing? I hadn't heard anything about getting a new card ...then again I was on Family Health Plus.

Is this the prescription drug card or the HMO card?
 
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CPA

Elite Member
Nov 19, 2001
30,322
4
0
Sounds like a good plan and a way to cut down on fraud.

Props to New York for finally doing something about it.

that's not the point. The point is the morons changed the rules before sending out the cards.
 

nobodyknows

Diamond Member
Sep 28, 2008
5,474
0
0
I've been critical of the government for doing nothing to reform the system.

Well I found out today that there is a new policy. Before, one could use their medicaid card and if they didn't have it, things were OK as long as we had the number for billing. If the patient lost their card then they could get the numbers for billing.

No more.

The patient is now required to give us their card each and every time. One of the key numbers are now randomized and new cards were to be sent out. Unfortunately the government implemented the changes before the cards were mailed.

No problem, right? The patient can just call his or her social worker and get the number. Well no. As part of the changes no one is authorized to give patient or provider any billing information under any circumstances. If a card is lost then a new sequence number is issued and patient must use that instead.

Unfortunately that means it will be 4 to 6 weeks before the patient can get medications.

On chemo? Nope. Aids? Nope. You go without.

So we asked the Medicaid representative what we can do for them. The answer was literally "We don't know. That's not our problem".


Nice.

OMG, the sky is falling, the sky is falling!!!!
 

Hayabusa Rider

Admin Emeritus & Elite Member
Jan 26, 2000
50,879
4,268
126
How you got this out of what Hayabusa said is beyond me...

This is another example of a fundamentally good idea (to reduce fraud) implemented in the most idiotic manner possible.

Out of curiosity Hayabusa, is this just a Monroe county thing? I hadn't heard anything about getting a new card ...then again I was on Family Health Plus.

Is this the prescription drug card or the HMO card?

It's the standard medicaid card. They are going to have photos on them eventually, and it's a state thing.

You are probably using the FLRX card which has 4 numbers, a letter and 4 more numbers.

Medicaid has the XX#####X format.

You'd think this would be handled like drivers licenses and the like. Get a photo ID, carry it with you and if you lose it reapply for it at the county office.

Nope.
 

Rockinacoustic

Platinum Member
Aug 19, 2006
2,460
0
76
Any links to this?

And are you talking about the sequence number? I noticed after the new year people's numbers went from sensible ones like 01 to numbers as random as 77.