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Medicaid denial might result from excess income or assets, insufficient care needs, or an error made by you or your caseworker during the application process. Whatever the reason for your denial, there are still pathways leading to your eligibility. Work with your attorney to choose one of the following methods for challenging your denial.

What Should You Do If Your Medicaid Is Denied?

1. Reapply 

Reapplying for Medicaid is a good option for those who were denied due to excess income or assets. If the financial snapshot you provided in your application wasn’t representative of your typical financial situation, you might reapply with a more accurate overview that takes into account available funds after you’ve paid for medications and other necessary medical treatment.

If your income is over the Medicaid limits, but you’re still struggling to afford necessary medical care, you’re a strong candidate for reapplication. Consult with your attorney about restructuring your finances or providing the proper evidence to increase your eligibility. 

2. Request a Reversal

attorneyCompared to reapplication, the request for the reversal process is fairly informal. This method is used by applicants or caseworkers who’ve made a mistake in the Medicaid application.

The applicant can communicate the mistake to their lawyer who will contact the caseworker to explain where and why the error was made, or point out an error the caseworker made. If necessary, the attorney will provide them with corrected or additional paperwork. In some cases, this is enough to result in reversal.

3. Make an Appeal

If you choose to appeal a Medicaid denial, your appeal will be based on previously submitted financial records. This path is most often pursued when the applicant is confident there was an oversight or mistake on the part of the Medicaid office. Depending on the state you reside in, you have anywhere from 30-90 days to file an appeal.

The process begins with a written appeal that is submitted to your local Medicaid agency. The office will set a hearing date for you and your attorney. Prepare a list of points you want to make, additional evidence you’ll present, and any questions you have for the Medicaid agency. You can also have witnesses testify on your behalf. If you’re successful, you’ll receive coverage dating back to your original application. 

 

Achieve the Medicaid coverage you deserve with help from Rutherford Law Office in Chillicothe, OH. Their experienced attorneys fight for their clients’ rights concerning Medicaid, estate planning, wills, and domestic relations. They offer their full attention to each case, listening with empathy, and creating a personalized plan of action for every client. For knowledgeable and approachable legal services, call (740) 775-7434. Read more about their exceptional attorneys online.

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