Kris 'Inguni - Kureka Medicaid

Ku ya 15 Kanama 2022

Iwanjye, duhora dushakisha ibikoresho dushobora gukuramo kugirango bidufashe kurera, kurera cyangwa urugendo rwihariye dukeneye byoroshye. Kandi ikintu kimwe nifuza kuganira uyu munsi ni Medicaid Waiver.

Ubu… abantu benshi bumva ko Medicaid (itanga ubuvuzi kugeza kumyaka 18, kandi akenshi ni ubwishingizi bwabana barera) na Medicaid Waiver nibintu bimwe… ariko ndi hano kugirango ndebe ko abantu bose babisobanukirwa. : ntabwo rwose ari kimwe.

Kureka bisaba uburyo butandukanye bwo gusaba kandi butanga inkunga hejuru no hejuru yubwa Medicaid isanzwe. Igenda neza kurenza imyaka 18. Usaba ntabwo agomba kuba kuri Medicaid kugirango abisabe (mubyukuri, niba batayifite mugihe cyo gusaba Waiver, bazahabwa ubwishingizi bwa Medicaid niba aribyo yahawe Medicaid Waiver). Ubwoko bwa Waiver umwana yakira biterwa nisuzuma rye.

Mfite ikintu kimwe NIGOMBA gusobanuka neza: ntabwo buri mwana urera (cyangwa warezwe kurera) atazemererwa na Medicaid Waiver. Ariko niba afite ubwoko ubwo aribwo bwose bwo kwisuzumisha bwerekanwe mubisobanuro bikurikira, ndashishikariza imiryango kunyura mubikorwa byo gusaba… cyangwa byibuze, soma amakuru hepfo.

Hano rero hari bike kuri buri bwoko bwa Waiver nuburyo bwo gutangira inzira yo gusaba.

Icyambere: hari ubwoko bune butandukanye bwa Medicaid Waivers muri Indiana; bibiri ni ubumuga bwo guteza imbere ubumuga, naho bibiri ni ubuhanga bwo kwita ku baforomo.

Abashinzwe ubumuga bwiterambere ni iterambere ryumuryango (FSW) hamwe no kwishyira hamwe kwabaturage (CIH).

Abantu basaba FSW cyangwa CIH bagomba kuba bafite ubumuga bwubwenge cyangwa iterambere, cyangwa imiterere ifitanye isano, yasuzumwe mbere yimyaka 22, kandi biteganijwe ko izakomeza ubuziraherezo kandi yujuje urwego rwubuvuzi bwaba butangwa mubindi bigo byita ku barwayi bo hagati. kubantu bafite ubumuga bwubwenge niterambere (ICF / IIDD).

Kugirango wuzuze urwego rwubuvuzi, umuntu ku giti cye agomba kuba afite aho agarukira mubikorwa byibuze bitatu mubyiciro bitandatu bikurikira:

  • Kugenda
  • Kwiga
  • Koresha no Gusobanukirwa Ururimi
  • Kwiyobora
  • Kwiyitaho
  • Ubushobozi bwo Kubaho Kwigenga

Amafaranga yinjira numutungo wumuntu mukuru cyangwa umwana (uri munsi yimyaka 18) yakira serivise zo gusiba BITONDERWA muguhitamo ibyangombwa byamafaranga. Amafaranga y'ababyeyi n'umutungo kubana bari munsi yimyaka 18 NTIBISANZWE keretse niba bashaka ubwishingizi bwa Medicaid mbere yo kubireka.

FSW hs ingengo yumwaka yagenewe serivisi za $17,300. Ingengo yumwaka ya CIH Waiver ishingiye kubintu byinshi, urugero urwego umuntu akeneye nubuzima bwe.

FSW & CIH Medicaid Waiver Service Ingero:

  • Serivisi zagutse z'akazi
  • Imicungire yimyitwarire Abitabiriye ubufasha no kwita (FSW)
  • Kuruhuka
  • Gutuza abaturage
  • Serivisi z'umunsi mukuru
  • Gutura mu nzu (CIH)
  • Ubwikorezi
  • Gucunga imanza
  • Amahugurwa yumuryango nabarezi
  • Ubuvuzi, harimo Umuziki no Kwidagadura

Kugira ngo usabe kureka ubumuga bwiterambere, urashobora kubona nimero y'ibiro bikuru bishinzwe serivisi z’abafite ubumuga bwiterambere (BDDS) uhamagara 800-545-7763. Cyangwa urashobora gusaba kumurongo kuri https://bddsgateway.fssa.in.gov/.

Noneho kubuvuzi bwabaforomo bafite ubuhanga barashaje kandi bafite ubumuga (A&D) hamwe no gukomeretsa ubwonko bwubwonko (TBI).

Umusaza n’abafite ubumuga batanga serivisi kubantu bujuje ibisabwa na Medicaid bafite imyaka 65 nayirenga ndetse nabantu bingeri zose bafite ubumuga bukomeye bari kwakirwa mubigo byita ku bageze mu za bukuru.

Ihahamuka ry’ubwonko bw’ubwonko ritanga serivisi ku bantu bafite isuzuma ry’imvune zo mu bwonko bashobora kwakirwa mu kigo cy’abaforomo cyangwa, iyo basuzumwe mbere y’imyaka 22, ikigo cyita ku bantu bafite ubumuga bwo mu mutwe cyangwa mu iterambere.

Kugirango wemererwe na A&D cyangwa TBI Waiver (kubasuzumwe bafite imyaka 22 cyangwa irenga) umuntu agomba kuba afite imbogamizi zikomeye zakazi byibuze akeneye ubuvuzi bumwe cyangwa butatu mubikorwa byubuzima bwa buri munsi, nko gukenera ubufasha mukurya , kwambara, kugenda, ubwiherero, nibindi

Amafaranga yinjira numutungo wumuntu mukuru cyangwa umwana (uri munsi yimyaka 18) yakira serivise zo gusiba BITONDERWA muguhitamo ibyangombwa byamafaranga; amafaranga y'ababyeyi n'umutungo kubana bari munsi yimyaka 18 NTIBISANZWE. Medicaid yujuje ibyangombwa byamafaranga kubantu bakira A&D ishingiye kuri 300% yumutekano winyongera (SSI) ntarengwa. Abari kuri TBI Waiver barashobora kwakira ntarengwa 150% ya SSI.

A & D Kureka Serivisi Ingero:

  • Serivisi z'umunsi mukuru
  • Yafashijwe Kubaho Kwitaho
  • Murugo
  • Amafunguro yatanzwe murugo
  • Kuruhuka
  • Ibikoresho byubuvuzi byihariye & ibikoresho
  • Ubwikorezi

Serivisi yo Kureka TBI Ingero:

  • Serivisi z'umunsi mukuru
  • Yafashijwe Kubaho Kwitaho
  • Gucunga imyitwarire
  • Imiturire ishingiye ku gutura
  • Kuruhuka
  • Akazi Gashyigikiwe
  • Ubwikorezi

Kugira ngo usabe ubuhanga bwo kwita ku baforomo bafite ubuhanga, urashobora kubona nimero y’ikigo cy’ibanze cy’ubusaza uhamagara 800-986-3505. Cyangwa urashobora gusaba kumurongo kuri https://bddsgateway.fssa.in.gov/.

Noneho… amakuru make gusa kugirango yorohereze ibintu, cyane cyane niba usaba kumurongo. Uzakenera (byibuze) amakuru akurikira, kandi ugomba kuba wemeza ko ibyo byose ufite urutoki mbere yuko utangira… kuko iyo utangiye, nta kubika porogaramu no kuyirangiza nyuma. Niba uhagaritse gukora kuri progaramu yawe muminota irenga 15, noneho sisitemu izarangira kandi uzakenera gutangira hejuru. Dore rero ibyo ukeneye gutangira:

  • Izina ry'usaba
  • Inomero y'ubwiteganyirize
  • Itariki y'amavuko
  • Aderesi yumubiri usaba
  • Aderesi ya imeri niba itandukanye na aderesi ifatika
  • Ibisobanuro by'abasaba amakuru nka terefone na / cyangwa imeri
  • Imyaka usaba yasuzumwe afite ubumuga bwiterambere cyangwa ubwenge
  • Ibisobanuro muri make byukuntu ubumuga bugira ingaruka mubuzima bwa buri munsi

Niba usaba ari muto cyangwa ni mukuru ufite umuntu wagenwe byemewe n'amategeko kugirango afashe gufata ibyemezo / kuri bo hazakenerwa amakuru akurikira:

  • Izina ry'umurera cyangwa uhagarariye amategeko
  • Isano nuwasabye
  • Aderesi yumurera wemewe cyangwa uhagarariye amategeko
  • Menyesha amakuru nka terefone na / cyangwa imeri yumurera wemewe cyangwa uhagarariye amategeko

Kandi inama gusa: Biro yubumuga bwiterambere (BDDS) nayo izasaba amakuru yinyongera udasabwa gusubiza, ariko, ibisubizo byawe birashobora gufasha kunoza serivisi no gutera inkunga umwana wawe yakiriye. (Ntabwo bakoresha ibisubizo byawe kugirango bafate ibyemezo bijyanye no kwemererwa cyangwa kubona serivisi.) Ibi bibazo birimo:

  • Niba uwasabye afite Medicaid numero
  • Uburinganire
  • Irangamimerere
  • Amakuru yuburezi
  • Ubwoko / Amakuru yubwoko
  • Ururimi rukunzwe
  • Niba usaba yarigeze asuzumwa na Vocational Rehabilitation

Umukono wumuntu ku giti cye na / cyangwa umurera / uhagarariye amategeko / uhagarariye azasabwa kurangiza gusaba, bizaba umukono wo gukurikirana serivisi za BDDS. Igihe icyo ari cyo cyose mubikorwa, urashobora guhitamo kwanga serivisi cyangwa guhagarika inzira yo gusaba.

Nyuma yo kurangiza gusaba, uzakira ubutumwa bwemeza ko bwakiriwe, kandi uzahabwa amakuru kumuntambwe ikurikira. Kandi uzashobora gukuramo kopi ya progaramu yawe kugirango ubike inyandiko zawe bwite.

Kubibazo byose byinyongera kubyerekeye inzira, cyangwa nibibazo mugihe ujyanye nibikorwa, urashobora kuvugana nibiro by'akarere ka BDDS. Kugirango ubone ibiro by'akarere jya https://www.in.gov/fssa/ddrs/files/BDDS.pdf.

Nizere ko ibyo bizakuraho ubwumvikane buke kuri Medicaid Waiver kandi bizashishikariza abafite uburenganzira bwo kubona serivisi zinyongera kubikurikirana!

Mubyukuri,

Kris