{"id":12421,"date":"2022-08-15T08:33:06","date_gmt":"2022-08-15T12:33:06","guid":{"rendered":"https:\/\/fireflyin.org\/?p=12421"},"modified":"2025-02-25T12:05:15","modified_gmt":"2025-02-25T17:05:15","slug":"kris-corner-medicaid-waiver","status":"publish","type":"post","link":"https:\/\/fireflyin.org\/sw\/resources\/news-library\/kris-corner-medicaid-waiver\/","title":{"rendered":"Kris&#039; Corner - Msamaha wa Medicaid"},"content":{"rendered":"<p>Nyumbani kwangu, tunatafuta nyenzo ambazo tunaweza kutumia ili kusaidia kufanya safari yetu ya malezi, kuasili au mahitaji maalum kuwa rahisi. Na jambo moja ningependa kujadili leo ni Msamaha wa Medicaid.<\/p>\n<p>Sasa\u2026watu wengi wanahisi kuwa Medicaid (ambayo inatoa huduma ya matibabu hadi umri wa miaka 18, na mara nyingi ni bima ya watoto wanaolelewa) na Uondoaji wa Medicaid ni kitu kimoja\u2026lakini niko hapa kuhakikisha kuwa kila mtu anaelewa. : hakika SI sawa.<\/p>\n<p>Kuondolewa kunahitaji mchakato tofauti wa maombi na hutoa usaidizi juu na zaidi ya ule wa Medicaid ya kawaida. Inakwenda vizuri zaidi ya umri wa miaka 18. Mwombaji si lazima awe kwenye Medicaid ili kutuma ombi (kwa hakika, kama HAWANA wakati wa maombi yao ya Kusamehewa, pia atapata bima ya Medicaid ikiwa iliyopewa msamaha wa Medicaid). Na aina ya msamaha anaopokea mtoto inategemea utambuzi wake.<\/p>\n<p>Nina jambo moja LAZIMA niwe wazi kulihusu: si kila mtoto aliye katika malezi ya kambo (au aliyeasiliwa kutoka kwa malezi) atahitimu Kuondolewa kwa Medicaid. Lakini ikiwa ana aina yoyote ya utambuzi iliyoorodheshwa katika maelezo hapa chini, ninahimiza familia kupitia mchakato wa maombi\u2026au angalau, soma maelezo hapa chini.<\/p>\n<p>Kwa hivyo hapa ni kidogo tu kuhusu kila aina ya Kuacha na jinsi ya kuanza mchakato wa maombi.<\/p>\n<p>Kwanza: kuna aina nne tofauti za Waivers ya Medicaid huko Indiana; mbili ni Mifumo ya Ulemavu wa Kimaendeleo, na mbili ni Mifumo ya Utunzaji Ustadi wa Uuguzi.<\/p>\n<p>Misamaha ya Ulemavu wa Kimaendeleo ni Msamaha wa Usaidizi wa Familia (FSW) na Mwongozo wa Ushirikiano wa Jamii na Uwezeshaji (CIH).<\/p>\n<p>Watu wanaotuma maombi ya FSW au CIH lazima wawe na ulemavu wa kiakili au ukuaji, au hali inayohusiana, ambayo iligunduliwa kabla ya umri wa miaka 22, na inatarajiwa kuendelea kwa muda usiojulikana na inakidhi kiwango cha utunzaji ambacho kingetolewa katika Kituo cha Utunzaji wa Kati. kwa Watu Wenye Ulemavu wa Kiakili na Maendeleo (ICF\/IIDD).<\/p>\n<p>Ili kufikia kiwango cha utunzaji, mtu lazima awe na mapungufu makubwa ya utendaji katika angalau aina tatu kati ya sita zifuatazo:<\/p>\n<ul>\n<li>Uhamaji<\/li>\n<li>Kujifunza<\/li>\n<li>Matumizi na Uelewa wa Lugha<\/li>\n<li>Kujielekeza<\/li>\n<li>Kujitunza<\/li>\n<li>Uwezo wa Kuishi kwa Kujitegemea<\/li>\n<\/ul>\n<p>Mapato na rasilimali za mtu mzima au mtoto (chini ya umri wa chini ya miaka 18) anayepokea huduma za msamaha ZINAzingatiwa katika kubainisha ustahiki wa kifedha. Mapato na rasilimali za mzazi kwa watoto walio chini ya miaka 18 HAZICHANGULIWI isipokuwa wanatafuta huduma ya Medicaid kabla ya kuachiliwa.<\/p>\n<p>FSW ina ukomo wa bajeti ya kila mwaka kwa huduma za $17,300. Bajeti ya kila mwaka ya Msamaha wa CIH inategemea mambo kadhaa, kwa mfano kiwango cha mahitaji ya mtu binafsi na hali ya maisha.<\/p>\n<p>FSW &amp; CIH Mifano ya Huduma ya Uondoaji wa Medicaid:<\/p>\n<ul>\n<li>Huduma za Ajira Zilizopanuliwa<\/li>\n<li>Usaidizi na Utunzaji wa Mshiriki wa Usimamizi wa Tabia (FSW)<\/li>\n<li>Muhula<\/li>\n<li>Uboreshaji wa Jamii<\/li>\n<li>Huduma za Siku ya Watu Wazima<\/li>\n<li>Uboreshaji wa Makazi (CIH)<\/li>\n<li>Usafiri<\/li>\n<li>Usimamizi wa Kesi<\/li>\n<li>Mafunzo ya Familia na Walezi<\/li>\n<li>Tiba, ikiwa ni pamoja na Muziki na Tiba ya Burudani<\/li>\n<\/ul>\n<p>Ili kutuma ombi la Kusamehewa kwa Ulemavu wa Kimaendeleo, unaweza kupata nambari ya ofisi ya Ofisi ya karibu yako ya Huduma za Ulemavu wa Maendeleo (BDDS) kwa kupiga simu 800-545-7763. Au unaweza kutuma maombi mtandaoni kwa <a href=\"https:\/\/bddsgateway.fssa.in.gov\/\">https:\/\/bddsgateway.fssa.in.gov\/<\/a>.<\/p>\n<p>Na sasa kwa Mapungufu ya Huduma ya Uuguzi Wenye Ustadi ni Kusamehewa kwa Wazee na Walemavu (A&amp;D) na Kusamehewa kwa Jeraha la Kiwewe la Ubongo (TBI).<\/p>\n<p>Msamaha wa Wazee na Walemavu hutoa huduma kwa watu wanaostahiki Medicaid wenye umri wa miaka 65 na zaidi na watu wa umri wote ambao wana ulemavu mkubwa ambao wangekubaliwa katika kituo cha uuguzi.<\/p>\n<p>Msamaha wa Jeraha la Kiwewe la Ubongo hutoa huduma kwa watu walio na utambuzi wa jeraha la kiwewe la ubongo ambao wangelazwa katika kituo cha uuguzi au, ikiwa watatambuliwa kabla ya umri wa miaka 22, kituo cha utunzaji wa kati kwa watu walio na ulemavu wa kiakili au ukuaji.<\/p>\n<p>Ili kustahiki Msamaha wa A&amp;D au TBI (kwa wale waliogunduliwa wakiwa na umri wa miaka 22 au zaidi) ni lazima mtu binafsi awe na mapungufu makubwa ya utendaji katika angalau hitaji moja la utunzaji wa ujuzi au Shughuli tatu za Maisha ya Kila Siku, kama vile kuhitaji usaidizi wa kula. , uvaaji, uhamaji, choo n.k.<\/p>\n<p>Mapato na rasilimali za mtu mzima au mtoto (chini ya miaka 18) anayepokea huduma za msamaha ZINAzingatiwa katika kubainisha ustahiki wa kifedha; mapato na rasilimali za mzazi kwa watoto walio chini ya miaka 18 HAZIzingatiwi. Ustahiki wa kifedha wa Medicaid kwa watu binafsi wanaopokea A&amp;D unatokana na 300% ya kiwango cha juu cha Mapato ya Usalama wa Ziada (SSI). Wale walio kwenye Ondo la TBI wanaweza kupokea kiwango cha juu cha 150% ya SSI.<\/p>\n<p>Mifano ya Huduma ya A &amp; D ya Kuacha:<\/p>\n<ul>\n<li>Huduma za Siku ya Watu Wazima<\/li>\n<li>Utunzaji Msaidizi wa Kuishi<\/li>\n<li>Mwenye nyumba<\/li>\n<li>Milo inayotolewa nyumbani<\/li>\n<li>Muhula<\/li>\n<li>Vifaa Maalum vya Matibabu na Ugavi<\/li>\n<li>Usafiri<\/li>\n<\/ul>\n<p>Mifano ya Huduma ya Uondoaji wa TBI:<\/p>\n<ul>\n<li>Huduma za Siku ya Watu Wazima<\/li>\n<li>Utunzaji Msaidizi wa Kuishi<\/li>\n<li>Usimamizi wa Tabia<\/li>\n<li>Uboreshaji wa Makazi<\/li>\n<li>Muhula<\/li>\n<li>Ajira Inayosaidiwa<\/li>\n<li>Usafiri<\/li>\n<\/ul>\n<p>Ili kutuma ombi la Kusamehewa kwa Huduma ya Uuguzi Ustadi, unaweza kupata nambari ya Wakala wa Eneo lako kuhusu Uzee kwa kupiga simu 800-986-3505. Au unaweza kutuma maombi mtandaoni kwa <a href=\"https:\/\/bddsgateway.fssa.in.gov\/\">https:\/\/bddsgateway.fssa.in.gov\/<\/a>.<\/p>\n<p>Na sasa...maelezo zaidi kidogo ili kurahisisha mambo, hasa ikiwa unaomba mtandaoni. Utahitaji (angalau) maelezo yafuatayo, na pengine unapaswa kuhakikisha kuwa unayo yote haya kiganjani mwako kabla ya kuanza...kwa sababu pindi tu unapoanza, hakuna kuhifadhi programu na kuimaliza baadaye. Ukiacha kufanyia kazi ombi lako kwa zaidi ya dakika 15, basi mfumo utaisha na utahitaji kuanza upya. Kwa hivyo hapa ndio unahitaji kuanza:<\/p>\n<ul>\n<li>Jina la mwombaji<\/li>\n<li>Nambari ya usalama wa kijamii<\/li>\n<li>Tarehe ya kuzaliwa<\/li>\n<li>Anwani ya sasa ya mwombaji<\/li>\n<li>Anwani ya barua ikiwa ni tofauti na anwani ya sasa ya mahali ulipo<\/li>\n<li>Maelezo ya mawasiliano ya mwombaji kama vile simu na\/au barua pepe<\/li>\n<li>Umri ambao mwombaji aligunduliwa na ulemavu wa ukuaji au kiakili<\/li>\n<li>Maelezo mafupi ya jinsi ulemavu unavyoathiri maisha ya kila siku ya mwombaji<\/li>\n<\/ul>\n<p>Ikiwa mwombaji ni mtoto mdogo au ni mtu mzima ambaye ana mtu ambaye ameteuliwa kisheria kusaidia kufanya maamuzi na\/kwa ajili yao taarifa ifuatayo itahitajika:<\/p>\n<ul>\n<li>Jina la mlezi wa kisheria au mwakilishi wa kisheria<\/li>\n<li>Uhusiano na mwombaji<\/li>\n<li>Anwani ya mlezi wa kisheria au mwakilishi wa kisheria<\/li>\n<li>Maelezo ya mawasiliano kama vile simu na\/au barua pepe ya mlezi wa kisheria au mwakilishi wa kisheria<\/li>\n<\/ul>\n<p>Na kidokezo tu: Ofisi ya Ulemavu wa Kimaendeleo (BDDS) pia itaomba maelezo ya ziada ambayo hutakiwi kujibu, hata hivyo, majibu yako yanaweza kusaidia kuboresha huduma na usaidizi aliopokea mtoto wako. (Hawatumii majibu yako kufanya maamuzi kuhusu ustahiki au ufikiaji wa huduma.) Maswali haya ni pamoja na:<\/p>\n<ul>\n<li>Ikiwa mwombaji kwa sasa ana Medicaid na nambari<\/li>\n<li>Jinsia<\/li>\n<li>Hali ya ndoa<\/li>\n<li>Taarifa za elimu<\/li>\n<li>Taarifa za rangi\/kabila<\/li>\n<li>Lugha Inayopendekezwa<\/li>\n<li>Ikiwa mwombaji amewahi kutathminiwa na Urekebishaji wa Ufundi<\/li>\n<\/ul>\n<p>Sahihi kutoka kwa mtu binafsi na\/au mlezi\/mwakilishi wa kisheria itahitajika mwishoni mwa ombi, ambayo itatumika kama sahihi ili kufuatilia huduma za BDDS. KATIKA hatua YOYOTE katika mchakato, unaweza kuchagua kukataa huduma au kusimamisha mchakato wa kutuma maombi.<\/p>\n<p>Baada ya kukamilisha ombi, utapokea ujumbe wa uthibitisho kwamba ilipokelewa, na utapewa taarifa kuhusu hatua zinazofuata. Na utaweza kupakua nakala ya programu yako ili kuhifadhi kwa rekodi zako za kibinafsi.<\/p>\n<p>Kwa maswali yoyote ya ziada kuhusu mchakato, au kwa maswali unapoendelea na mchakato, unaweza kuwasiliana na ofisi yako ya BDDS ya wilaya. Kupata ofisi yako ya wilaya nenda\u00a0<a href=\"https:\/\/www.in.gov\/fssa\/ddrs\/files\/BDDS.pdf\">https:\/\/www.in.gov\/fssa\/ddrs\/files\/BDDS.pdf<\/a>.<\/p>\n<p>Natumai hilo litaondoa kutokuelewana kuhusu Uondoaji wa Medicaid na litawahimiza wale walio na haki ya kupata huduma za ziada kuzifuatilia!<\/p>\n<p>Kwa dhati,<\/p>\n<p>Kris<\/p>","protected":false},"excerpt":{"rendered":"<p>At my house, we are always looking for resources we can tap into to help make our foster care, adoption or special needs journey an easier one. And one thing I\u2019d like to discuss today is the Medicaid Waiver. Now\u2026many people are under the impression that Medicaid (which offers medical coverage up until the age [&hellip;]<\/p>\n","protected":false},"author":19,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[10],"tags":[],"class_list":["post-12421","post","type-post","status-publish","format-standard","hentry","category-kriss-corner"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Kris&#039; Corner - Medicaid Waiver - Firefly Children and Family Alliance<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fireflyin.org\/sw\/resources\/news-library\/kris-corner-medicaid-waiver\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kris&#039; Corner - Medicaid Waiver - Firefly Children and Family Alliance\" \/>\n<meta property=\"og:description\" content=\"At my house, we are always looking for resources we can tap into to help make our foster care, adoption or special needs journey an easier one. 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