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Cost Barriers to Mental Health Care for People with Intellectual Disabilities
Lifestyle > Self-Care

Cost Barriers to Mental Health Care for People with Intellectual Disabilities

By Dr. Eileen Hart
...six sessions upfront. The practice didn't accept Medicaid. Sarah has an intellectual disability, works part-time...criteria that limit the number of sessions covered. Medicaid covers these services in theory, but provider...provider acceptance is uneven. Some states allow Medicaid reimbursement only for specific diagnoses or require...
Medicaid Work Rules Are Forcing States to Rebuild Their Systems. Here's What Disability Families Should Know Before Coverage Terminations Begin.
News > Advocacy

Medicaid Work Rules Are Forcing States to Rebuild Their Systems. Here's What Disability Families Should Know Before Coverage Terminations Begin.

By Amelia Harper
...1 regulations from the Centers for Medicare & Medicaid Services were supposed to give states the clarity...for those who are legally exempt from the new Medicaid work requirements. Exemptions have to be processed...signed in July 2025, required states to implement Medicaid community engagement requirements by January 2027....
Minnesota Just Disenrolled 61% of Its Medicaid Disability Providers. Other States Are Running the Same Audit. Here's What Families Need to Do Now.
News > Advocacy

Minnesota Just Disenrolled 61% of Its Medicaid Disability Providers. Other States Are Running the Same Audit. Here's What Families Need to Do Now.

By James Williams
...Services completed a court-ordered Medicaid provider revalidation on June 1, 2026....in-home caregiver could no longer bill Medicaid. About 2,491 providers had incomplete...story. The Centers for Medicare & Medicaid Services (CMS) ordered all 50 states...revalidation targeted 13 "high-risk" Medicaid program types across all 87 Minnesota...
Recreational Therapy vs Leisure Activities: Understanding the Difference
Lifestyle > Recreation

Recreational Therapy vs Leisure Activities: Understanding the Difference

By Franklin Morris
...additional licensure. A CTRS can work in hospitals, rehabilitation centers, psychiatric facilities, schools, and community-based programs that bill Medicaid or private insurance. RT interventions might include adaptive sports, art therapy, social skills groups, community reintegration outings, or sensory-based...
Colorado Is Halving Paid Family Caregiver Hours. Ohio and Pennsylvania Are Next. What Families on Medicaid Waivers Need to Do Now.
News > Advocacy

Colorado Is Halving Paid Family Caregiver Hours. Ohio and Pennsylvania Are Next. What Families on Medicaid Waivers Need to Do Now.

By Amelia Harper
...Until this year, Colorado's Medicaid waiver program paid him for...the result of the federal Medicaid cuts in HR 1, the "One Big...reduced federal funding for Medicaid by shifting more costs to...your family member receives Medicaid-funded home care through a...Are Cutting Home Care First. Medicaid is jointly funded by states...
Special Needs Planning for Sudden Wealth: Settlements, Inheritances, and Windfalls
Financial > Financial Planning

Special Needs Planning for Sudden Wealth: Settlements, Inheritances, and Windfalls

By James Williams
...resolves. These events can end SSI and Medicaid eligibility within 30 days if the...SSI is $2,000 for an individual. Medicaid uses the same threshold in most states....Money Triggers Benefit Loss. SSI and Medicaid are means-tested programs. Recipients...by $98,000. SSI ends immediately. Medicaid coverage follows within weeks in most...
Annual Review of Your Special Needs Plan: Checklist for Families
Financial > Financial Planning

Annual Review of Your Special Needs Plan: Checklist for Families

By James Williams
...your child's needs change. The trustee you named moves to another state. Medicaid eligibility rules shift. Your life insurance policy lapses. The emergency...can't go into a third-party trust. You'll need a first-party trust with Medicaid payback language. If you haven't set one up yet, this is the flag that...
Medicaid Waiver Waiting Lists: How to Join and What to Expect
Legal > Government Benefits

Medicaid Waiver Waiting Lists: How to Join and What to Expect

By James Williams
...waiting lists for Medicaid Home and Community...the waitlist. What Medicaid Waivers Cover. Medicaid...Medicaid Waivers Cover. Medicaid waivers pay for services...services that standard Medicaid doesn't: personal...You can qualify for Medicaid but still wait years...with your state's Medicaid website or call the...or call the state Medicaid office directly....
Medicaid Estate Recovery and Special Needs Trusts
Financial > Financial Planning

Medicaid Estate Recovery and Special Needs Trusts

By James Williams
...beneficiary dies. Medicaid estate recovery...you have. What Medicaid Estate Recovery...Recovery Means. Medicaid estate recovery...the estates of Medicaid recipients who...have relied on Medicaid for decades, the...First-Party SNTs: The Medicaid Payback Requirement....the state for Medicaid benefits paid during...be invalid for Medicaid eligibility purposes....
Leaving Money to a Child with a Disability in Your Will: Common Mistakes to Avoid
Financial > Financial Planning

Leaving Money to a Child with a Disability in Your Will: Common Mistakes to Avoid

By James Williams
...problem: if your child receives SSI or Medicaid, a direct inheritance can disqualify...$2,000 for individuals. Benefits stop. Medicaid coverage stops. The money you left...(Supplemental Security Income) and Medicaid are means-tested programs. That means...individual, $3,000 for a couple. Medicaid uses similar thresholds in most states....
Housing Planning for Adults with Disabilities: Group Homes, Supported Living, and Home Ownership
Financial > Financial Planning

Housing Planning for Adults with Disabilities: Group Homes, Supported Living, and Home Ownership

By James Williams
...required, staffing ratios, and regional cost variations. Higher-support models with nursing care or behavioral specialists run higher. How it's funded: Medicaid waiver programs are the primary funding source for group home placements. Most states operate Home and Community-Based Services (HCBS) waivers that...
First-Party Special Needs Trusts: When the Person with a Disability Funds the Trust
Financial > Financial Planning

First-Party Special Needs Trusts: When the Person with a Disability Funds the Trust

By James Williams
...problem: if they keep it, they lose Medicaid and SSI within 30 days. A first-party...goes back to the state to reimburse Medicaid. That payback rule is the deal. Here's...work, when you need one, and what the Medicaid payback means in practice. What a...without disqualifying the person from Medicaid or SSI, as long as the trust meets...

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