Early and regular screening, diagnosis and treatment programs [EPSDT] force states to extend Medicaid coverage to low-income children for almost all medical services - but adults are another. The Medicaid benefits for adults are actually limited, as many, if not most, services that enable people with disabilities to maintain their functions within their communities are very limited. These include prescription drugs [Adderall for ADHD], respiratory care [inhalers for severe asthma], and treatment services [speech therapy for autism spectrum disorders] as some common examples.
Although each state offers some degree of these optional services, none of them provide services for all optional services used by persons with disabilities. For example, as of 2012:
• Only 23 states offer private care benefits [any disabled use cleaning service before them]
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• Only 26 states fully cover speech, hearing and language barriers,
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• Only 32 states completely cover the glasses,
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• Only 25 states fully cover psychiatric services, and
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• There are still 3 states that have absolutely no mental health insurance!
No entry
The other side of this terrible coin is that even if the state provides a Medicaid program related to its needs, there is no guarantee that adolescents with disabilities will be covered. This is because the country has a wide range of holidays to limit the range, duration and quantity of benefits offered to adults. For example, some state prescription insurance limits only 3 different prescriptions per month for any given individual. Any parent of a child with severe ADHD can tell you that 3 prescriptions will only cover those who need daily, school time and "boosters". The dose of Concerta can function effectively throughout the day. Heaven prohibits the same child from suffering from diabetes and needs insulin!
Similarly, many states that provide treatment services, such as occupational, speech, or physical therapy, cover only a certain number of sessions per year, which is usually acceptable if you are the person who is trying to recover from them. . For those who continue to have special needs, no matter what exercise is maintained rather than recovered, who needs to be treated weekly or longer in the foreseeable future is a complete disaster.
Give up support
Finally, many states are attempting to reduce the burden of healthcare by providing affordable family and community services [HCBS], enabling them to create location-based programs through special exemptions from Medicaid. These HCBS exemptions are somewhat good, because many states do not offer certain services without them - but they are also very bad, because anyone who cannot be eligible for exemption will be listed. The list does not provide Medicaid services unless they have a real medical emergency.
How bad is it really?
It's really bad: a recent study shows that about 3 million Americans need daily assistance to complete the most basic activities [such as toilets, meals, dressing, etc.], and one million of them can't get their help. . Often needed. Special:
• 80% said they go to work one or more days a month without clothes.
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• 30% of respondents said they had been dirty at least once last month because they had no choice.
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• 10% said they were hungry at least once last month because they got the help they needed.
At this point you may think of older people, but keep in mind - about 10% of these three million people are between the ages of 19 and 35. This means that last month, 30,000 American adults went to bed because they couldn't support themselves and became hungry, causing their plans to reach the age of 19 to disappear from them.
Orignal From: EPSDT Ageing - Part IV: Chaos
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