WC Funding

Question 1

Who is eligible for medicare?

Answer 1

65+

or

At least 2 years after dr. diagnoses you w/ disability (not 2 years after injury)

Question 2

Who is eligible for medicaid?

Answer 2

Pregnant women

Under 21

or 21+ if homebound

Will lose benefit if you’re working and make more than $902 a month (23,265). only 1 car allowed, less than 2,000 in bank

Question 3

How long can a wheelchair be rented w/ medicare

Answer 3

12 months

if they have it 13 months if becomes theirs, if this happens medicare will not buy them another chair

Question 4

wheelchair referral must happen __________ with a physician

Answer 4

face-to-face

Question 5

how long can a wheelchair be rented w/ medicaid?

Answer 5

up to 6 months

Question 6

What is CRS?

Who qualifies?

Answer 6

Comprehensive rehabilitation service (state funded)

Client w/ traumatic BI or SCI caused by external force in texas.

Be a 15+ y/o citizen and able to participate in rehab

Question 7

Change in function (less than 5 years) requires what in order to apply for new equipment for an existing diagnosis

Answer 7

A new diagnosis and MD documentation

Question 8

Funding sources will not purchase another WC for _______ unless there is an change in the patients function with a new MD diagnosis and documentation

Answer 8

5 years

Question 9

Under Medicaid, routine maintenance of the rental equipment is the _____ responsibility

Answer 9

Providers

Question 10

Under Medicaid, adjustments to equipment may be authorized when..

Answer 10

Equipment is no longer under warranty

Question 11

How does one receive CRS in Texas

Answer 11

It is last resort funding, Clint must exhaust all personal medical benefits first