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Resources:
Below are some of the resources that may be available
to you:
Medicaid:
All states have a medical waiver,
or Katie Beckett Waiver. The rules
differ in each state. If your child has
ongoing or excessive medical bills, it is worthwhile to apply for Medicaid in
your state as you may be eligible to receive coverage (primary if you have no
insurance or secondary if you already have insurance) to help cover the costly
medical bills associated with EE & EGID.
Some states may require that you
be denied by Social Security. Others may
have income requirements. In NJ, there
is Medicaid for the Medically Needy (those who are not eligible for Social
Security), and while your income & liquid assets are considered when
applying for your child, a 2nd child and medical bills are used to
offset the income, thereby allowing for the greater possibility of coverage if
you do not have much in the way of liquid assets (i.e. 2nd home,
bank accounts, stocks, etc).
In NJ, if your child also has a
pervasive developmental disability (i.e. on the autism spectrum, etc), he/she
may be eligible for more assistance through the NJ Division
of Developmental Disabilities (DDD).
http://www.state.nj.us/humanservices/ddd/index.html
More info can be found about NJ
Medicaid for the Medically Needy at:
http://www.state.nj.us/humanservices/dmahs/childrens.html and
http://www.state.nj.us/humanservices/dmahs/aged-blind.html
In PA, there is reportedly more
access to Medicaid for adults and children.
While PA Medicaid eligibility is
not as familiar to us at this time, some info is available at:
http://www.dpw.state.pa.us/LowInc/MedAssistance/MAEligibility/003670296.htm
You may need to follow additional
links, or call them about it.
In
http://www.dhss.delaware.gov/dhss/dss/medicaid.html
If you are incurring a lot of
medical bills, but aren’t sure that you’ll be eligible, it doesn’t hurt to
apply to be sure. Make sure you let
them know that you are applying for “Medicaid for the Medically Needy”. If they don’t know what you are talking
about, talk to someone else as it seems that not everyone in the DHS is
familiar with this waiver.
Delaware: Bureau of Children with Medical Handicaps
(BCMH)
http://www.delawarehealth.org/bcmh.htm
May help cover medical expenses
for those living in
Catastrophic
Illness in Children Relief Fund:
In NJ, there is a “Catastrophic
Illness in Children Relief Fund”. If you
live in NJ and want to find out if you’re eligible, contact the Dept of Human
Services. More info can be found at http://www.state.nj.us/humanservices/catill/catill1.htm
NJ
Special Child Health Services:
Once a child is registered with
them, a case manager is assigned to help you access any necessary resources
that are available to your child. Please
use the links below to look into this.
It has been a valuable resource to many.
http://www.state.nj.us/health/fhs/sch/index.shtml
http://www.state.nj.us/health/fhs/sch/schr.shtml (for an
explanation of the Special Child Health Registry)
http://www.state.nj.us/health/fhs/sch/sccase.shtml
(Case Management contact numbers)
Formula Coverage Assistance:
Ross (EleCare) review of formula
coverage
http://www.ross.com/reimbursement/default.asp
http://www.ross.com/reimbursement/statedetail.asp?StateID=1
Ross Patient assistance
Program
http://www.needymeds.com/papforms/rosmed0407.pdf
http://www.rxhope.com/papinfo/company/pdf/RossMetabolic.pdf
SHS/Nutricia Neocate Patient Assistance
http://www.neocate.com/aaa_neocate/0,534,112,97,236,0,0-179-77.ashx
SHS/Nutricia Sample Physician Letter for Coverage and
Information
http://www.shsna.com/pages/neocate_junior_ins_letter.htm
**Note: NJ & NY have mandates requiring insurance
companies to provide coverage for enteral formulas. These mandates do not apply to self-funded
companies.
Medication
Assistance:
HelpingPatients.org - Patient Assistance
For advocacy information / advocacy resources, please see
our advocacy page:
http://www.njpaeos.org/advocacy.html
Non-Profit Organizations:
FAAN- Food Allergy and Anaphylaxis Network
If you know of
any additional resources that we don’t have listed here, please let us
know. Thanks!