A quadriplegic’s HCBS Services were terminated after he earned his masters degree and began teaching. PHLP’s representation maintained these services and supports.
After obtaining a masters degree, Robert, a quadriplegic, obtained a teaching job at a state university. As a result of his new salary, which he received in addition to Social Security benefits, Robert’s home and community based services and supports (HCBS Services) ended because his total income made him ineligible. PHLP successfully challenged the eligibility denial because the state failed to accept deductions for certain impairment related work expenses not listed in the state’s Medical Assistance Eligibility Handbook but recognized under federal law. Although Robert regained HCBS Services eligibility, Robert’s supports were reduced, threatening his ability to remain employed. PHLP also appealed this supports reduction and at a hearing persuaded the adjudicator to restore the attendant care.
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A single mother of two called PHLP when she lost her job and her Medicaid coverage. A recent biopsy had discovered a pre-cancerous condition, and she needed surgery. PHLP staff are knowledgeable about Pennsylvania’s special Medicaid programs and their eligibility criteria, and advised the caller to apply for coverage through the Breast and Cervical Cancer Prevention and Treatment program.
When an 18-year-old’s traumatic brain injury left him unable to read, his physician prescribed an evaluation to discover the problem. The patient’s Medicaid Managed Care Organization denied the request until PHLP interceded and persuaded them of its medical necessity.
A quadriplegic’s HCBS Services were terminated after he earned his masters degree and began teaching. PHLP’s representation maintained these services and supports.
When Gabrielle’s father passed away, her survivors’ benefits disqualified her for the services and supports she needed to live in the community. PHLP helped Gabrielle avoid being placed in a nursing home.