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Tuesday, June 20, 2006

New Federal Medicaid ID Law Might Cause Problems For Orthodox Jews

Health officials in many states warn that a federal law requiring Medicaid recipients to prove citizenship starting July 1 could lead to long lines, dropped coverage and general confusion for the program's participants.

At least 46 million people on Medicaid for the first time will need to produce documents showing they were born in the United States or are here legally, and this might also hurt American citizens.

Four states - Georgia, Montana, New Hampshire and New York - already require Medicaid applicants to prove their citizenship with documents. The rest rely on sworn statements from Medicaid enrollees. But after this month, that won't be enough. Recipients in all states will have to show a complete birth certificate, passport or other citizenship documents to receive health coverage.

And that creates problems for Americans without birth certificates or those who have uncompleted ones. And there are many reasons people may not have complete birth certificates. For example, Orthodox Jewish boys often leave the hospital without a first name, because they don't receive their given name until circumcision. That means their birth certificates read “Baby Boy” and the child’s last name.

6 Comments:

  • At 6:38 PM, Anonymous Anonymous said…

    MOST SENSIBLE COUPLES WILL FOLLOW UP TO GIVE THE NAME GIVEN AT BRIS IN ORDER TO HAVE A COMPLET BC AS LATER ON DOWN LINE MUCH HARDER TO DO ALSO REQUIRED FOR DRIVERS LICENSE AND PASSPORT SO IN LONG RUN NOT WORTH PUSHING OFF UNTIL YOUR DESPERATE

     
  • At 7:41 PM, Anonymous Anonymous said…

    maybe there shouldn't be so many frum yidden on medicaid when they don't need it and there would be less legislation to restrict access to medicaid.

     
  • At 9:48 PM, Anonymous Anonymous said…

    "and there would be less legislation to restrict access to medicaid. "

    I just love this. This could be a line out of the classic anti semite's manual. It's only because there are this many yidden on medicaid that they need to have this kind of legislation.

    Take a good look in the mirror and tell yourself that you believe this BS.

    And BTW, halevei there would be less yidden on medicaid. Everyone should have more than enough money to be able to afford the astronomical cost of privat health insurance.

     
  • At 12:39 AM, Anonymous Anonymous said…

    Most Rabbonim will allow the parents to put the (soon to be given) name in the birth cert.
    also you dont have to do one right away but one should be applied for ASAP.

     
  • At 8:11 AM, Anonymous Anonymous said…

    A Rav told me that it is okay to give the boy a name right away for official government purposes such as this but to not announce it to ANYONE until the bris.

     
  • At 8:23 AM, Anonymous Anonymous said…

    medicaid fraud is one of the biggest expenses eating up ny's budget. you can expect that once there is a new governor, there will be a major crackdown on both individuals and doctors abusing the system. from today's new york times:
    "Republicans in the Senate appeared to win a major concession from Democrats in the area of combating Medicaid fraud, which is seen as contributing to the state's ballooning $46 billion Medicaid budget. Republicans beat back a Democratic demand that would have allowed whistle-blowers to sue on behalf of the government as a way to fight fraud, a practice followed by the federal government and several other states."

    "New York State's Medicaid fraud problem has been well documented, and was highlighted in a series of articles that appeared in The New York Times last year. Shortly after that series, Mr. Skelos and other legislators requested a federal audit of the state's Medicaid system.

    Responding to the request, a branch of the federal Department of Health and Human Services released a scathing report earlier this month criticizing the state's commitment to fighting fraud.

    The report found that the state had been sharply cutting the staff dedicated to pursing Medicaid fraud even as Medicaid spending increased by 55 percent in less than a decade. New York's Medicaid program is the nation's largest.

    Assembly Democrats, in pushing for allowing whistle-blowers to bring suits, as they can in other states, like Texas, argued that many instances of Medicaid fraud would not be found without providing financial incentives. They also pointed out that the architect and champion of using whistle-blowers to pursue government fraud is a powerful Republican, Senator Charles E. Grassley of Iowa.

    Mr. Skelos has repeatedly rejected that argument. In a testy exchange at a Medicaid hearing on Monday, he said "call me old-fashioned, but I believe people have a civic responsibility to report fraud and abuse."

    Mr. Gottfried responded by calling that "an amazingly naïve view of the world."



    The agreement reached by lawmakers would broadly expand what is a minimally financed inspector general's office, infusing it with resources to root out fraud in the Medicaid program — a program that is by far the largest single expense in the state's budget.

    "I feel great, because this is a reorganization of a totally dysfunctional system that exists in terms of Medicaid fraud," said Senator Dean Skelos, a Long Island Republican and the Senate's deputy majority leader. "I believe taxpayers are going to save hundreds of millions of dollars a year."

     

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