Wash. Medicaid Members Running Out of Options
|By Marissa Harshman, The Columbian, Vancouver, Wash.|
But the last eight months of allergy shots could be for nothing if Bridget is forced to find a new health care provider who wants to establish his or her own treatment plan, said Bridget's mother,
The months that followed have offered few solutions.
The state selected two health plans --
But last week, the state announced those two plans were unable to meet contract requirements in
"If members can make a choice in the Molina and Coordinated Care networks that is good for them, they should do it," Stevenson said. "If they do not see an option that works for them, I would advise holding on to see how their options change."
The wait-and-see approach, however, is making some
Bridget's provider isn't going to accept Molina or Coordinated Care. The only specialists Smith could find to provide care to her daughter under the new plans are in the
No doctor means no allergy shots for Bridget, who also takes medication for asthma and attention deficit hyperactivity disorder.
"She'd be without allergy medicine and asthma medicine and she couldn't go outside," Smith said.
Matt, who has a disorder on the autism spectrum, has an oral aversion. His fear of putting things in his mouth, including food, led to doctors insert a feeding tube in the boy's abdomen. He also works with speech and occupational therapists. His grandparents, who are his guardians, receive guidance for caring for the boy.
"He's come a long way, and we've had excellent care because of
Before Matt became a Healthy Options member, Hooper tried unsuccessfully to find a developmental pediatrician in
"It was hard enough to find help, to find a pediatrician, even with CUP," Hooper said. "I just think we're in deep trouble if we don't have CUP to back us up."
The 49-year-old said she feels like she's being forced to choose between the unfavorable insurer tied to her provider and a Fortune 500 company she knows nothing about.
"Basically, they have my back against the wall," May said, "and a lot of other people's as well."
(c)2012 The Columbian (Vancouver, Wash.)
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|Source:||McClatchy-Tribune Information Services|