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What does it mean to be determined medically frail?
The term “medically frail” refers to an individual with chronic health conditions, including people with mental health and substance use disorders. A medically frail designation can expand the scope of services available to enrollees.
Does medically frail qualify for disability Indiana?
It is for people with serious physical, mental, substance abuse or behavioral health conditions. Being medically frail means that you can have standard Medicaid benefits. The Healthy Indiana Plan (HIP) serves nondisabled low-income adults ages 19-64.
Who are medically fragile adults?
Medically frail persons include children with serious emotional disturbances, children in certain other circumstances such as those in foster care or receiving adoption assistance, individuals with disabling mental disorders, individuals with serious and complex medical conditions, and individuals with physical or …
What does it mean to be medically fragile?
Students who are medically fragile: 1. Are frequently absent from school, and their absences are directly related to their severe or life threatening physical condition. A medically fragile student is one whose illness frequently places him/her in life threatening situations.
Is diabetes considered medically fragile?
Our Medically Fragile population includes people with a disability due to a health impairment, including those with cancer, diabetes, heart conditions, AIDS, and other illnesses if the illness substantially affects a major life activity.
What is the definition of a medically fragile child?
A child is “medically fragile” if he or she has a chronic debilitating condition or conditions, and meets one or more of the following criteria: is technologically dependent for life or health sustaining functions.
What is considered medically fragile in children?
A child is defined as “medically fragile” when, due to abuse or neglect, illness, congenital disorder or brain injury, he/she requires medications, treatments and/or specialized care or equipment.
What does medically frail mean in Michigan?
Medically frail due to one or more of the following: -A physical, mental, or emotional condition that limits a daily activity, like bathing. -Physical, intellectual, or developmental disability that makes it hard to do a daily living activity. -A physical, mental, or emotional condition that needs to be checked often.
What does it mean to be medically frail?
• Medically frail is a federal title. • It is for people with serious physical, mental, substance abuse or behavioral health conditions. • Being medically frail means that you can have standard Medicaid benefits. This is called HIP State Plan. The Healthy Indiana Plan (HIP) serves nondisabled low-income adults ages 19-64.
How does qualifying for ” medically frail status ” help me?
The medically frail definition, in itself, does not capture all individuals who may need full state plan Medicaid coverage, but this exemption category is probably the one that is most broadly relevant to people with disabilities who may qualify for expansion Medicaid. Q3. How does qualifying for a “medically frail status” help me?
What are activities of daily living for medically frail?
Medically Frail Status as an Exemption to Receiving Medicaid Alternative Benefit Plan with Essential Health Benefits. “Activities of daily living” are common tasks that people perform as part of their day and include things like eating, dressing, bathing, walking and transferring, and hygiene.
Why are medically frail people exempt from ABPS?
Part of the reasoning behind the medically frail exemption is that people who qualify as medically frail may need the benefit of full state plan coverage, and should not be placed into ABPs which could offer less than the amount, duration and scope of benefits available under the state’s traditional Medicaid state plan coverage. Q2.
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