After four Medicaid (ALTCS) denials due to medical ineligibility for her resident, the facility social worker encouraged the daughter to reach out to Benefit Results. 

The resident was unable to pay for care other than her income and there were no benefits available due to denials. Each month the facility was experiencing a significant loss.  Benefit Results uncovered that the resident met the eligibility score but due to the hands-on care being related to a psychiatric diagnosis and not a medical one, the application was denied at physician review.   

Benefit Results worked with medical providers to provide proper documentation showing a medical vs psychiatric need. Upon
re-application, these details were presented, and the case was finally approved.   A frustrating example that shows why preparation before the application, both financially and medically, is so important!