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The Marvelous Ms. Medicaid

@msmedicaid

Medicaid Advocate Ops Specialist. An absolute delight. 🌻

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Latest posts by The Marvelous Ms. Medicaid @msmedicaid

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Understanding Medicaid Home Care Amid CMS Focus on Potential Fraud and Abuse | KFF This issue brief describes how Medicaid home care operatesβ€”including who is eligible and the systems in place to promote program integrity in its deliveryβ€”and the challenges of using new CMS data to i...

Buckle up, buttercups! We are going on a ride.

Let's talk about LTSS! Specifically, home care/HCBS(my favorites) and why we really need to sound the alarm and keep watch on this.

LTSS: long term services/supports
HCBS: Home/Community based services

#Medicaid 🧡

www.kff.org/medicaid/und...

11.03.2026 14:24 πŸ‘ 35 πŸ” 12 πŸ’¬ 2 πŸ“Œ 6

The horrifically fucked up places my mind already is going at the the thought of this πŸ’”

12.03.2026 00:27 πŸ‘ 4 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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VA plans to seek public guardianship for some veterans deemed unable to care for themselves The effort will extend to hundreds of veterans who are homeless or at risk of homelessness but lack family support or legal representation.

I don’t know fam it feels like giving the government guardianship over unhoused veterans and forcing them into institutions might be bad.

Thanks to @heritagehunter.bsky.social for the heads up.

12.03.2026 00:11 πŸ‘ 145 πŸ” 46 πŸ’¬ 13 πŸ“Œ 1

Something that is often forgotten, not intentionally, but just is- the role of caregivers and how truly difficult and exhausting it is. And it is nonstop.

It’s heartbreaking what’s happened and is happening πŸ’”

11.03.2026 18:09 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

It’s horrifying.

There are so many layers of vile involved in this. It’s sickening πŸ’”

11.03.2026 18:03 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Preview
a man from schitts creek is making a funny face and the word yup is above him Alt: David Rose from schitts creek is making a funny face and the word yup is above him
11.03.2026 14:37 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

It was never a secret that DJT hated people with disabilities, but this is exceptionally cruel.

I worry that the foundation has been laid to claim that HCBS/Home Care costs "more".

We need to advocate LOUDER for these marginalized groups. We can't let this happen.

11.03.2026 14:24 πŸ‘ 18 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

occur from this is astronomical.

This has never been about fiscal efficiency. If it were, we'd be expanding into a M4A system.

This has always been about this psychotic shitbird wanting to bring back forced institutionalism.

I really struggle to express adequately how fucking despicable this is.

11.03.2026 14:24 πŸ‘ 13 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

on a Biden administration ruling requiring adequate staffing in nursing homes). They are forcing more people out of their homes, into these places, where they are saying you don't need to worry about staffing requirements for 10 years.

The amount of harm, trauma, and preventable injury that will

11.03.2026 14:24 πŸ‘ 12 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0

If these programs are gone, people with disabilities, including children, will be forced out of their homes and into institutions.

They will be segregated from their families and communities.

This will literally rip families apart. (Also, let's mention that there is now a moratorium

11.03.2026 14:24 πŸ‘ 12 πŸ” 1 πŸ’¬ 2 πŸ“Œ 0

Home care programs allow people of all ages to live at home, with their families, when they require a complex level of care.

HCBS programs help with personal care, personal development, transportation, job training, adult care programs- SO much that Medicaid normally won't cover but are CRUCIAL

11.03.2026 14:24 πŸ‘ 10 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

are only allowed by the federal government if it is proven to cost less than institutionalized care (which Medicaid has to cover).

If the administration is able to come up with numbers that show it's less cost effective, the HCBS waivers are gone. Home care is gone. So, what does that mean?

11.03.2026 14:24 πŸ‘ 11 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

First and foremost, I want to stress that while Medicaid is required to cover institutionalized LTSS, home care and HCBS services are optional programs provided by the state and funded by Medicaid. Usually through various waiver programs.

The reason this is important- Home care and HCBS waivers

11.03.2026 14:24 πŸ‘ 10 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
Preview
Understanding Medicaid Home Care Amid CMS Focus on Potential Fraud and Abuse | KFF This issue brief describes how Medicaid home care operatesβ€”including who is eligible and the systems in place to promote program integrity in its deliveryβ€”and the challenges of using new CMS data to i...

Buckle up, buttercups! We are going on a ride.

Let's talk about LTSS! Specifically, home care/HCBS(my favorites) and why we really need to sound the alarm and keep watch on this.

LTSS: long term services/supports
HCBS: Home/Community based services

#Medicaid 🧡

www.kff.org/medicaid/und...

11.03.2026 14:24 πŸ‘ 35 πŸ” 12 πŸ’¬ 2 πŸ“Œ 6

Yes, I'm religious. I believe in the Holy Trinity.

11.03.2026 13:11 πŸ‘ 21 πŸ” 3 πŸ’¬ 4 πŸ“Œ 1

In September, two doctors stood at the White House and declared that they, and only they, had the courage to recommend leucovorin as a treatment for autism. New prescriptions doubled.

Today, the FDA refused to endorse it as a treatment for autism, saying there weren’t enough data to support it.οΏΌ

10.03.2026 14:53 πŸ‘ 185 πŸ” 39 πŸ’¬ 9 πŸ“Œ 1

But like why was I nervous? πŸ˜‚

It’s not like it’s my day job 😝

09.03.2026 16:48 πŸ‘ 9 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Quiz - How Well Do You Understand Your Health Insurance? | KFF Health insurance is often complicated, but understanding the basics helps you make better decisions about your coverage and care. This 10-question quiz touches on some terms you may encounter.

Health insurance is often complicated, but understanding the basics can help you make better decisions about your coverage and care.

How well do you understand your health insurance? Take our 10-question quiz and find out: https://on.kff.org/healthinsurancequiz

09.03.2026 16:43 πŸ‘ 1 πŸ” 2 πŸ’¬ 4 πŸ“Œ 1

The comment period ends Friday Mar 13!
These articles describe the issues:
www.healthaffairs.org/content/fore...

www.healthaffairs.org/content/fore...

www.healthaffairs.org/content/fore...

@matthewcort.land @altcdc.altgov.info @msmedicaid.bsky.social @alt-hhs.altgov.info @madhouser.altgov.info

08.03.2026 12:17 πŸ‘ 5 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0

It’s a musical theater kind of Monday baby dolls

09.03.2026 14:41 πŸ‘ 7 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
β€œThis could have been your health insurance” inside missiles

β€œThis could have been your health insurance” inside missiles

07.03.2026 16:22 πŸ‘ 15 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0

How is it not even 7am and I’m already over Iowa Total Care 😭

05.03.2026 12:40 πŸ‘ 8 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Map of the STAND UP FOR SCIENCE NATIONAL DAY OF ACTION events on March 7th.

Map of the STAND UP FOR SCIENCE NATIONAL DAY OF ACTION events on March 7th.

WHERE WILL YOU BE ON SATURDAY??

#standupforscience
@standupforscience.bsky.social

04.03.2026 13:24 πŸ‘ 16 πŸ” 8 πŸ’¬ 1 πŸ“Œ 0

The only checks and balances any of congress seems concerned about is their own pay checks, and account balances.

I hate it here.

02.03.2026 15:51 πŸ‘ 7 πŸ” 0 πŸ’¬ 0 πŸ“Œ 1

I believe (so god only fucking knows) it’s new suppliers only

I’ll find out more if I can. It’s been a fucking year 😭

28.02.2026 17:19 πŸ‘ 13 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Sometimes, I watch those teams calls come in, and just keep watching…and watching…and watching.. because no.

I am not here. πŸ˜‚πŸ˜‚

24.02.2026 19:59 πŸ‘ 5 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Princess Leia in an artery touching a blockage. Text reads: Help us, cholesterol. You're our only hope.

Princess Leia in an artery touching a blockage. Text reads: Help us, cholesterol. You're our only hope.

Who did this??

22.02.2026 03:53 πŸ‘ 518 πŸ” 92 πŸ’¬ 17 πŸ“Œ 8
Post image

She’s the bestest. #Caturday

21.02.2026 21:00 πŸ‘ 29 πŸ” 0 πŸ’¬ 3 πŸ“Œ 0
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RFK Jr and MAHA’s horrible, terrible, no good, very bad week. The chickens (ducks?) are coming home to roost.

Bobby and The Quacks had a VERY bad week! I summarize and read the room here:

SUFS Blog: www.standupforscience.net/blog/rfk-jr-...

Substack: open.substack.com/pub/sciencef...

@standupforscience.bsky.social #Standupforscience

21.02.2026 17:37 πŸ‘ 46 πŸ” 16 πŸ’¬ 2 πŸ“Œ 3

Idk about you, but my throat hurts😭😭

19.02.2026 21:24 πŸ‘ 4 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0