• Report: #1147716

Complaint Review: Betsy Schindler,

  • Submitted: Sun, May 18, 2014
  • Updated: Mon, July 07, 2014

  • Reported By: Glen — Columbia South Carolina
Betsy Schindler,
Internet USA

Betsy Schindler, the South Carolina Department of Health and Human Services and LogistiCare Solutions, LLC illegally denies Medicaid benefits. Columbia Internet

*Author of original report: Who's the Genius suffering from a cognitive deficit?

*General Comment: Really???

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J.B. is a 79 year old, Medicaid eligible female who has been utilizing Non-Emergency Medical Transportation (NEMT) provided by the South Carolina Department of Health and Human Services (SCDHHS) through it's agent, LogistiCare Solutions, LLC (LogistiCare) to travel to medical appointments since 2009. Because J.B. suffers from congestive heart failure, emphysema and dementia, J.B. has been escorted by her son and fulltime caregiver, G.L., to and from her medical appointments. Since 2009, J.B. has experienced numerous missed appointments and failed transportation by LogistiCare as evidenced by numerous letters from SCDHHS and LogistiCare to G.L. in response to complaints from G.L. The letters acknowledged that J.B. suffered from catastrophic illnesses and assured that corrective action would be taken, that J.B.'s transportation would be monitored to ensure satisfactory service, and that a dedicated transportation provider would be assigned to J.B. In April 2012, J.B. was declared by SCDHHS as an "Aged, Blind, Disabled" beneficiary. Amazingly, in December 2013, only six (6) days prior to J.B.'s cardiology appointment, while G.L. attempted to schedule transportation for J.B. by telephone, a customer service representative of LogistiCare informed G.L. that J.B. would be denied escorted transportation during any future trips pending LogistiCare's receipt of a letter of medical necessity from J.B.'s physician, notwithstanding the foregoing. A copy of SCDHHS's contract with LogistiCare, obtained from the South Carolina Budget and Control Board website, disclosed that no such letter of medical necessity was required; only a "medical certification statement" from the Medicaid beneficiary was required. Federal regulations, 42 CFR Sections 431.206, 431.210, 431.211 and 431.230 provides that Medicaid recipients are entitled to due process of law, which includes written notice 10 days prior to denial or suspension of their benefits and notice that their benefits may be continued during any appeal. 42 CFR Section 431.18(e) provides that the specific policy materials relevant to the adverse action taken must be made available to the beneficiary. No such written notices were provided to J.B. In August 2013, G.L. appealed the actions of SCDHHS and LogistiCare with the SCDHHS Division of Appeals and Hearings.

Subsequently, SCDHHS Hearing Officer, Betsy Schindler, and LogistiCare continued to deny J.B. escorted transportation for almost one year, during the pendency of her appeal, even after G.L. submitted a motion for reinstatement of J.B.'s escorted transportation, resulting in J.B. missing numerous critical medical appointments and exhaustion of her medication supply. NEMT, provided by LogistiCare, was J.B.'s only mode of transportation to her medical appointments. In early 2014, LogistiCare reinstated J.B.'s escorted transportation after G.L. threatened legal action. Both J.B. and G.L. have concluded that the malicious and tortious actions of SCDHHS and LogistiCare were the result of their numerous complaints against LogistiCare, which have caused them both Extreme Emotional Distress! Perhaps a civil rights action would be the appropriate remedy for this situation.


This report was posted on Ripoff Report on 05/18/2014 12:56 PM and is a permanent record located here: http://www.ripoffreport.com/r/Betsy-Schindler-/internet/Betsy-Schindler-the-South-Carolina-Department-of-Health-and-Human-Services-and-LogistiCa-1147716. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year.

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#1 Author of original report

Who's the Genius suffering from a cognitive deficit?

AUTHOR: Head Hunter - ()

Dear General Comment "genius": If you spent more time researching the above-referenced authorities and less time sticking your nose where it doesn't belong, about matters you don't understand, you would have known that denial of federal benefits without procedural due process of law does constitute a civil rights violation! Why do you ignorant people always do that?

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#2 General Comment

Really???

AUTHOR: Tyg - ()

 How about some clarification. How is them denying your ride "illegal" and what civil rights have been violated. Its NOT illegal for them to deny a claim. That just YOUR hangup. YOU think its illegal but the LAW is NOT on your side in this. Secondly, how exactly have ANY civil rights been violated?? PLEASE explain your thought process here. I think you are confused as to WHAT constitutes a civil rights violation. Denying a claim is neither illegal OR a civil rights violation. It is WELL within THEIR rights to request additional information. Lets face it, youre getting FREE RIDES. Which means that SOMEONE other then YOU is paying for YOU to get around. THOSE people have a right to ask for clarification SINCE THEY ARE THE ONES PAYING!!! Awful nice of you to blast them because YOU are ignorant. I guess YOU are the type of person to not onbly look a gift horse in the mouth, but you slap on that elbow legnth glove and ram it up the back end to make sure you aint missing something.

CHARITY!!!! Remember this word. Then look it up. Just because you CAN get rides to and from doctors appointments doesnt mean that they HAVE to continue doing so. I mean talk about self-entitled. When a request for more information comes in, you try and use OLD information to support NOT doing it. Its not like it would have killed anyone even yourself to supply them with what they requested. SOMEONE ELSE IS PAYING FOR YOU TO HAVE THE LUXURY OF A RIDE!! And YES it IS a luxury if you have no vehicle.

Either get your own vehicle "G.L." or comply with their request. It is NOT a unreasonable request. They simply wanted MORE information. So instead of doing what is asked of you, you push back and dig in. Why is it that people like you will always do this??

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