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Ivan, are you talking about Medicare - home care? Larry ----- Original Message ----- From: "Ivan M Suzman" <[log in to unmask]> To: <[log in to unmask]> Sent: Saturday, July 06, 2002 8:34 PM Subject: Fw: Re: PCA hours > --------- Forwarded message ---------- > From: [log in to unmask] > To: [log in to unmask],[log in to unmask] > Cc: [log in to unmask],[log in to unmask] > Date: Sat, 6 Jul 2002 00:13:45 -0400 > Subject: Re: PCA hours > Message-ID: <[log in to unmask]> > > > > Dear Sue, > > I do not agree, Sue. I still contest the 74 hour assessment > by Tammy. It is a 19% cut in PCA hours. My income is too > low to pay privately for the removed hours. > > She also forgot to assign, in the actual evaluation of me, > weekly hours to at least two categories of ADL's. It is an] > assesssment with errors, done under duress, inconsistent > with my established pattern of of need. > > My attorneys and I never agreed to the 74 hours. > > The so-called "90% rule" cut me from 91 to > 63 "daytime"hours. My need ,adding in 14 > hours per week, was assessed at 105 hours > for three years in a row, starting in 1998, by Kathy Adams. It > was confirmed at 105 by Kevin Concannon, following a year > of hearings and arguments, as recommended by Ronald > Stoodley, on September 10, 2001. > > The cut to 63, or 63.5 hours, ignores my medical needs, > as well as the need, in similar cases, of other Alpha One consumers. > > The so-called "90% rule" violated my estabilshed level of > need. For me, it was a slash and burn, 28 hours per week, > 4 hours a day gouging of my hours used in 1998, 1999, > 2000,200l, and 2002. It is a 31% cut in PCA "daytime" hours. > > Who will pay for my lost hours? I have to believe that > Alpha One is more compassionate to lower income > consumers. > > Sue, you have NEVER assessed me. I have no reason to accept > you as knowlegeable enough about my personal medical > condition . Tammy's "compromise" assessment came just 3 days after > you intended to cut me, under instructions from Mollie Baldwin, > to 63 hours, but you left when you informed me that it did not > matter how you assessed me, you would be cutting me anyway > to 63 hours!! > > > Ivan > > 2 Jul 2002 09:22:07 -0400 "Sue Grant" <[log in to unmask]> writes: > > Ivan, as a follow up to the mailing that we recently sent out to PCA > > consumers, as of 7/1/02 you are eligible to bill for up 74 daytime > > hours per week and 14 hours at night. This increase represents the > > hours that were documented as your existing personal care needs > > during your last reassessment in December of 2001 and also > > represents a removal of the 90% rule. As mentioned in my last > > email, you are only eligible to bill up to 63.5 daytime hours prior > > to 7/1/02. > > > > Please contact me by email if you have any questions. > > > > Sue Grant, OTR/L > > Independent Living Specialist > > ---------------------------------------------------------------------- > To sign-off Parkinsn send a message to: mailto:[log in to unmask] > In the body of the message put: signoff parkinsn > ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn