Medicaid Cuts: One Person’s Story

Columbia Missourian – The Missouri Department of Health and Senior Services administers in-home care for adults who are eligible for Medicaid and who are elderly or have a disability. Medicaid pays for a caregiver — whether a family member or an outside attendant — to help with day-to-day tasks. It helps keep people in their homes and out of institutions.

About 60,000 people in Missouri use these services. But the department raised the threshold for those who qualify for in-home care back in July, putting thousands of those who previously qualified for the program in danger of losing it.

Now, the outcome for Medicaid recipients like Chad depends upon their next evaluation, which could happen in the next couple of months. It will determine whether he continues to get help from Julie Derboven, the aide who comes to his home in Huntsville to help with cooking, cleaning and other tasks he still can’t do for himself. She also takes him shopping, and that’s important because he can’t drive and lives in a rural area.

It’s been a long road to where he is now.



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