Skip to Content

Contact Our Baltimore Medicaid Appeal Lawyer for Help When You Need It Most

For many people, Medicaid is the only source of health insurance, covering 1 in 5 Americans. In those cases, it is the only thing that ensures that you can get the health care you need. Unfortunately, the process isn’t always easy, and a denial of your application can be devastating. If you’ve been denied Medicaid coverage, don’t give up – a Baltimore Medicaid appeal lawyer may be able to help you get the coverage you need. 

Why Maryland Medicaid Claims Get Denied

First, it’s important to understand that Medicaid works through a federal/state partnership. As a result, each state has different qualifications for eligibility. You may not be approved under the Maryland Medicaid program even though someone you know in the same situation qualified in a different state. 

The primary requirement for eligibility under Community Medicaid is your income. If your monthly household income is higher than the income limit, you will be denied coverage. The income limit is determined by the number of people you live with. For example, in the state of Maryland, you will not be eligible for Medicaid if your monthly income exceeds $3,014.00 and your household includes four people. There are exceptions to the income criteria, such as if you have children or are pregnant. A Baltimore Medicaid appeal lawyer can help you determine whether you qualify or whether your appeal was wrongly denied based on your income. 

Long Term Care Medicaid is for people who need nursing home care. Denials are generally based on having too much in assets or having improperly disposed of assets. Income is almost never a reason to deny a Long Term Care Medicaid application.

As part of demonstrating that you are income-qualified, you will also need to submit financial documentation. Your claim may be denied because the agency believes you did not submit sufficient documentation demonstrating your financial need for Medicaid coverage. In addition, the agency may deny your application if they believe that you have transferred assets or hidden income or other resources in order to qualify. 

Your Baltimore Medicaid Appeal Lawyer Will Be There for Every Step of the Process 

It’s important to first emphasize that the appeal process is extremely time-sensitive. If you fail to act within the required timeframe, you could lose all of your rights. After filing your application, you will receive written notice of the agency’s decision. The notice will inform you of the specific reasons for your denial, that you have the right to an appeal, what you must do in order to appeal the agency’s decision, and perhaps most importantly, the date by which you must file your appeal. It will also inform you that you have the right to represent yourself or hire an attorney. 

The appeal process essentially revolves around setting your case for a hearing before an administrative law judge. You will need to put on evidence that supports the reason for your appeal. You can call witnesses and have them testify on your behalf, and you may be questioned by the judge or other agency representatives. 

Without a doubt, the hearing can be incredibly intimidating for non-lawyers. A Baltimore Medicaid appeal lawyer can help you prepare for your hearing by gathering the documents you will need and preparing your witnesses to testify. They will know what evidence will be crucial and be able to respond to anticipated objections. 

Let The Law Office of Emmett B. Irwin Assist Your with You Medicaid Appeal

Your health is your most valuable asset. If you’ve been denied Medicaid coverage, a Baltimore Medicaid appeal lawyer can help you get the benefits you deserve. At The Law Office of Emmett B. Irwin, we have the knowledge and experience you need to get through this. Call us at 443-839-0818 or contact us online to schedule a free consultation. We work with clients throughout Maryland and surrounding states.