All of my work days involve issues where I am not family but become involved because of a need for assistance. Many days the system works for my clients, others against them. Months ago I filed a Medicaid claim for a client and the final determination was given last week, however not to me directly but to the nursing home where my client resides. Due to the current state of the economy Medicaid agencies are trying to find every minute loophole not to pay or to exact penalties. In this case Medicaid tried to state that moving expenses paid to a family member were “personal care services” and thus not a reasonable payment because this type of service was done out of love and compassion for the individual and is not recompensable. This would be accurate if personal care services were provided, however moving services do not fall into this category. If you have a legitimate expense, fight the system and appeal the decision. You’ll likely win.