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MEETING - Legal Aid Society of San Mateo County

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health & wellbeing<br />

meeting the need:<br />

• Nearly 500 low-income individuals<br />

received legal advice and/or<br />

representation relating to health<br />

care and health coverage<br />

• Held 6 <strong>of</strong>f-site Share <strong>of</strong> Cost Clinics<br />

staffed by <strong>Legal</strong> <strong>Aid</strong> attorneys and<br />

volunteer attorneys providing legal<br />

advice to over 80 individuals<br />

• Represented the low-income<br />

community at 115 meetings with<br />

community coalitions, government<br />

agencies and community based<br />

organizations aimed at increasing<br />

access to health care and health<br />

coverage for the low-income<br />

community<br />

Alicia is a severely disabled woman; she is deaf and unable to read<br />

or communicate. Since Alicia’s disabilities are so complex, her<br />

health care affairs are dealt with through an Independent Program<br />

Plan managed by the Golden Gate Regional Center. When the Regional<br />

Center tried to schedule a regular medical appointment for Alicia they were<br />

told Alicia’s Medi-Cal coverage had been discontinued. Apparently, the<br />

annual renewal form had not been completed. Upon further investigation,<br />

it was found that Medi-Cal had incorrectly mailed the renewal form to<br />

Alicia’s home instead <strong>of</strong> the Regional Center.<br />

As a result <strong>of</strong> <strong>Legal</strong> <strong>Aid</strong>’s Health Consumer Center’s (HCC) outreach<br />

into the community, the Regional Center knew to call <strong>Legal</strong> <strong>Aid</strong>. The<br />

HCC attorney immediately requested a Medi-Cal hearing concerning the<br />

discontinuance, and upon further research, discovered that Alicia qualified<br />

for a special Medi-Cal program called the Working Disabled Program. This<br />

program allowed Alicia to continue with Medi-Cal and only pay a small<br />

monthly premium rather than the large monthly share <strong>of</strong> cost she was<br />

previously paying. Once the attorney had Alicia enrolled in the Working<br />

Disabled Program, she provided the Regional Center with additional<br />

training and material on what to do in the future if Alicia’s Medi-Cal was<br />

cut <strong>of</strong>f again. Alicia and her representatives at the Regional Center are<br />

grateful that Alicia can now afford to obtain the medical care she needs.<br />

6

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