Hi, I’m on Medicaid. I need to be on an IV biologic. I developed antibodies to the class of med i was previously on, and when trying to get on a different one, medicaid told me “no, go back to taking the kind of medicine that doesn’t work on you anymore.” i had to call them like 30 times about it. they wanted my prescribing dr to submit special paperwork abt it. apparently his office didn’t fill out enough detail and they still denied me, even tho i called them and told them “i was already on this class of meds and it didn’t work.” they wanted better paperwork from my doctor. my doctor told me he filled out the form correctly and in detail. i had to tell medicaid to look at the papers again, then had to have my Dr resend them, and then finally they accepted my new med. all the while i was shitting blood for 2 months.
idk if that’s helpful to anyone but like, call medicaid & ask what forms they need from ur dr and have them send those forms (know ur dr’s fax #), then after ur doc says they sent them, call medicaid again and hound them abt the forms?