Month: January 2018
First Day Back to School At Mitchell After Winter Break
Monday Morning 1/8/2018 at 8:30 AM.
After 2 weeks break from Mitchell school, I took William to school, he cried and did not want to leave his car seat when we got to school.
I asked, “Don’t you want to see Mrs. Hana? Mrs. Hama really wants to see you.”
He said “No”.
So I asked “How about Ms. Susan?, do you want to see Ms. Hana or Susan?”.
To my surprise, he said “Susan”‘!
“OK then, let’s go to see Mrs. Susan.”
He got off the car seat and let me put him in the stroller, so I took him to his classroom. When we approached the room 309, he cried again and refused to go in. It just happened that Ms. Susan took another kid to the other classroom. I asked, “Do you want to go to that room?”
He said, “Yes” and got off his stroller and ran after Ms. Susan! I was so surprised. All the time I thought Ms. Hana is his favorite :).
Tuesday Morning.
He cried just like yesterday and refused to get off his car seat. So I asked ” Do you want to see Ms. Susan?”. He said “Yes” again. It was raining lightly when we walked to the classroom. The water felt on his face and he smiled, I think he found that was fun.
Another Day at Day Care
Thursday 8:30 AM, I dropped him off a the day care; he reached to the doorbell located on the left side of the school door as usual (even thought we never hear the bell rings). He walked in thru the little door, hung up his lunch box in his designated hook and then walked out to the playground. He stood by the fence and watched as I drove the car away.
At the same time a mother dropped her son off; almost every kids at the school came up to him and said “Hi, Mathew!” while William was standing alone by the fence. I wish that some day William can be that “Mathew”,; at least he can have some friends to hang out and that he won’t be feeling lonely.
Medi-Cal System Is Not Updated
Tues 1/3/2018
For the past month we could not get medication for William; when we came to the pharmacy, their system shows Williams has active coverage with Anthem BlueCross thus they cannot use Medi-cal. The billing lady at the doctor office told us the same thing.
I was so surprised because we requested to remove William out of Tim’s policy few months back when we got Medi-cal. So I had Tim to talk to his HR again. Not sure if they did not do it that time or it just took that long to be effective. Finally it shows up as in-active at Anthem web site on Dec, with the Ended Date is 11/1/2017.
I thought the Medi-cal system would update automatically so I gave it 2 weeks to come to the pharmacy again; and guess what? The status is still active!
So I called Cal-Optima, they said I have to send in the Termination Letter from Anthem before they can TEMPORARILY REMOVE William’s insurance so that I can get medication for William; but this is just temporary. To PERMANENTLY remove insurance, we need to contact Social Service.
So I called Ms. Juliana from Medi-Cal office; she was our Medi-cal case manager. She said that we no longer have a specific case worker, we need call the Medi-cal number.
So I called the Medi-Cal number Ms. Juliana provided (waiting time was 1 hour, I left the phone number and they called back). The lady temporarily remove William’s insurance so that we can get medication for William but she said that we still need to send in the termination letter from Anthem so that it can be permanently removed. She said the system gets updated by the State so she has no control over it. She removed it temporarily but the state will put it back unless it’s permanently updated by the state.
Later in the evening, I asked the pharmacy, and they said the system is still not updated!
Thursday 1/4/2018
8:10 AM We called Anthem requesting the termination letter. It took about 20 minutes, finally I got the letter sent to me via email. It’s a 2 step authentication process to open the pdf file: From the email, clicking on the link to register (name, email, password, etc. ) then it’d load the pdf file after account is created. When opening the file it’d ask for password, which is given to me by the Anthem rep. It’s Anthem1234.
12:00 PM I came to Staples to fax the termination letter to Cal Optima and Medical. I tried both fax numbers given to me by the lady at the Medi-cal but they all failed. So I went to Medi-cal website to get a fax number and faxed to that. I also faxed to CalOptima.
Friday 1/5/2018
10 AM I called CalOptima, it took 15 minutes for the rep to find our fax; then she said she temporarily update the system so that William can get his medication.
12:00 PM I came to the Social Security office because no-one from Medi-cal office returned my call. The front desk said for this I need to see a case worker; so I waited for 1 hour and 10 minutes to see one. His name is Alex. He checked the system and said that the system was still not updated! I was so disappointed because I just talked to CalOptima 2 hours ago, and she assured me that it was temporarily updated. At this point, I really felt that I can’t trust what people say anymore.
Alex said he would email Sacramento and once they receive the email, they’d process it within 24 hours, which means by Tuesday the system should be updated. He also said he’d try to see if he can temporarily remove the insurance; he’d call me in 30 minutes to let me know.
So I went back to work; Half hour later Alex called and said that he was able to remove BlueCross insurance temporarily.
Monday 1/8/2018
A case worker returned my call! She confirmed that BlueCross doesn’t show up in the state system anymore. I called CalOptima to confirm, Molly said the same thing.
Tues 1/9/2018
So I asked our pharmacist to check, he still could not bill Medi-cal!
5:00 PM. I called CalOptima, talked to Molly again; and she still said the same thing. William’s record only shows United Care Group which is the group that I selected from Cal-Optima.
So at this point I really don’t know what else to do. Everyone from Medi-cal and CalOptima said there’s no private insurance in William record but the pharmacist still cannot bill Medi-cal; which means I still cannot get medication for my son. Unbelievable!
The pharmacist suggested that we call United Care Group.
Fri 2/2/2018
I called Cal-Optima, they confirmed that the BlueCross Health Insurance is no longer listed in the system. I’m so happy that this is finally taken care of.
Love Playing With The Sand
Wed 8:30 AM; William went straight to the sand box right after I dropped him off. Everyone says he loves to play with the sand. He used the Lego block that he took from home to scoop up the sand. At some point he almost lied on the sand; now the sand is all over his jacket & pants. (He always takes 1 thing with him to school but never brings it back)
I was about to leave when I saw this boy Zackerie tried to take the Lego away from William’s hand. William refused to give it, so Zackerie kicked the sand toward William. Mrs. Rose Mary & Nancy were there but they didn’t see that scene. I waved my hand and approached William. Mrs. Nancy saw me waving so she came to me and asking what’s wrong. I told her what just happened. She said “Don’t worry, I’ll keep an eye on him”; and turned to Zackerie who was still hanging around the sand box, “This is William’s mom; Be nice to your friend, ok?”
I heard stories from Ms. Annie, Han & Celestie about some kids at this day care are not nice to William. Some twins don’t want to share, they block the slide so that William can’t use it. And Dominique always picks on William. This is the first time that I saw it with my own eyes.
This is a small environment and William doesn’t fit it well, how can he survive in Kinder Garden, which will be next year because he’s 4 now? As a Mom I’m feel worried and sad.
First Day Back to Day Care After Holidays Break
Morning Day 2 of the New Year, 2018; I have to work so I took William to Children World Preschool (Mitchell school is still on break until Jan 8, 2018 so William will spend his time at the day care full day this whole week).
ABEST still have not received the authorization from Cal-Optima for William’s ABA services yet so there won’t be any Behavioral Technician coming to the daycare for William. 2 months contract with Magellan has ended on 12/31/2017 so ABEST is waiting for the new contract from Cal-Optima because Magellan is not handling ABA services anymore as of 1/1/2018. If ABEST doesn’t receive the new contract soon, William will no longer receive any ABA services at the day care; However the sessions at home is still on.
I hope ABEST will receive the new contract soon; otherwise William will spend the whole day at the daycare without any BT to help him.