#Masshealth

[officialmvrhs]

If you're on Masshealth that automatically makes you the hottest coolest funniest girl alive I'm sorry but I don't make the rules.

[manleycollins]

Journal Entry #68 - One Tough Cookie...Never Break Character, Flawless Integrity since the Year I was Born

JOURNAL ENTRY #68 Name: Manley M Collins Social Security Number: 5 7 9 – * * – 6 5 4 1 Date of Birth: 06/21 Place of Birth: Washington, District of Columbia Country of Birth: United States of America Date: August 2, 2021

TOPIC: One Tough Cookie…Never Break Character, Flawless Integrity since the Year I was Born

Remembering the quote from my biological father, Mr. Manley Rochelle Nolen, "It does not matter where you are in the world." and my 2021 thought rebuttal, "You made a difference already the day you were born, life wants to see you do it."

I tried to get my money back regarding Lyft's CitiBike, but only was able to get a partial refund. I learn the new rules regarding credit and debit cards are put in place regarding 90 days or less to get refund and the responsibility is to work with the merchant first and second tries, then the bank or credit card company for the third try. There are most likely no refunds after sixty (60) days.

It was tax time again to file my Internal Revenue Service (IRS). I always file it paper because it does something to and overrides the another party that files as well.

I explored WeWork office location at 200 Berkeley St. I got the full tour plus they do mail and printing, too. They lacked storage lockers for the lower memberships. They did offer plenty for office space and open workspace. I explored based on the reason of potentially having another office job or desk job. I was ready, but the job offers never panned out.

I researched and purchased Warner Bros. Mortal Kombat 11 for my PC and smartphones, and watched the movie.

I saw a new book and skimmed through named, "The Power of Habit." Charles Duhigg (he went to Yale and Harvard). I never purchased the book because if you read through my blogs and see how I tried to be apart of them, the ivy leagues did not let me in so I began disconnecting and stop supporting or throwing my money at the ivy leagues ecosystem. I cannot stop all of it, but the ones I can read or see the credentials.

Boston Housing Authority Zero Income Statement validity.

I met with Crunch Fitness Regional GX Manager to possibly teaching there and the new locations. The Regional GX Manager gave the encouragement to get NASM AFAA Group Fitness Instructor certification. I renewed my membership with Planet Fitness, but added Crunch Fitness because of the ability to bodybuild or powerlift with higher weights and group fitness classes. The Regional GX Manager stated Crunch did not accept IFTA certificates.

I took advantage of the Planet Fitness's Rockbot. The staff and I had fun liking and disliking each other's song played. I went through almost the entire catalog of songs, especially holiday themed stuff and Sunday/Saturday had the gospel. Every Massachusetts Planet Fitness knew I was in the building when I came in with Kelis 'Milkshake', Megan Thee Stallion 'Body', Justin Bieber 'Yummy', Drake 'Sticky', Shakira 'Waka Waka', or Martin Solveig '+1', 'Do It Right' and 'Places'

When Walmart is unavailable, of course, I go to the local Target in Boston or Cambridge. CVS Pharmacy always get me with the coupons in email and on the app.

I had to temporarily serve as a process server for Defendants in lawsuits. Cook County Sheriff's office plus ProofServe helped served the Chicago area of Defendants. I did like the electronic automation system. ProofServe also helped served the Boston area of Defendants. ProofServe was darn sure cheaper than ABC Legal, which tried have you make a mortgage or car payment to have someone served, thus maxing out my DiscoverCard.

I had a dental appointment with Trinity Dental, but from the dental exam I could not get my teeth cleaning because of long-term infections, but had really good tooth pulled (extracted) for one infection and still not teeth cleaned. I was referred to a specialist for dental work I did not want to examine how get the other long-term infection (root canal).

Therapy and Psychiatrist with Arbour Counseling Services topics were (Previous Journal topics - I just was repeating them to new people verbally)

Something changed Sunday, July 26, 2021 - relaxed and released feeling Energy up Remembered South Carolina dietary needs

Email communications Fitness up - meaning running for 1.5 hours and upping speeds

Negative energy all week Relationship closure Calculating years since last relationship Money New York and Illinois Barnes and Noble Boston - Fiction largest section Spoke with a long time recruiter - Teksystems Email clean out and Defense Department attempting to recruit for a return Realizing with Crunch fitness scale confirming with clinic that I am overweight

Boston Copley Square library computers go down or offline. Almost done with 2019. Recruiters calling for opportunities Good week Discovered what glucose numbers look like without fasting Walmart errand and got so much more stuff Walking 11-20 miles per day Laundromat closed

Adjustment to new Caplyta medication - dizziness, nausea, little panic attack, body temperature/libido rose, then sedation. Still able to function. Mellow emotions

Discovered the inactive online policy drives -freeze files and delete the storage after two years of inactivity. Same policy for email.

All this schizophrenic activity makes me upset and angry.

AT&T, Verizon, Google, and Flickr are some companies at a reasonable price makes sense for appropriate storage and use.

The Power of Habit - Charles Duhigg (went to Yale and Harvard) - is a turn off.

Victim, Supporter, Helper, Doer position is becoming annoying.

Loss of shift/job role from Federal Express for business reasons and because of extended leave.

Sexual life - parents have children, then start messing around, then get HIV/AIDS as a penalty…not a scientific statement, but based on meeting parents with children who have divorced or separated.

MGH Psychiatrist starts suggesting trying for third time in obtaining Social Security.

Chicago lawsuit Thinking of ways to give the money back from the source it comes from American Psychological Association webinar Artificial Intelligence - Siri and Google Assistant Federal Express Harvard Business Review Fighting for me - DOD and Federal Express Promising future in the gym and sports world - I have never thought being a sports agent. Cities and States Laws, Rules, and Reality Experienced and educated out the technology world. Recruiters only fought to put in position and never gave feedback at the time of release for self-improvement.

New recruitment websites for freelancers or post-pandemic world Cussing or using foul language more Commencement no cheers - happy feeling

Reading Fortune magazine Walgreens Boots Alliance CEO black woman Rosalind Brewer To be a Fortune 500 CEO, you have to know someone or come up through the ranks.

Reading Bloomberg Businessweek October 11, 2021 issue secret Disney article to the rear of the magazine made me laugh hysterically on Sunday

MGH Psychiatrist Thoughts: Do I have any thoughts on running for Mayor or President of the United States?

Obama, Kamala, and African-American/minority leaders are paving the way and making it more realistic. I know I have the skills and talent to do the position, but to make it real for me - for Mayor, I need one (1) million solid supports and voters or 70% of the entire voting rolls, plus 1 million dollars to run so that is $1.00 per person. For Governor, I need 70% of the entire voting rolls and $10.00 per voter. For President, I need solid 100 million voters to assure the win and $100 million dollars to start fundraising, which is $1.00 per person. This would make it realistic for me in The United States of America. I need my education debt paid for because I cannot or plan to go to Harvard University in getting more debt.

Otherwise, my realistic plans is my reality to do France and rise through the ranks to the Elyees Palace with family and all. I am not dumb, but only try once. France is my current focus. I can let go my rage and anger against America or the emotions created from life experiences.

After seeing candidates go into debt for position, I will never do.

Other Topics from Summer and Fall of 2021:

With the current set of lawsuits, I started requesting audits of the cases.

My University of Phoenix commencement card came in the United States Postal Service mail. When I got to Atlanta and saw the jumbotron, the card indicates how to introduce me on stage. It was impressive. I went to the Sanctuary nightclub at 3209 Paces Ferry Place NW, Atlanta, GA. I did not make it to MJQ Concourse club. I went to Atlanta Public Library and use their computers. I had a new Atlanta hairstylist who did my hair. My commencement was livestream via YouTube…so impressive. Check my photoblogs for the actual pictures. I did celebrate with my Rho Kappa Lambda Chapter of Alpha Phi Alpha fraternity brothers during commencement weekend.

MGH Psychiatrist starts suggesting trying for third time in obtaining Social Security.

New blogging sites, such as Reddit, Medium, and Mastodon, but they did not like repeat or already published information. They are expecting blogs or writing with a twist, creative writing, or alternative truth.

I earned Busuu McGraw Hill French level certificates.

I researched for The Hartford Small Business Insurance again for group fitness and personal training insurance, and Small Business coverage too.

UberEats and DoorDash increases deliveries because students were returning and peaked because I hibernate during the winter. During the winter, there are no deliveries.

I began my research in VISAs to the European Union and how to make the most of 90 days to make it a one-way trip.

Apple impressed me with AppleCare program for repairing the front glass of the iPhone. Belkin Invisiglass was very good, but was taking on a lot of beating. Belkin replaced one out of four registered purchases. It was not cheap protecting the Apple iPhone.

I participated with Snow Companies and Gilead Advisory Board.

I did order Walmart using DoorDash.

I used UberEats to deliver my meals.

I signed up for a Cannabis Delivery Driver, but they did not allow footwalkers or bike so you had to have a vehicle with insurance.

I had to renew my Massachusetts SNAP or Food Stamps with Massachusetts Department of Transition Assistance.

I had to renew my MassHealth (BMC Community Health Plan) with Massachusetts Department of Transition Assistance.

I donated to Massachusetts General Hospital, St. Francis House, and Pine Street Inn.

I did not win the Massachusetts VaxMillions giveaway, but registered.

I had my second Federal Express Fitness for Duty Evaluation.

I participated with Centers for Disease Control VAERS and vaccine safety programs in giving feedback on the COVID-19 vaccination process.

Other organizations, such as St. Francis House, Pine Street Inn, Crunch Fitness, and Planet Fitness, tried to continue the assaults or touching after Federal Express and BPHC Southampton. Stay on lookout for 2022 posts on how I am handling those organizations (South Carolina, Georgia, and Washington, DC know what I do).

[brianbarreira]

Minimum Monthly Maintenance Needs Allowance for Nursing Home Resident’s Spouse Increased to $2,288.75 during 7/1/2022-6/30/2023

When one spouse is living in a nursing home and the other spouse is living anywhere else, the spouse who is not living in the nursing home (known under Medicaid and MassHealth law as the “community spouse”) is allowed by Medicaid or MassHealth to keep some (or sometimes all) of the nursing home resident’s income through an income allowance known as the Minimum Monthly Maintenance Needs Allowance…

[bbarreira6]

Minimum Monthly Maintenance Needs Allowance for Nursing Home Resident’s Spouse Increased to $2,288.75 during 7/1/2022-6/30/2023

When one spouse is living in a nursing home and the other spouse is living anywhere else, the spouse who is not living in the nursing home (known under Medicaid and MassHealth law as the “community spouse”) is allowed by Medicaid or MassHealth to keep some (or sometimes all) of the nursing home resident’s income through an income allowance known as the Minimum Monthly Maintenance Needs Allowance…

[mildmayfoxe]

sometimes i think about that thing that’s like “the normal amount of pain is none” and like… that can’t be true. there’s no way! you’re telling me that there are people out there who aren’t in pain? i just don’t believe it

[the-twitchy-life]

Alright. So I have a question. If anti-epileptics only work on epileptic seizures, then they wouldn’t work on psychogenic non-epileptic seizures right?

Cuz my current neuro isn’t taking into account that my seizures have been reduced with this medication and have taken to a cyclical pattern. But she can’t diagnose me with anything until I can get into an EMU. Which I am VERY poor and can’t afford the hospital bill.

This is the same neuro who was all gung-ho about confirming these as epileptic seizures until I told her I had mental illnesses. But that these weren’t caused by that and that I’ve also had myoclonic jerks since as long as I could remember.

At what point do neuros actually look at evidence? Because I can barely afford to see her as is. I’m not the type of person to say that I know more than the doctor. But she’s not LIVING this and it REALLY undermines my experiences when she was all “well until you get into the EMU, you should probably find a therapist”.,

So, most neuros will diagnose you and treat you with just an EEG- an outpatient procedure that takes a few hours, but is gonna be a hell of a lot cheaper than an inpatient EEG/EMU.

And while seeing a therapist is a great idea (like, just generally for life), it sounds like you need a new neurologist. Get a referral from your primary care if you need, but you should see someone who actually will treat you.

I'm not sure about the functioning of all anticonvulsants, but many of them work on multiple kinds of seizures/conditions. My mom and I took the same med for a while- her for migraines, me for seizures. Keppra is used for certain psychological conditions, as well as seizures. They're not epilepsy-specific. But if they're helping you, that's something to be celebrated!

Your epileptologist is being a jerk. If they're the only epileptologist in town, you might be better off with someone less-qualified who takes you seriously.

That said, it might be possible to get that EMU visit way, way cheaper. Potentially free. Depending on your income bracket, if you can't pay something then your hospital might have to just forgive it. I'm a little foggy on the details bc I live in Massachusetts, but call their finance office.

[roseband]

guys guys guys guys.... GUYS 

nys re-enrolled all essential plan ppl until nov 2023 im SO HAPPY!!!!!!!!!!!!!!!!!!!!!!!!!!!!

[general-george-washington]

Maybe being broke isn't so bad

[clamorybus]

fuck it, i'm signing up for insurance just to get a breast reduction

[officialmvrhs]

The loser-coded teenage brain was not meant to comprehend notes

[justonefeather]

Mmmmhhhhhh I've felt Bad for days and idk what the problem is, anxiety? Maybe? My chest hurts and I'm tired and I'm nauseous and I *am* nervous but idk why, maybe it's just high stress.. I also kinda feel like I'm dying but. Yk. What's new right?

[dihalect]

i am starting my first real, full-time, big-boy job soon. which is great and all. but i won’t be eligible for medicaid anymore. and i’ve been looking at my employer’s health insurance options — which are all relatively solid — and they all suck absolute ass!!!

[20westlegal]

Ask Me Anything "EPISODE 26" | Erica Endyke

Question: How do I get the government to come in and pay for my nursing home care?

Answer: (0:25) These are questions I typically get from aging clients, so hopefully, this video will help clear some confusion and address some preliminary concerns.  

(0:36) First, nursing home care in Massachusetts is very expensive. It's estimated to cost between $14,000 and $16,000 a month.

You can see how this expensive, say, fifteen thousand dollars a month bill will quickly drain the life savings of a nursing home resident.

The government recognizes this and, in some instances, will provide assistance. This is through the Medicaid program in Massachusetts called MassHealth.

(1:16) The first criteria for eligibility are that, first of all, you must medically qualify, but second of all, you can only have two thousand dollars of assets in your name.

Essentially you need to be impoverished. And to meet this eligibility requirement, the government will frown hugely upon if you've given away all your assets right before you're about to enter a nursing home just so you can meet that two thousand dollar threshold.

(1:45) A lot of people will come to me, and they'll say, what do we do? How can we protect these assets?

We can create structures such as Irrevocable trusts wherein we shelter the assets that are placed inside the irrevocable trust from being countable towards that two thousand dollars.

(2:07) Let's give an example of maybe a Mom; she has a bank account with $250,000 in it.

One solution to preserving those assets from not being paid $15,000 and depleted each month to a nursing home is creating an irrevocable trust.

(2:28) You create a trust vehicle, transfer the bank account assets to the trust, and wait five years. There's a five-year look-back period you may all be familiar with. And after five years have passed, that $250,000 will not be counted towards the two thousand dollars of eligibility.

So that's just one strategy we employ; several others depending on the facts and circumstances of the individual or couple.

If you have any questions with regard to any of it, just reach out; happy to chat. Have a good day!

For more AMA videos, subscribe to us at https://bit.ly/20westlegalAMAvideos

"Protect what matters most, no matter what." . . .

[nephaelia]

it’s been over 6 months of daily headaches, most being migraines

[sailor-spaghetti]

Hey, so one alternative to testosterone injections I don't see talked about nearly enough is pellets. I see a lot about topical testosterone, but it's not always super viable for a lot of us. I was on the patch for several months and I keep a small stock of patches in case I'm not able to get my pellets on time, but they always gave me horrific rashes and I sweat so much they usually fall off after a couple of hours. And the gel risks being transferred to pets and kids and such.

Pellets do involve needles, but you aren't going to see them. You're usually lying on your stomach while the doctor implants them in your ass or upper thigh. If you have a good doctor, they'll tell you what they're doing or have a distracting conversation depending on what you need.

And they're great if you're like me and remembering your meds is difficult. You go to the doctor once every three months, you then take it easy for a day or two so the incision can heal, and then you just get to forget about it until it's time for another dose. Because it's a steady slow release over the course of a few months, you don't really get peaks and slumps the way you would with other doses (unless you're on the wrong dose or timetable, but that's something you figure out with your doctor through blood tests and the like).

It's not just an alternative to injections, it's just super convenient. And depending on your health insurance, it may be cheaper than other methods too. (I'm on MassHealth, meaning all medications have a $3.75 copay. But because it's an in-office procedure I'm able to waive that copay and get my hormones for free, no questions asked.)

It's also super easy to microdose if that's what you want to do because of the fact that they're a bunch of small-dose pellets rather than a single implant. And there's no removal either - they just dissolve under your skin to release the testosterone.

I feel like more transmascs need to be aware of the multitude of HRT options available to us because we're constantly being told about injections and occasionally gel or patches and that's it.

[adz]

it’s a shame that Masshealth doesn’t cover the daily pack of Newports i’d have to smoke to pass as a Boston cis woman in her 30s