North Carolina
Treadmill trouble: A mother’s battle for special needs coverage in North Carolina
CHARLOTTE, N.C. (WBTV) – A mom calling for change after an exhausting battle to get her particular wants daughter a treadmill. Our WBTV Investigates Group is digging for solutions about what went mistaken with the approval course of for her insurance coverage, the brand new managed care group in Mecklenburg County.
The pandemic wasn’t sort to Rachelle Phillipe, who goes by Chelley, in keeping with her mom Marie Phillipe.
“She was unable to exit in the neighborhood as a result of she was not as lively as she was previous to COVID she gained weight,” Marie Phillipe stated
Chelley is particular wants and is on the NC Improvements Waiver. It’s serviced by Mecklenburg County’s new managed care group Alliance Well being, which took over for Cardinal Improvements.
“She will get caretakers that principally assist me take care of her throughout the day,” Phillipe stated.
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“She’s obtained individuals who truly advocate for her.”
However the weight was a little bit of an issue. With some assist, Phillipe discovered part of the coverage that may give Rachelle $2,000 to purchase a treadmill.
“It shouldn’t have been an issue,” Phillipe stated.
Phillipe was denied twice, regardless that she says her claims happy all the necessities within the coverage, together with a physician’s observe prescribing the treadmill.
“They stored giving me different insurance policies which I knew didn’t apply and I stated if you happen to guys simply give me a name, we are able to talk about this. I pleaded for individuals to name me, and so they refused,” Phillipe stated.
However Phillipe made calls and emails, together with to Mecklenburg’s Assistant County Supervisor, Anthony Trotman. She by no means heard again however the ball obtained rolling and Rachelle obtained the approval to purchase the treadmill.
However curiously, they requested her to discover a cheaper possibility, regardless that that’s not talked about within the coverage.
“They instructed me to seek out one thing that was $1,000, which I don’t know why would that be even crucial. I imply, it didn’t make any sense to me,” Phillipe stated.
Phillipe should undergo Alliance’s “Utilization Administration” to get approval. And in keeping with exterior high quality opinions executed by the Carolinas Heart for Medical Excellence, Alliance has “weaknesses” 12 months after 12 months in that class. That features deficiencies in monitoring and evaluating sure purchasers and inconsistencies in procedures and handbooks.
As a result of Phillipe stored making calls and sending emails, NC Medicaid required new coaching for Alliance and each LME/MCO to familiarize with the Improvements Waiver insurance policies.
However Phillipe stated she’s sharing her story so different households know to maintain combating and to succeed in out for assist.
“I worry for individuals who actually don’t have a voice on this or don’t know precisely what to do to advocate for his or her for his or her youngsters,” Phillipe stated.
“I do wish to make noise in order that different households can hear these tales and that they know don’t surrender simply because they are saying no, there are alternatives on the market.”
WBTV reached out to Alliance. In an electronic mail, they refused to reply most of our questions citing HIPAA however did reply our questions on what they’re doing to forestall this once more writing – “All Utilization Administration employees members are accountable for collaborating in Inter-Rater Reliability actions and practices. The State supplies technical help and help concerning medical protection insurance policies when wanted or requested.”
In case you’re combating discovering particular wants help in North Carolina attain out to the WBTV Investigates Group and share your story. You’ll be able to electronic mail us at investigates@wbtv.com.
Copyright 2022 WBTV. All rights reserved.
North Carolina
Vigil held to protest expected veto override of North Carolina immigration bill HB 10
RALEIGH, N.C. (WTVD) — A vigil was held outside the state legislature to protest HB 10 — the bill changing the laws on how North Carolina’s sheriffs will need to process undocumented people that they’ve arrested.
That bill, vetoed by Governor Cooper in September, is expected to be overridden by the state’s Republican supermajority this week.
The vigil came just hours after President-elect Donald Trump took to social media, confirming that he would declare a national emergency and use the military to carry out the mass deportations he promised along the campaign trail.
“Where there is injustice we will stand, we will push back,” said Ana Ilarazza-Blackburn, founder of Women Leading Together and an organizer for El Colectivo.
Ilarazza-Blackburn’s been a vocal critic of HB 10 and made the drive up to Monday’s event from Moore County. She said she was stunned by the President-elect’s post about a national emergency on social media.
“It blows my mind. I never thought our country would come to this,” she said.
HB 10 would require North Carolina Sheriffs to follow new protocols should they learn someone who they’ve arrested is undocumented. It requires those sheriffs — once a court order has been issued — to keep those undocumented people in custody until federal agents from ICE can step in. It’s a law that advocates in the immigrant community say will devastate trust among North Carolina’s Latino community.
“What humane, civilized society targets at a community that has helped build them? Where’s the empathy for that and where’s the moral in that?” asked Ilarraza-Blackburn.
Willie Rowe and Clarence Birkhead, Sheriffs of Wake and Durham counties respectively, have publicly spoken out against HB 10 — arguing it takes away their ability to determine how to best serve their communities. Neither sheriff was available to comment for this story.
Conversely, the North Carolina Sheriffs’ Association supports the latest version of HB 10, saying:
“The Association appreciates the legislature for its willingness not to impose onerous recordkeeping requirements on our state’s 100 sheriffs; and not to interject the Attorney General into these judicial matters.”
Monday’s vigil in opposition to that bill — attended by dozens of advocates for North Carolina’s Latino and immigrant communities — stuck a different tone.
“We can see the different ways that the attacks and the racism and the anti-immigrant sentiment is going to be more out there,” said Pilar Rocha-Goldberg, CEO of El Centro Hispano.
Rocha-Goldberg said they’ll continue to organize despite the news out of Washington on Monday.
“We saw it in the past. We saw it here, ice coming to take people from our community with really not the right way to do it. So, yeah, we are very concerned about that,” she said.
Copyright © 2024 WTVD-TV. All Rights Reserved.
North Carolina
Residential explosion leaves elderly couple injured, house severely damaged: See aftermath
Explosion under investigation in North Carolina neighborhood
An explosion damaged part of a North Carolina home. The owners are in “stable condition,” according to officials.
Officials are investigating a residential explosion that left an elderly couple injured in a North Carolina neighborhood on Sunday.
First responders were called to a home in Weddington, North Carolina on Sunday morning after multiple 911 reports of a large explosion, according to a Union County Government news release. The home sustained “severe damage,” according a statement from the Union County Sheriff’s Office.
Weddington is located about 20 miles south of Charlotte, North Carolina.
The elderly couple who lived in the home were injured, but both are expected to make a full recovery, according to the news release. The 82-year-old man sustained burn injuries and was in stable condition at a burn center, as of Sunday. His 83-year-old wife was treated at a local hospital and has been released.
“We are thankful for the swift and coordinated response from our first responder community,” Jon Williams, Union County fire marshal, said in the news release. “Our thoughts are with the couple and their family as they begin their recovery.”
The cause of the explosion remains under investigation, which is being led by the Union County Fire Marshal’s Office.
Greta Cross is a national trending reporter at USA TODAY. Follow her on X and Instagram @gretalcross. Story idea? Email her at gcross@gannett.com.
North Carolina
2 are injured in North Carolina house explosion
WEDDINGTON, N.C. (AP) — A house exploded and caught fire in suburban Charlotte, North Carolina, injuring two people, authorities said.
Reports came in Sunday morning of an explosion at a home in Weddington that was felt across Union County, the sheriff’s office said. First responders found severe damage to part of a home.
A man who was inside when the explosion happened was burned and taken to a hospital in Winston-Salem, where he was stable Sunday night, officials said. His wife was treated at a hospital and released, officials said. Both were expected to fully recover.
County officials said they believed the explosion was accidental, but the investigation continues.
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