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Texas Medicaid and Not Vaxing

On Health & Drugs & Medications » Vaccinations

8,581 words with 16 Comments; publish: Tue, 11 Dec 2007 00:39:00 GMT; (90078.13, « »)

Just a quick question. Since my children currently recieve medicaid in Texas they are required to have well child/baby checks, if you do not have these checks they can deny your medicaid case. These checks include immunizations. Anyone have experience refusing vax at these type of appointments? Can they take the children's medicaid away for not being immunized?

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  • 16 Comments
    • I don't know how it works in Texas, but they had the same "requirement" in Missouri. I have only taken my daughter to 1 well child--the initial newborn appointment. I have given her 1 vax (Hep B .vaccinations.questionfor.info. 1month because DH allowed it--he didn't realize he had the right to refuse for some reason. He's not allowed to take the children to the doctor by himself anymore). I get these stupid form letters in the mail all the time about well baby visits and vaxs, but they're come right out and said anything directly. I actually the Medicaid go last week because we now have regular insurance, but there's no way I would let myself be forced into vaccinating for any reason. I'd rather lose Medicaid than inject my child with poison.
      #1; Mon, 10 Dec 2007 06:55:00 GMT
    • Since my children currently recieve medicaid in Texas they are required to have well child/baby checks, if you do not have these checks they can deny your medicaid case.

      Absolutely not.

      Preventative care, including immunization, is not a condition of enrollment.

      #2; Mon, 10 Dec 2007 06:56:00 GMT
    • I agree. They sent a letter telling me that they would not renew the medicaid if I did not take my 12, 9 and 6 yr olds in for their "Texas Health Steps Exam". I will take them in, let the dr. look at them, but refuse any immunizations. I am just wondering how well that will go over. I don't think they are due for any. My 12 and 9 yr olds are fully vaxed (I didn't know better) and my 6 yr old has all but his 5 yr old immunizations. I am not taking in their immunization cards, if they request I bring them for the appointment I will just say I forgot them.

      There are exemptions in Texas for reasons of conscience including a religious belief or for medical reasons, so I don't see how they could legally deny medicaid on that fact alone.

      #3; Mon, 10 Dec 2007 06:57:00 GMT
    • Absolutely not.

      Preventative care, including immunization, is not a condition of enrollment.

      Can you please point me to something that says this?? I would LOVE to take it to the case worker. :mischief

      #4; Mon, 10 Dec 2007 06:58:00 GMT
    • Can you please point me to something that says this?? I would LOVE to take it to the case worker. :mischief

      I highly doubt you would find anything on Medicaid's website or handbooks stating anything like this because it wouldn't be necessary. Medicaid does not have any authority to force any participant to seek preventative care.

      When you say "caseworker," what do you mean? Do you mean for WIC?

      If anyone gives you a hard time, simply ask them to provide you with a copy of the federal or state law which states you must visit the doctor in order to be eligible for and/or maintain Medicaid coverage and also a copy of the section in the Medicaid handbook which states well baby visits are mandatory in order to maintain coverage.

      That's all you need to do. Trust me, she won't be able to locate anything.

      #5; Mon, 10 Dec 2007 06:59:00 GMT
    • The case worker is just the person that is handles my application and determining whether or not we qualify for medicaid. She actually had to type in that the children needed to have the check up under the comment section of the letter stating they are elegible.

      I guess case workers are now doctors.

      I think I will ask to see the paper work stating that they are required.

      Kasey

      #6; Mon, 10 Dec 2007 07:00:00 GMT
    • She actually had to type in that the children needed to have the check up under the comment section of the letter stating they are elegible.

      I think I will ask to see the paper work stating that they are required.

      If you have the letter handy, would you mind posting exactly what she typed in the comments section?

      #7; Mon, 10 Dec 2007 07:01:00 GMT
    • I am in California, so this may or may not help, but here goes...

      My husband works for the county we live in and was a caseworker for food stamps, but is now a supervisor for Medical. I have asked him about this before and he told me that while the paperwork does say that vaccines are mandantory (just like school paperwork says), that all a recipient would have to do to get out of vaxing their child, would be to bring in a copy of their exemption statement/form and have that entered into their file. They should not be able to deny your Medicaid when you have a legal reason to deny part of the service.

      Sadly, I think most case workers have never even questioned the validity of vaccines.

      #8; Mon, 10 Dec 2007 07:03:00 GMT
    • he told me that while the paperwork does say that vaccines are mandantory (just like school paperwork says), that all a recipient would have to do to get out of vaxing their child, would be to bring in a copy of their exemption statement/form and have that entered into their file.

      I'd love to see that paperwork your DH speaks of. Something tells me the phrases: immunizations are . . . mandatory, mandated, required for continued coverage, or a condition of enrollment" are not to be found on the eligibilty paperwork and application for enrollment.

      State medical insurance (or any sort of state aid, including WIC) cannot be denied and/or terminated for not following government recommendations and an exemption from immunization is not needed in order to qualify for aid in CA.

      It is well known that state social services agencies (including WIC) are encouraged to "persuade" (however which way) participants to follow AAP/CDC recommendations in order to raise immunization compliance rates. But that's all they are . . . recommendations . . . and they cannot be used as a condition of enrollment.

      #9; Mon, 10 Dec 2007 07:03:00 GMT
    • Yep, same here, they put pressure on us to get those well-child visits and vaxes done, but I don't and we're still getting our cards every month. Shoot, right after we were put on medicaid, and I was going to well-child, just having my doctor write that it was contraindicated (due to a vax reaction), turns out, the nurse kept forgetting to fill out the seperate form to turn into the state anyway!!
      #10; Mon, 10 Dec 2007 07:04:00 GMT
    • Yep, same here, they put pressure on us to get those well-child visits and vaxes done, but I don't and we're still getting our cards every month.

      :nod

      This is from a study I found on the federal Medicaid website which was conducted using California Medicaid recipients years ago regarding WBV and immunization compliance rates and Medicaid:

      http://new.cms.hhs.gov/apps/review/98summer/98Summerpg69.pdf

      Our findings suggest that continued vigilance is required regardless of the organization of medical care services to achieve the goal of the Secretary of Health and Human Services of 80 percent participation in EPSDT or the Healthy People 2000 goal of 90 percent of 2-year-olds up to date in their basic series childhood immunizations.

      Regarding WIC and immunization compliance:

      [P]reschool children in poverty continue to be significantly underimmunized. To reach these children, state immunization programs collaborate with the US Department of Agriculture’s Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), which is the single largest point of access to economically disadvantaged preschoolers.

      #11; Mon, 10 Dec 2007 07:05:00 GMT
    • I'm in texas, and heard this too - I'll have to poke around on the medicaid website and see where I found it.

      I'm wondering what happens if you file an exemption or ask for titres?

      I'm not totally anti-vax, but don't want to give them as early or as many as recommended. :duck:

      #13; Mon, 10 Dec 2007 07:08:00 GMT
    • If you want to avoid hassles, you can get an official "Vaccination Waiver" from the state. They will send you 5 at a time per child, and you just get them signed and stamped by a notary public. Here's the link for the instructions to get them

      http://www.dshs.state.tx.us/immunize/school/school_exclusion.shtm

      Each form is good for two years from the date of the notarization.

      #14; Mon, 10 Dec 2007 07:09:00 GMT
    • We've been on Medicaid off/on for three years. We've had absolutely no problems with not vaccinating our second child. We still go to the well-child checks, but we refuse to vaccinate. I think it's most important to find a pedi that will support you in your choice not to.
      #15; Mon, 10 Dec 2007 07:10:00 GMT
    • http://www.mothering.com/discussions/showthread.php?t=155312&highlight=texas+medicaid
      #16; Mon, 10 Dec 2007 07:11:00 GMT