Ombudsman intervenes to address woman’s “Catch 22″ Medicaid coverage issue

The Ombudsman routinely receives complaints about access to medical services through Medicaid. Recently a woman approached the Ombudsman in a case of a “Catch 22” with her Medicaid coverage. She already made an appeal through the State Hearings office which determined that her coverage was active in the system, but her local health maintenance organization says she is not and has denied coverage for her medications. She stated being unable to reach a representative at the Montgomery County Department of Job and Family Services (MCDJFS) and contacted the Ombudsman to intervene.