Dear Governor Snyder:
You campaign on your business acumen, but your business leadership is not reflected in the operation of Department of Human Services. Medicaid applications for nursing home residents can languish for months, despite the urgency of determining eligibility. The 45-day standard of promptness is like “fresh fish” in a supermarket. It is advertised as “fresh fish” and they say that the fish they are selling is fresh, but you sure as Hell don’t see it very often.
When families and facilities have unreasonably long waits for eligibility to be determined, both sides are injured. Families are traumatized by rejections for residency and eviction threats. They are often forced into undesirable placements. Care at the facilities is impaired due to lack of payment for residents. Facilities try to deal with the problem by illegally turning away “Medicaid-pending” applicants.
DHS is understaffed due to budget cuts, but that only goes so far as an excuse for failing to perform the mission. Furthermore, there is no uniformity in how various offices handle the workload. In some offices, cases languish for months, ignored by workers who claim they are unable to get to them. In other offices workers subject applications to withering examination, demanding five years of bank statements and flyspecking the transactions to punish the applicant for giving her grandchildren birthday presents or tithing.
Department of Human Services workers have no respect for deadlines, but they will deny an application if the applicant misses by a day the due date for submitting a document. This is especially problematic when a request for verification, which is supposed to have a ten-day window, is not mailed for three or four days after it is dated. Applicants often have as little as three days to provide a document.
All of the above is “business as usual” at DHS. If a law firm blew off deadlines and mishandled paperwork they way DHS does, the lawyers would lose their licenses to practice law. If a hospital operated that way, it would be promptly lose its accreditation. However, that is not what this letter is about.
This law firm has been handling Medicaid matters for 25 years, but recent problems with emailed and faxed communications set a new standard of bureaucratic malfeasance. After months of delays, waiting for two particular workers to respond to emailed documents, it was determined that those workers had left the agency months before and nothing was done with their email. A denial with one worker’s name and contact information on it was mailed out in August, but the worker had left the agency in April.
The email accounts were not even terminated, so there was no notice from the email server to let the sender know the mail was not received. It was as if the worker had walked off the job and all subsequent mail was shredded.
Email is now official correspondence. Staff often email requests for verification and other important notices. For DHS to fail to have a terminated worker’s email forwarded to a successor worker or a clerical worker for forwarding to the proper person is unpardonable. It especially egregious considering how easy it is to re-route email.
It is also common for email addressed to the wrong person to be ignored. State employees must be instructed to treat communication from citizens with respect and at least reply with the message that the correspondence was improperly addressed.
The Department should take immediate steps to ensure that correspondence, including email, addressed to a terminated employee or sent to the wrong employee is properly forwarded or the sender advised of the mistake. Failure to do so is official misconduct.
John B. Payne, Attorney
Garrison LawHouse, PC
Dearborn, Michigan 313.563.4900
Pittsburgh, Pennsylvania 800.220.7200
©2014 John B. Payne, Attorney