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Veteran Member

Date Joined Apr 2010
Total Posts : 2265
   Posted 12/29/2011 4:47 PM (GMT -6)   
Hi everyone I have medicaid transportation to take me to my doctor appointments. I called Monday to schedule a pickup for my pcp appointment yesterday. They told me I couldn't be transported there because my limit is 11,42 miles or something like that, and my doctor is less than a mile past that. I had been told this before, and I called medicaid transportation and it got approved, so I thought it was approved for now on. Nope, just that one time.

So I called my doctor's office to get my doctor to send a letter saying that I have to go there because she prescribes my pain meds. I got a letter today from her (my doctor) saying that she can't send that letter because it's not a medical reason.

Now I have to find another pcp and I'm so scared that I won't find one that will be willing to prescribe my meds. I'm so upset. I'm scared.

She (my doctor) said that " she has my pain management records for a new primary doctor to review, so they will be able to write my Chronic Pain medications". She continues with " Please let our office know what we can do to make that transition as easy as possible"

Easy. I don't see it being easy. Could you all please give me some advise on what you would do? I sure would appreciate it. Thank you.

Dx: osteoarthritis, bursitis in left hip, Osteoarthrits in right hip, compression fracture in thoracic spine due to falling on frozen ground March 2001 , ddd, spinal stenosis, bone spurs, osteoarthritis in spine, osteoarthritis in both knees
Meds: Fentanyl patch, oxycodone, otc: BenGay, Tylenol Arthritis on occasion

Veteran Member

Date Joined Dec 2008
Total Posts : 2386
   Posted 12/29/2011 5:19 PM (GMT -6)   
Funny, the medical transporation hates me when I book my rides. If there's a loop hole, I will find it guranteed! Ok, I think PCP is not clearly understanding. If you have the medical transport send their paperwork to her and see what happens. If PCP doesn't fill it out, she doesn't think you need to be her patient. If she fills it out, saying "yes this person does need this kind of care and this is the nearest from the patients home" then you win the transport.
Here's an example: Get your handbook out. Look up what the rule is, if it is anything like the Medicaid we use to have here, it stated From an address to a medical clinic, pharmacy or hospital and back to an address. Well, You see, my medical transport changed their their policy because it NEVER said WHAT address, so I'd have a friend take me within my milage and drop me off 30 minutes before my ride to take me the rest of the way

Ie: I am 3 miles over my mileage to get to Dr. Elmo
so I have my friend drive me to the Library which is within the area of milage
to get transport. I arrive to Library Early, get on the medical transport, then have them take me back.

I challenged my medical transportation for a year before they changed their policy stating it has to be from your home address to a medical office/hospital/pharmacy.

Look for the loop holes.

Where are you at too? IF you are in oregon I'd suggest OHSU
"The Walking Medical Mystery"

Too many Allergies / Too many RXs & DXs

A Rare Gem for Doctors and Guinee Pig
~Medical Caregiver and Doctors Worse Nightmare~

Monty's Mom
Veteran Member

Date Joined Aug 2010
Total Posts : 664
   Posted 12/29/2011 5:23 PM (GMT -6)   
I am sorry you are having these troubles with Medicaid transportation. I have some of the same issues as well, and all of my doctors are out of their mileage range.
Finding a new pcp can be difficult sometimes. I would begin by getting a list of doctors that participate with your insurance plan. Then call each office and ask if they are accepting patients, and if they accept patients for management of chronic pain. There are many who won't. The other option is to ask your existing pcp if she knows of any colleagues in the area that would accepting new patients that require pain management. Then go from there.
I will pray for you, as this will not be an easy process. When I was in a position of not knowing who or how I was going to get treatment because my pcp was no longer able to help me, I had a lot of anxiety and worry. I am praying that you will get the pcp you need soon.

Good luck,
The worst sin towards our fellow creatures is not to hate them, but to be indifferent to them. That's the essence of inhumanity. George Bernard Shaw
Pelvic adhesive disease, IBS, SI dysfunction, arthritis, fibromyalgia, depression and anxiety, 11 pelvic surgeries for pain, adhesions, endometriosis, adenomyosis, ovarian cysts, and ovarian remnant syndrome.

spinal soldier
Veteran Member

Date Joined Dec 2009
Total Posts : 687
   Posted 12/29/2011 6:02 PM (GMT -6)   
what a joke, is it possible that more than 75% of medical providers are incompitant or cold. that is abandonment if i have ever heard it, you just needed one mile and that is your response, how stupid! i am sorry you have to deal with this, i was without transportation for a year and to "transition" may have been tough. i know it is best not to rock the boat but i may return a snail-mail letter and state you have been abandoned, i wonder how they would react, on he has some links to organizations that are advocates for pain patients, maybe complaining to them would get back to the doc, i sucks to even think about it so relax and have a restful evening.
L4,L5,S1 bilateral Laminectomies, Foraminotomies 2002
L4-S1 PLIF with instumentation 2008,

current Rx: MScontin 100mg q8hrs. , dilaudid 8mg q6hrs. prn, oxymorphone IR 10mg q6 ,vistaril 50mg prn nausea, Lyrica 150mg 2x,Adderall 20mgs 1x A.M. 10mg PM prn, Soma 350 mg 3X, Elavil 25 HS, diazepam 10mg bid prn, Supplements: CO-Q10 100mg, Vitamin D 1000IU, Fish-Oil1000mg EFA, B-Complex50 3x/day, ALA

Veteran Member

Date Joined Nov 2011
Total Posts : 615
   Posted 12/30/2011 1:47 AM (GMT -6)   
Loretta....I am so sorry to hear of your frustrations this just makes me angry...geez could they make your life anymore difficult. I do not live in the states so I am not much help when it comes to their rules and regulations. I would try and look for a loophole as Smurfy mentioned. I will keep you in my prayers and hope things work out for you. Try not to stress out too much (easier said then done I know). Take care and keep us posted...we are here for you!

Bless you, Amy
Chronic Pain(nerve), fibro, mild depression and a few others

Screaming Eagle
Veteran Member

Date Joined Sep 2009
Total Posts : 5005
   Posted 12/30/2011 10:43 AM (GMT -6)   
Loretta, I'm so sorry this has happened! Mindy has given you probably the best suggestions here, and I would not wait!…get on the phone now, and start searching.

I'm not quite sure I understand why your PCD dropped you so quickly, unless you have told her that you cannot use her anymore because of the milage problem. If I remember right your husband is a preacher at a local church?…cannot he ask for some help from someone there to transport you there and back once a month? I certainly would do this for you if I lived closer!

I'm at a loss for you….but there has to be an agency that can help somewhere. Maybe ask the mangers of the complex that you stay at…and see if they have any suggestions. If you can find transportation, will your PCD continue to treat you?

Moderator Chronic Pain Forum

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Post Edited (Screaming Eagle) : 12/30/2011 8:49:07 AM (GMT-7)

Veteran Member

Date Joined Oct 2008
Total Posts : 2024
   Posted 12/30/2011 1:12 PM (GMT -6)   
Gosh so sorry you are having to go thru all this Loretta. Why won't your doc see you anymore? What is this world coming to? There must be some organization or something out there that can help you getting to your appt. I sure hope you are able to get all this straightened out. Do you have any friends that could give you a ride or like Michael says, someone from your church i am sure would be willing to help you.

Hang in there and let us know how it all works out.

Veteran Member

Date Joined Apr 2010
Total Posts : 2265
   Posted 12/30/2011 9:03 PM (GMT -6)   
Thank you all that replied. Michael, I know you would transport me there, no questions asked, and I really do thank you for it *hugs*

I can't see my pcp because her office is just under a mile further than the 11 miles I'm allowed with Medicaid transportation. My doctor wouldn't send a letter to Medicaid transportation that I need to come and see her because she prescribes my pain medication. She said that it has to be a medical reason, not just that she is prescribing my pain meds.

I'm approved for Medicaid transportation until 1/31/2012. I sent her the papers asking her to fill the papers out to get me approved for the next 6 months. She did the last time, so I think she will do that for me. I sent those before I found out that she wouldn't send the other letter. I haven't heard anything, so I'm assuming she's going to do it.

I plan to call Monday or Tuesday and see if she has filled them out and sent them in.

It really sucks that this is happening. It's crazy that she is less than a mile past than what I'm allowed.

I talked to my counselor today. My doctor that I see now is in a clinic and the same clinic is here in the city or town that I live in. She advised that I get her to transfer my files to that clinic. She said it would be a lot easier and that they would know of my doctor and would be more likely to prescribe my pain meds.

I hope this clears things up a bit better. I hope everyone is having a low pain evening. I'm not. It's raining here and the stress added on, it isn't good. Take care.

Dx: osteoarthritis, bursitis in left hip, Osteoarthrits in right hip, compression fracture in thoracic spine due to falling on frozen ground March 2001 , ddd, spinal stenosis, bone spurs, osteoarthritis in spine, osteoarthritis in both knees
Meds: Fentanyl patch, oxycodone, otc: BenGay, Tylenol Arthritis on occasion
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