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Summit Independent Living Center, Inc.:  An Advocacy and Resource Center for Montanans with Disabilities.  Serving Western Montana Since 1981.

Newsletter Archives 2003

On This Page: January 2003 | April 2003 | July 2003 | October 2003
Other Editions: 2001 Archives | 2002 Archives | 2004 Archives | 2005 Archives | 2006 Archives |
Back to the current edition of The Summit Independent

January 2003

Legislature Tackles Budget Crisis | MYLF Update | Drug Industry Has Own Agenda | MRC to Expand Consumer Board | Social Security Changes for 2003 | How to Save on Medications | How to Contact Your Legislators | Montana Senate and House Presiding Officers | Current Western Montana Legislators | Youth Advisory Committee Issues IDEA Recommendations | Returning Board Member |

Legislature Tackles Budget Crisis

The countdown is over. As you pick up this newsletter, the 2003 legislative ses-sion is in full swing. The stakes couldn't be higher for people with disabilities, senior citi-zens, and the poor who depend on the state of Montana for their basic health care needs and other social services. Governor Martz's proposed budget for the Department of Public Health and Human Services (DPHHS) for the next two years includes dev-astating cuts in Medicaid, voca-tional rehabilitation services, the independent living program, mental health services, long-term care, services for developmen-tally disabled persons, and other vital programs. On December 20th state officials announced that Medicaid services will be slashed even further to deal with an additional $3.6 million shortfall in this year's budget. All this on top of earlier cuts that have already done significant harm to people through in-creased Medicaid coinsurance, cutbacks in mental health services, and other reductions.Photo of Participants at the Forum

We've been busy this fall at Summit edu-cating legislators about the impact of the budget cuts, helping consumers voice their concerns, and working with the media to get the issues into the public eye. In Missoula we've joined forces with other local agencies and disability groups under the banner of the Missoula Coalition for Disability Rights to fight the budget cuts. The coali-tion sponsored a candidates fo-rum on October 15 which was attended by approximately 60 people. Eleven Missoula-area legislators participated and re-sponded to questions about their stance on the state budget crisis and key disabil-ity rights issues. On November 1st about 90 people braved the cold at a rally at the county courthouse to protest the proposed cuts. The group then marched from the courthouse to the public library for a meeting with DPHHS director Gail Gray to voice opposition to the cuts and relay a strong message to gov-ernor Martz. Both events garnered extensive news cover-age in the Missoula me-dia. Summit also con-ducted similar activities in Ravalli and Flathead counties. (See County Up-dates for more details.)Photo of the March

So far, our demands for re-versing the budget cuts have been largely ignored by the governor's office. As the 2003 legislature be-gins debate on the governor's budget, we need to continue to as-sert our political rights. We must continue to put pressure on our senators and representatives to STOP THE CUTS and find solu-tions to the state's financial woes that don't depend on penalizing the poorest of the poor.

As with the last two editions of The Summit Independent, we have included some resources to make it easy for you to contact your elected officials and help you stay informed. On page 5 is information on how to reach your legislators at the Capitol, how to get information about bills as they move through the legislative process, and a list of the House and Senate leadership for both political parties. On page 6 you'll find contact information for all legislators in Summit's service area in western Montana. If you're inter-ested in receiving ongoing informa-tion about the budget and legisla-tion that affects people with disabili-ties, you can sign up for Summit's Action Alert System. Just call Paul Peterson in the Missoula office at 728-1630 or 800-398-9002, or drop him an e-mail at paulpete@summitilc.org. We can also provide additional details about the proposed budget cuts.

The Statewide Independent Living Council and Montana's four Independent Living Centers are sponsoring a legislative day in Helena on Thursday, January 23rd. The day's activities include a morn-ing workshop on the legislative pro-cess and current bills of concern to people with disabilities, a noon luncheon with legislators in the ro-tunda of the Capitol, and an oppor-tunity to observe the session first-hand in the afternoon. Contact your local Summit office for more information.

Don't give up the fight! If you haven't already contacted your legislators, do it now. Get involved with Summit's Action Alert System, or contact other agencies and par-ticipate in their legislative efforts. Now more than ever we all need to join forces and work together to preserve the services that keep people healthy, active, productive and involved in their communities. Remember, democracy is a "participatory sport." We all have tremendous power to bring about positive change, but only if we get involved, speak out and demand that our elected representatives do the right thing.

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Montana Youth Leadership Forum

The Montana Youth Leadership Forum (MYLF) for students with disabilities is a unique career leadership training program for high school sophomores, juniors, and seniors with disabilities. By serving as delegates from their communities in a five day event on the campus of Montana State University - Billings July 21-25, 2003, young people with disabilities will cultivate leadership, citizenship and career goals. The bonus is that it is free to students who are selected!

Get your application by contacting: June Hermanson, Montana Center on Disabilities, 1500 University Drive Billings MT 59101 (406) 657-2095 jhermanson@msubillings.edu


Drug Industry has Own Agenda

Drug Industry Executives Meet to Discuss Midterm Elections

After giving approximately $30 million this year to political parties and candidate campaigns, pharmaceutical executives met in Northern Virginia to discuss ways to secure the passage of prescription drug legislation that will favor the manufacturers.

According to The New York Times, the conference focused mostly on strategies to defeat proposals that could decrease pharmaceutical companies' profits. The drug industry's agenda includes blocking legislation that would reduce drug prices, make it easier for consumers to purchase generic prescription drugs, or allow easy re-importation of prescription drugs from Canada.

As reported in MCR Flash, Medicare Rights Center Electronic Newsletter, 12/4/02

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MRC to Expand Consumer Board

To strengthen the voice of consumers in local, state, and national health care policy, the Medicare Rights Center (MRC) has launched a National Medicare Consumer Advisory Board. The board is currently recruiting members from select states [including Montana] (see www.medicarerights.org/maincontentpolicytakeaction.html). Interested applicants must have Medicare and should e-mail CAB@medicarerights.org for additional information.


Social Security Changes for 2003

Every year Social Security makes cost-of-living adjustments to your Social Security benefits based on the Consumer Price Index. This year the increase is 1.4% for both SSI and SSDI beneficiaries. This means that if you are getting $822 in SSDI now, you will be getting $833 starting in January 2003. Your Medicare premium deduction will be increased to $58.70 a month.

Supplemental Security Income (SSI) payments will be increased to a maximum of $552 in 2003. The maximum benefit for a couple will be $829 in 2003. Resource limits will remain the same at $2000 for an individual and $3000 for a couple.

Working with SSDI Benefits
For people who are receiving Social Security Disability (SSDI) benefits and working, you may earn up to $569 a month without it being counted as a trial work month or affecting your benefits in any way. Substantial Gainful Activity for 2003 is $800 ($1,330 for blind); this means that if you are working and earning more than $800 a month ($1,330 for blind) for longer than nine months you could be determined by Social Security to be doing substantial gainful activity and have your benefits discontinued.

Students
Students receiving Social Security benefits can earm up to $1,340 a month or $5,410 a year without it affecting their benefits.

Benefits Advising
Social Security can be very confusing. If you are not sure how working will affect your benefits, confused about a letter you received from Social Security, or just want more information about what Social Security Benefits are all about you can call the Summit Missoula office at 728-1630. Or call Flo in the Kalispell office at 257-0048 or 1-800-995-0029.

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How to Save on Medications

With budget cuts changing benefits for medical expenses, it is more important than ever that consumers be informed about their options and ways to save on costs.

Here are five ways to save money on prescription drugs, as suggested by Sue Bailey, of the Yellowstone County Council on Aging and reported by John Fitzgerald in the Billings Gazette.

Cost-saving techniques

Switch to generic drugs rather than brand-name drugs and ask your doctor if an over-the-counter drug is as effective as the prescription drug.

Comparing between pharmacies can reveal savings. What's expensive at one might be discounted at another.

When starting a new drug, ask the pharmacist to fill only seven days of the prescription instead of the full 30 days. That way, if you have an adverse reaction to the drug or it doesn't work for you, you don't have more pills than you need.

If 40 milligrams of a drugs is less than twice the cost of your 20-milligram prescription, ask to buy the drug in the larger dosage and cut the pills in half.

If you have to take medicine over an extended period, try buying it in bulk quantities.

Prescription drug cards

Both free and purchased cards are available. Purchased cards are usually offered through groups such as the American Association of Retired People or through WellRx are a good deal, but only if your savings is greater than the annual cost of the card. Also, some offer savings on generic drugs, but not brand-name drugs.

The free cards are offered by hospitals or pharmaceutical companies, but the savings may apply only to certain drugs.

Patient prescription assistance

People at or near the poverty level may apply for assistance offered by the drug companies.

You may qualify if your income is between $895 and $1,073 a month if you're single or $1,210 to $1,450 for a couple and if you have no other prescription coverage (these amounts may be changed for 2003).

You can apply using forms available off the Internet or from your local clinic. There are also two Internet sites to get more information about patient prescription assistance:
www.rxassist.org and www.medicare.gov

Online pharmacies

A complete list of online American pharmacies is available from the National Association of Boards of Pharmacies at www.nabp.net
Non-American pharmacies can be accessed at www.canadadrugs.com,
www.crossborderpharmacy.com, www.canadameds.com or www.wellrxcard.com

But Beware: don't buy drugs from illegal pharmacies. Don't buy from a site that will sell you a drug you're taking for the first time; it's a sign that the company only wants your money and doesn't care about your health. Don't buy from a site that doesn't have access to a registered pharmacist.

Check with the National Association of Boards of Pharmacy at www.nabp.net to see if the site is from a licensed pharmacy, and, if buying from an international site, remember that U.S. laws don't apply.

Medicaid

This program provides medical care, including prescription drugs, to the very needy. Needy is defined as having a monthly income of $552 or less (in 2003), or if your monthly medical expenses take your income below $552 a month. To get more information or for help, call your local Independent Living Center or Council on Aging.

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HOW TO CONTACT YOUR LEGISLATORS

To find out who your local legislators are you can contact your local elections office by phone or email:

Missoula County Elections Office - 523-4751

Flathead County Elections Office - 758-5536

Lake County Elections Office - 883-7268

Lincoln County Elections Office - 293-7781, ext 283

Mineral County Elections Office - 822-3521

Sanders County Elections Office - 827-6922

Ravalli County Elections Office - 375-6213

For information on bills, committees, research, or publications visit the Montana Legislative website.

You can also check on the status of bills by calling: Bill Status - Public Access 1-900-225-4300

For contact information on your local legislators you can go to the elected officials page of Discoverying Montana.


Montana Senate & House Presiding Officers

Senate President - Bob Keenan (R) SD 38, Box 697, Big Fork, MT 59911 837-6680 (h), 837-4989 (w).

Senate Majority Leader - Fred Thomas (R), 3566 Holly Lane, Stevensville, MT 59870-6634

Senate Majority Whip - Corey Stapleton (R), 3614 Crater Lake Ave,
Billings, MT 59102-7732

Senate Pro-Tempore - Walter McNutt (R), 110 12th Ave SW, Sidney, MT 59270-3614

Senate Minority Leader - Jon Tester (D), 709 Son Lane, Big Sandy, MT 59520-8443

Senate Minority Whip - Jon Ellingson (D) SD 33, 141 North Ave. E.,
Missoula, MT 59801 721-1614

House Majority Leader - Roy Brown (R), PO Box 22273, Billings, MT 59104-2273

House Speaker - Doug Mood (R) HD 58, P.O. Box 42, Seeley Lake, MT 59868, 677-2201

House Majority Whip - John Brueggeman (R) HD 74, 321 Lakeview Dr.,
Polson, MT 59860, 883-2395
and
Cindy Younkin (R), 1115 N Spruce Dr, Bozeman, MT 59715-5948

House Minority Leader - David Wanzenried (D) HD 68, 903 Sky Dr., Missoula, MT 59804, 543-2775 (h), 728-6121 (w)

House Minority Whip - Tim Dowell (D) HD 78, 46 Westview Drive, Kalispell, MT 59901, 752-7765 (h), 756-4535 (w)

Monica Lindeen (D), 1626 Heath St, Huntley, MT 59037-9137

House Speaker Pro-Tempore - Jeff Laszloffy (R), 3165 Highway 212 S., Laurel, MT 59044-8911

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Current Western Montana Legislators

Senate Legislators
Senate District 30
Rick Laible (R), 529 Moose Hollow Rd., Victor, MT 59875, 961-8974

Senate District 31
Fred Thomas (R), Majority Leader, 3566 Holly Lane, Stevensville, MT 59870, 777-5000 (h), 777-5005 (w)

Senate District 32
Vickie Cocchiarella (D), 535 Livingston, Missoula, MT 59801, 728-7723

Senate District 33
Jon Ellingson (D), 141 North Ave. E., Missoula, MT 59801, 721-1614

Senate District 34
Carolyn Squires (D), 2111 S. 10th W., Missoula, MT 59801, 543-6734

Senate District 35
Dale Mahlum (R), 10955 Highway 93 N., Missoula, MT 59802, 549-3115

Senate District 36
Jim Elliot (D), 100 Trout Creek Rd., Trout Creek, MT 59874, 827-3671

Senate District 38
Bob Keenan (R), Box 697, Big Fork, MT 59911, 837-6680 (h), 837-4989 (w)

Senate District 39
Gregory D. Barkus (R), Box 2647, Kalispell, MT 59903, 755-8362

Senate District 40
Robert DePratu (R), Box 1217, Whitefish, MT 59937, 863-2511 (w), 862-2849 (h)

Senate District 41
Aubynn Curtiss (R), P.O. Box 216, Fortine, MT 59918, 882-4448

Senate District 42
Jerry O'Neil (R), 202 Helena Flats Rd. , Kalispell, MT, 752-8903

House Legislators
House District 58
Doug Mood (R), P.O. Box 42, Seeley Lake, MT 59868, 677-2201

House District 59
Ron Stoker (R), 332 North Gold Creek Loop, Hamilton, MT 59840, 363-3391

House District 60
Bob Lake (R), P.O. Box 2096, Hamilton, MT 59840, 363-4091

House District 61
Jim Shockley (R), P.O. Box 608, Victor MT 59875, 642-6647 (w), 642-3817 (h)

House District 62
Ray Hawk (R), NW 4878 Hoblitt Lane, Florence, MT 59833, 777-5120

House District 63
Dick Haines (R), 5935 Saint Francis Drive, Missoula, MT 59803, 251-3770

House District 64
Ron Erickson (D), 3250 Pattee Canyon Dr., Missoula, MT 59803, 549-4671

House District 65
Rosalie Buzzaas (D), 233 University Ave., Missoula, MT 59801, 728-0289 (h), 549-6104 (w)

House District 66
Gail Gutsche (D), 1530 Cooper, Missoula, MT 59802, 728-0566 (h), 543-3747 (w)

House District 67
Tom Facey (D), 418 Plymouth, Missoula, MT 59801, 728-6814 (h) 542-4070 (w)

House District 68
David Wanzenried (D), 903 Sky Dr., Missoula, MT 59804, 543-2775 (h), 728-6121 (w)

House District 69
Nancy Rice-Fritz (D), 1817 David, Missoula, MT 59802, 549-6712 (h), 542-0041 (w)

House District 70
Holly Raser (D), 4304 Spurgin Rd., Missoula, MT 59804, 542-7018 (h), 549-9239 (w)

House District 71
Sylvia Bookout-Reinicke (R), P.O. Box 327, Alberton, MT 59820, 722-3344

House District 72
Paul Clark (D), 20 Fox Lane, Trout Creek, MT 59874, 827-4440

House District 73
Josh D. King (R), 478 Lake View Drive, Polson, MT 59860, 883-9340

House District 74
John Brueggeman (R), 321 Lakeview Dr., Polson, MT 59860, 883-2395

House District 75
Stan Fisher (R), 76 Golf Terrace, Big Fork, MT, 837-2232

House District 76
Bernie Olson (R), 161 Lakeside Blvd., Lakeside, MT 59922, 844-3282

House District 77
Rod Bitney (R), Box 10501, Kalispell, MT 59904, 752-5666 (w), 257-2989 (h)

House District 78
Roger Somerville (R), Box 1104, Kalispell, MT 59904, 752-2025 (w), 844-3667 (h)

House District 79
Verdell Jackson (R), 555 Wagner Ln., Kalispell, MT, 756-8344

House District 80
Bob Lawson (R), Box 686, Whitefish, MT 59937, 862-2737

House District 81
Aubyn Curtiss (R), PO Box 216, Fortine, MT 59918-0216

House District 82
Eileen Carney (D), PO Box 1193, Libby, MT 59923, 293-6407

House District 83
Dee I. Brown (R), Box 444, Hungry Horse, MT, 387-9393

House District 84
George Everett, 1344 Helena Flats Rd., Kalispell, MT, 752-0102

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Youth Advisory Committee Issues IDEA Recommendations

On November 20, the NCD Youth Advisory Committee (YAC) released its recommendations to NCD on the reauthorization of the Individuals with Disabilities Education Act (IDEA).

YAC developed and disseminated an inquiry that asked youth with disabilities to tell the committee about their special education experiences under IDEA. In response, YAC received direct communication from across the country. Respondents included students and former students with disabilities, parents/guardians, and others. YAC members used the data to develop recommendations for those interested in the implementation of IDEA. The findings and recommendations address issues of student empowerment, public education about IDEA, professional development, and cultural diversity.

For more information, visit www.ncd.gov/newsroom/advisory/youth/yac_perspectives_paper_11-20-02.html.


Returning Board Member

Summit would like to express a warm welcome to Gabe Skibsrud of Flathead County as he returns to serve another term on the Board.

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April 2003

What's New at Summit | Meet Jennifer Baker | Meet Becky Burke | 2003 Legislative Session Winds Down | Free Video Relay Service | Understanding Medicare | Basic Telephone Service for Low Income Families | Appealing Medicare Decisions | County Updates

What's New at Summit

Recent editions of the Summit Independent have focused in large part on the state budget crisis and the 2003 legislative session. While we continue to advocate for vital services (see the Legislative update below), we felt it is time to share some positive news about Summit and pass on some important resource information.

There have been many new and exciting happenings at Summit Independent Living Center in the past few months. As always, we continue to change and adapt to the needs of our consumers and staff.

A new conference room is in the process of being constructed at the Missoula office location. The larger conference room will relieve the crowding we have been experiencing at staff and peer meetings as well as provide room for more than one meeting to take place at the same time. If all goes well, the new room is expected to be ready for use by the beginning of April.

Staff member, Flo Kiewel, transferred to the Kalispell office at the beginning of January of this year. She is providing benefits assistance to consumers in the Flathead, Lincoln, Lake and Sanders counties. There is quite a demand for more consumer services of this type in northwestern Montana, so Flo will be kept busy up there.

The Missoula office has welcomed two new staff members to fill recent position vacancies. Jennifer Baker is our new benefits advisor in the Missoula office, and Becky Burke is the new Peer Advocate Coordinator. Both Jennifer and Becky have brought new viewpoints and fresh ideas to contribute to our efforts. They will introduce themselves to you in separate articles in this newsletter. Be sure to give them a warm welcome next time you are in the Missoula office.

The annual Summit Retreat is being planned for May 1st and 2nd at the Best Inn in Missoula. The theme this year is "Back to the Future" and there will be some exciting demos and displays of new assistive technology. We will also spend some time reflecting on recent accomplishments and doing some brainstorming about future projects and activities.

As we look to the future we are mindful that people need opportunities to learn new information, expand their horizons, and take on new challenges that help them grow. We plan to return to providing various workshops and training to consumers and peer advocates. The new Missoula conference room will allow these events to take place in comfort and at our convenience. (We'll also do a "roadshow" for those who live outside Missoula.) For the past year we have had to focus much of Summit's energy on fighting the state budget cuts and helping people who've had their services cut back. It's been a focus on helping people survive as opposed to helping people thrive. We won't stop our advocacy, but it's time to "Go Back to the Future" and again offer activities that foster personal growth, confidence and self-esteem. A little fun also wouldn't hurt!
Stay tuned...

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Meet Jennifer Baker

Hello Everyone!
My name is Jennifer Baker and I am the new Independent Living Specialist at the Missoula Summit office. I have recently graduated from the University of Montana with a Bachelor's Degree in Social Work. I am a mother of a wonderful little girl who is 6 years old. I am originally from New York, and have been in Missoula for almost 8 years. I am so glad to be living in such a lovely town like Missoula.

My plan for my new career as an Independent Living Specialist is to be the best advocate, source of information and support person as I can possibly be. I also intend to make a resource section at Summit that is more people friendly for our staff and consumers. The wonderful other half of my duo, Becky Burke, will also be assisting in this project.

I am really grateful for the great opportunity to work at Summit with such a wonderful group of people.


Meet Becky Burke

My name is Becky Burke and I am the new Peer Advocate Coordinator. I come to Summit after working as a research associate at the Rural Institute on Disability at the University of Montana. I have a degree in Rehabilitation Counseling and Vocational Evaluation from East Carolina University.

I have Cerebral Palsy and have been involved in advocacy for myself and others with disabilities since I was young. I think that the Peer Program can and does reach out to many different groups and individuals in our community. I will be working with Jennifer Baker, our new Independent Living Specialist and the other half of the "dynamic duo" as we are known, to create a resource library. I also will offer future training for the peers and on self-esteem. I am really excited to be here and work with all of the wonderful staff and Peers at Summit.


2003 Legislature Winds Down

At press time the fate of many disability programs was still up in the air as legislators wrestled with solutions to Montana's budget crisis. Many bills have been proposed to generate additional money through a variety of new taxes. Compromise has been hard to reach as Republicans and Democrats have battled over the type of potential new revenue and the scope of program cuts needed to bridge the budget gap.

The primary vehicle developed by the legislature to fund many social service programs is the DPHHS Prevention and Stabilization Account. The future of 25 programs - including independent living, Medicaid services, mental health services, and the hospice program, just to name a few - will depend on the amount of money available for this account. Without full funding, many programs will face significant cuts or outright elimination. The budget saga continues, as does the uncertainty...

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AT&T Launches New Free Video Relay Service

AT&T has announced the introduction of AT&T Video Relay Services, an innovative, web-based service that enables the nation's estimated 28 million deaf and hard of hearing people to communicate with friends and family over the phone more easily than ever before by using American Sign Language (ASL).

AT&T Video Relay Service offers deaf consumers the ability to use sign language to hold phone conversations. Using a web camera and the Internet, these customers use sign language to communicate with a nationally certified interpreter who relays the conversation over the phone in spoken language to the hearing party. The service offers video interpretation nationwide, wherever a computer, web cam and a high-speed Internet connection are available.

Interpreting services will be provided by a renowned American Sign Language interpreting company, Hands On Sign Language Services of Auburn, Calif.

AT&T, a pioneer in developing and delivering communications services for people with hearing loss, will offer the new video service in addition to its internet and traditional TTY (text telephone) service, which enable a deaf or hard of hearing person to type messages that are read by an operator to the other party on the call.

Sign language users with a computer, a high-speed Internet access line (like DSL or cable modem), and a low-cost web camera can use AT&T's Video Relay Services. Free software will be available for download from the AT&T Web site that will allow deaf and hard of hearing people to use the Video Relay Service. Hearing people may access the service through a nationwide toll-free number, 1-888-VRS-9998.

(For original article, go to: www.atnet.org/news/feb03/020103.htm)


Understanding Medicare

If you are a Social Security recipient, have you ever questioned if you should pay the Medicare premium? Do you know that happens if you choose not to?

Medicare Has Two Parts. They are:

  • hospital insurance or Medicare Part A (hospital insurance), which helps pay for care in a hospital and skilled nursing facility, home health care and hospice care; and
  • medical insurance or Medicare Part B (medical insurance), which helps pay for doctors, outpatient hospital care and other medical services.

Most people do not have to pay for Medicare Part A. Most people pay for Medicare Part B.

If you are under age 65 and disabled, and have been entitled to disability benefits under Social Security or the Railroad Retirement Board for 24 months, you will be automatically enrolled in Medicare Part A and Part B beginning the 25th month of entitlement. Your Medicare card will be mailed to you about 3 months before your entitlement date. If you do not want Medicare Part B, you can cancel it by following the instructions that come with the card.

Before Choosing to Cancel

If you do not enroll in Medicare Part B during your Initial Enrollment Period, you will have to wait until the next General Enrollment Period to enroll. General Enrollment Periods are between January 1 and March 31 each year. If you sign up for Medicare Part B during a General Enrollment Period, your coverage starts on July 1 of that year.

Your Medicare Part B premium may go up 10 percent for each 12 month period that you could have had Medicare Part B, but did not take it. For example, in 2003, the Medicare Part B premium is $58.70 per month. If you had delayed enrolling in Medicare Part B for 24 months from the time you first could have had Medicare Part B, your premium in 2003 would be $70.44 per month.

It May Not Be Too Late:

If you did not enroll in Medicare Part B when you were first eligible and now cannot afford to enroll because of the 10% yearly premium penalty, you can still apply for Medicare Savings Programs!

Medicare Savings Programs help people with Medicare, who do not qualify for Medicaid, pay for some of the costs of Medicare. There are three Medicare Assistance Programs:

  • Qualified Medicare Beneficiary (QMB): Pays for Medicare's premiums, deductibles and coinsurance
  • Specified Low-income Medicare Beneficiary (SLMB): Pays for Medicare's Part B Premium
  • Qualifying Individual (QI-1) Program: Pays for Medicare's Part B Premium
Medicare Savings Program
Program Federal Monthtly Income Limits
Individual Couple
QMB $739 $995
SLMB $886 $1,194
QI1 $997 $1,344
Resource Limits: $4,000 for an Individual,
and $6,000 for a Couple

If you qualify for a Medicare Savings Program, you will be enrolled in Part B and will not have to pay the Part B premium or late-enrollment penalties.

If you are already enrolled in a Medicare Savings Program you will need to re-certify your application every year.

If you need assistance in applying for Medicare Savings Programs, or any other benefit program, call your local Summit office.

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Basic Telephone Service Available for Low Income Families

Do you know of a low-income family struggling to afford telephone fees and monthly service charges? You can help by telling them about Lifeline and Link-up - two federal programs that offer discounts to low-income families on initial telephone installation and basic monthly service. For qualified households, Lifeline provides between $3.50 and $7 per month in basic telephone service assistance. Link-Up offsets one half (up to $30) of an eligible household's initial telephone installation fee and develops a deferred payment plan for charges associated with initiating telephone service.

To find out if you qualify for Lifeline and/or Link-Up, contact your local telephone company. For detailed information about either program, call 1-888-225-5322 (Voice) or 1-888-835-5322 (TTY), or visit www.fcc.gov/cgb/getconnected/

(Borrowed from MTAP newsletter)


Appealing Medicare Decisions

Medicare will cover proce-dures that are deemed medi-cally necessary. However, sometimes a simple coding error in your doctor's office can result in Medicare denying pay-ment for services that are usually covered. Appealing is easy and most people win so it is worth your while to chal-lenge a Medicare denial.
Here are some tips to maximize your success when appealing your denial:

  • Write "Please Review" on the bottom of your Medicare Sum-mary Notice (MSN), sign the back and send the original to the address listed on your MSN by certified mail or with delivery confirmation.
  • Include a letter explaining why the claim should be covered.
  • When possible, get a letter of support from your doctor or other health care provider explaining why the service was "medically necessary."
  • Save photocopies and records of all communica-tions, whether written or oral, with Medicare concerning your denial.
  • Keep in mind that you only have up to 120 days from the date on the MSN to submit an appeal.

For more information on the appeals process, visit the Medicare Rights Center's web-page on Solving Medicare Problems at http://www.medicarerights.org/solvingmedicareproblemsframeset.html. You can order MRC's brochure, Your Appeal Rights: Getting the Most from Medi-care, for $5.00 (plus $3 ship-ping) by calling (212) 869-3850, ext. 10 or sending your order to: Medicare Rights Center, 1460 Broadway, 17th Floor, New York, NY 10036.
You can download Medi-care appeal forms from the government's Medicare web-site.
For more information on covered services and the appeal process, you can also contact the Montana State Health Insurance Assistance Program (SHIP) at (800) 332-2272 or (406) 444-7781

(From Dear Marci Volume 2, Issue 9: Week of March 3, 2003)

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July 2003

Accessible Recreation Sites | High Perscription Drug Costs? | Golden Access &Golden Age Passports | Missoula Office Enjoys New Conference Room | Summit Retreat 2003 | Living Well and Self Esteem Classes Offered | Expanded Transportation in Flathead County | Disability Sensitivity Training On-Line | Computer and Web Resurces Book | A Guide to Disability Rights Laws | Peer Training June 2003 | County Updates

Accessible Recreation Sites

It’s summertime - - time to get out and about, pay those high gas prices, and enjoy the sunshine! If you’ve been reluctant to venture out or plan that special trip because of inaccessible travel or accommodations, fear no more. Although the environment is still not totally barrier-free, the world is changing, and there are many places that are fully accessible to those with a vision, hearing, or mobility impairment. With a little research, planning, and preparation you can take a cruise, a river trip, go fishing in Alaska, or take a tour around the world.

There are numerous agencies that provide information on accessible travel, as well as numerous travel agents who will make special arrangements to meet your needs. The world wide web is a good place to start your research and if you don’t have online access contact your local Summit office for more information.

General Information on Accessible Travel:

Access-Able Travel Source

MossRehab ResourceNet

SATH 212-447-7284

Emerging Horizons

Global Access

Accessible Travelers’ Database

Travel Agents for People with Disabilities:

Armchair World

Accessible Journeys 800-846-4537

SeeMore Scenic Tours - Australia

If you don’t have the time, money, or energy to take that exotic vacation of your dreams, then consider those outdoor recreational sites closer to home that have been made accessible. No matter which county you reside in, there is somewhere to go to enjoy the sunshine.

The fishing access sites listed claim to have accessible parking pads, hardtop trails to accessible restrooms and accessible fishing stations and/or boating and fishing docks, so check them out.

For more information on outdoor recreation, accessible campgrounds, trails, and fishing sites, you may contact the U.S. Forest Service at (406) 329-3511 or follow the link to visit their web site, contact the Montana Department of Fish, Wildlife and Parks at (406) 542-5500 or click on their name to visit the web site. Montana Fish, Wildlife & Parks accessibility information can be found at their website as well.

Flathead County:
A brochure is available detailing accessible locations for fishing, boating, and hunting. Contact Montana Fish, Wildlife & Parks (406) 752-5501 for more information.
For accessible camping in the Flathead National Forest check out their website link.

Lone Pine State Park, 4 miles southwest of Kalispell on Foys Lake Rd, then 1 mile north on Lone Pine Estates, offers an accessible trail to a scenic overlook for a beautiful view of Flathead Lake and beyond. The visitor center is fully accessible.

Glacier National Park’s Trail of the Cedars nature trail at the Avalanche Campground in Glacier National Park has a fully accessible loop via boardwalk and asphalt. Apgar Visitor Center has an asphalt path, as well as accommodations for the vision and hearing impaired. The Logan Pass Visitor center has an accessible restroom, but the visitor center itself is not accessible. Disabled groups may request a special program by contacting the Chief of Interpretation at park headquarters at least 2 weeks in advance, although staff availability is limited during the peak visitor season.

Kootenai National Forest has an excellent website where you can click on the recreation area you are interested in and get more details about accessibility at that site.

Lake County:
St. Ignatius Mission, approximately two blocks off Highway 93, is fully accessible. Its walls and ceilings have 58 original paintings by Brother Joseph Carignano and it has two very special murals of the Salish Lord and Lord’s mother (in Native American form) that are located in the back of the Mission. Next to the Mission, there is a museum and gift shop. Phone (406) 745-2768 for more information.

National Bison Range - This is a very nice accessible site. In addition to the auto tour through the park, there is a fully accessible visitor center. There is also an accessible picnic area, with a paved nature trail that circles a pond for wild fowl viewing, and an accessible fishing bridge over Mission Creek. Call (406) 644-2211 for more information.

Lake Mary Ronan State Park, located on the east shore of Lake Mary Ronan, 7 miles northwest of Dayton, has an accessible fishing dock. Call (406) 752-5501 for more information.

Finley State park at mile marker 6 on the East Shore of Flathead Lake has accessible parking, restrooms, camp site, and a boat dock.

Ninepipes Museum and fishing access is accessible. For more information call (406) 644-3435.

Missoula County:
Accessible sites in Lolo National Forest can be located on their website or contact Lolo National Forest at (406) 329-3750 for more information.

Maclay Flats, located off Blue Mountain Road, has a trail of compacted gravel with 1.25 and 1.8 mile loops. Trail has interpretive displays. No slope exceeds 5%. Accessible fishing access along trail with a concrete barrier. Accessible picnic tables.

Fort Fizzle, located five miles west of Lolo off Hwy 12, has an accessible picnic area including table and raised grill and an accessible trail to the creek and to the interpretive displays. Trails and road are paved.

Big Larch Campground, located one mile north of the town of Seeley Lake, on the east side of the lake. Four sites are designed to be accessible and have gravel surfacing, but tables and fire-rings do not meet the height or overhang requirements. Sites are relatively flat. The roads throughout the campground and beach areas are paved and have no excessive slopes. There is an accessible trail to the beach, but not to the water.

Traveler’s Rest is located off of Highway 93 - turn right at Mormon Creek Road after crossing Lolo Creek. It has accessible restrooms, a historic overlook and visitor center with a gift shop. For more information about accessibility at Traveler’s Rest call (406) 273-4253.

Ravalli County:
Trails/Fishing Sites: Contact Bitterroot National Forest at (406) 363-7161 for more information.

Lake Como Accessible Picnic Area and North Trail - Turn west off Highway 93 twelve miles south of Hamilton, onto Lake Como Road. Drive approx 3 miles & turn right on FS Road 5623. The Upper Como campground has paved parking, two accessible picnic tables, and a 0.4 mile paved trail around the lake that offers a beautiful view of the lake and surrounding mountains.

Lee Metcalf National Wildlife Refuge - Turn left off Eastside Highway two miles north of Stevensville onto Wildfowl Lane and travel two miles to refuge wildlife viewing area. The refuge has a very nice ½ mile paved trail to the Bitterroot River. A sheltered, accessible fishing deck overlooks one of the sloughs.

Spring Gulch Campground, three miles northwest of Sula off Hwy 93. Fishing pier over East Fork of the Bitterroot River, with two paved accessible campground sites.

Centennial Grove has a 0.1 mile accessible trail - Turn left off Hwy 93 two miles south of Hamilton onto Skalkaho Hwy 38. Continue 12 miles, turn right into parking area to access trail head.

Rainbow Guide Service, operated by Joe Biner, a licensed Montana Outfitter, offers scenic float trips and fly-fishing trips down the Bitterroot River. He specializes in serving people with disabilities. Contact him at (406) 821-4643 or write to Rainbow Guide Service, 5425 West Fork Road, Darby, MT 59829 for more information.

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High Perscription Drug Costs?

If you or someone you know with Medicare spends $200 a month or more on out-of-pocket prescription drug costs, you can call 1-800-333-4114 x.26 for help in identifying options, including state prescription drug assistance programs, veterans’ benefits and low-income programs that may help.

From Dear Marci, June 23, 2003


Golden Access & Golden Age Passports

A Golden Access Passport is a free lifetime pass available to citizens or permanent residents of the United States who have been medically determined to be blind or permanently disabled for purposes of receiving Federal benefits.

Golden Access Passports may be obtained only in person and upon proof of medically determined physical, mental, or sensory impairment.
The Passport entitles the holder and his spouse and/or children, to general admission where an entrance fee is charged. This Passport also entitles the holder only to a 50 percent discount on use fees that are charged per vehicle, per person, or per single-family unit at certain outdoor recreation sites managed by the Forest Service or concessionaires.

The documentation submitted by the applicant must include one of the following three documents:
1. A document which states you are eligible to receive Federal benefits as a result of permanent disability. Or proof of receipt of Social Security Disability Income (SSDI) or Supplemental Security Income (SSI).
or
2. A statement signed by a licensed physician attesting that the applicant has been medically determined to have a permanent physical, mental, or sensory impairment and specifying the nature of the impairment;
or
3. A document issued by a State vocational rehabilitation agency.

Showing a State motor vehicle department disabled sticker, license plate or hangtag is NOT acceptable documentation.

The GOLDEN AGE PASSPORT is a lifetime pass available to citizens or permanent residents of the United States who are 62 years of age or older. The Golden Age cardholders will receive a 50% fee discount at campgrounds, developed boat launches and swimming sites and for specialized interpretive services. This pass sells for a one-time $10 fee. The visitor must show proof of age, which may be a state driver's license showing birth date, a birth certificate, or a similar document.

Beginning April 18, 2003, Golden Passports Will Be
Honored at More National Forest Fee Sites!

Golden Age or Access Passports are not available by mail or online, but can be obtained in person from most Forest Service offices. Or call 1-877-465-2727 for more information. For more information you can visit the website at http://www.fs.fed.us

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Missoula Office Enjoys New Conference Room

In April Summit acquired additional space at our Missoula office location for a new conference room. It is a much-needed resource that makes it possible for us to hold larger meetings, classes and workshops comfortably on site. Amenities include an automatic door opener, new conference tables and chairs, Internet access and phone service, TV and VCR, a “boombox” for good tunes, and everybody’s favorite, a water-cooler. The new room has been getting much use by Summit staff, board members and peer advocates, and is slowly but surely being decorated with a western Montana theme. Stop by and check it out when you’re in the neighborhood!


Summit Retreat 2003

Once again the Summit yearly retreat was a great success. Summit staff, board members, peers, senior companions and volunteers gathered for two days of presentations, social interaction and fun. It is wonderful to see what a talented, creative, and committed group of individuals we have.

This year’s retreat was devoted primarily to Assistive Technology and was especially informative. We had a wonderful presentation by Leslie Mullette, OTR from MonTech with demonstrations of equipment available. We also had a presentation from Connie Phelps and Jamie Lee of MTAP describing available technology to make using the telephone easier for people with communication difficulties. Doctor Daniel Larson from the Rocky Mountain Eye Institute gave a fascinating presentation of advances in technology to assist people who are blind. Several individuals then got up to share their own tips and tricks about assistive technology.

The first day concluded with a group dinner at the Golden Corral where everyone was able to help themselves to the buffet and spend a relaxing evening socializing with old and new friends.

Fun and games included a great skit by Ravalli County, a wild and rowdy scavenger hunt sponsored by Flathead County and piles of door prizes. We want to give a special big thank you to all the individuals and businesses who donated door prizes:

Target • Good Food Store • Orange Street Food Farm • Hamilton Pharmacy & Gifts • Montana Silversmith • Special Friends • Bitterroot Brewing • Painted Rocks Winery • Pet’s Mart • Bi-Lo Grocery • Trempers Shopping Center • Cutting Crew • Fast Trip • Lynn Payne • Liz Gibbons • Michael Bridges • Evelyn Pool • Diane Carrell • Melanie Stoddard • Owen Deardorff • Shelley Laing • John Gallaher • Judy Burke • Flo Kiewel

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Living Well & Self Esteem Classes Offered

Living Well is a ten week course on healthy living with a disability. Participants are able to examine how healthy behaviors like good nutrition and fitness are related to one‘s goals. The class will be meeting on Thursdays from 1:00 to 3:00 in the Missoula Summit conference room beginning in the fall. The following is a brief overview of the health program training series agenda:

Week 1 - Introduction: Setting Goals, Where do I want to go and how do I get there.
Week 2 - Solving Problems: Navigating a sometimes bumpy path to success
Week 3 - Healthy Reactions: Don’t feel bad without a good reason
Week 4 - Beating the blues
Week 5 - Healthy Communication: It takes two to reach an understanding
Week 6 - Seeking Information: Knowledge is power - plug in!
Week 7 - Physical activity
Week 8 - Eating well to live well.
Week 9 - Systems Advocacy
Week 10 - Maintaining new behaviors

If you are interested in taking this course please contact the Missoula office at (406) 728-1630. Class size is limited.

Becky Burke will be offering a class on Self-Esteem for women with disabilities from Sept. 8th through Oct. 27th in the Missoula Summit conference room from 1 to 3 pm. Class size is limited to 12. Please call Becky at (406) 728-1630 if you would like to sign up.


Expanded Transportation in Flathead County

Special Friends Advocacy Program has been funded by a Montana Department of Transportation TransADE grant to provide expanded transportation options, in cooperation with Eagle Transit and Kalispell Taxi. Following are the descriptions of the options now available. These options are available to all people with disabilities.

Dial-A-Ride: Eagle Transit $.50 punch card rides for the regular routes or Dial-A Ride with 24 hour notice. Times are Mon-Fri 8:00 am to 5:00 pm. Tickets may be purchased from the drivers.

Sparrow: Eagle Transit’s new program. Call Eagle Transit and they will pick up within 20 minutes, just like the taxi (unless there are many calls for the same time). Times are 8:00 am to 5:00 pm on Mon., Wed., Thurs. and Friday; Tuesday 8:00 am to 8:00 pm. The Sparrow runs within the same boundaries as Eagle. The usual cost for the Sparrow is $9.00 for 4 rides; TransADE eligible consumers can get tickets for $4.00 for 4 rides. Consumers must sign up and get tickets through one of the participating agencies.

Kalispell Taxi: Designed for limited use for when someone needs transportation outside of Eagle’s regular route or hours. Taxi vouchers will be issued in $.50 and $1.00 denominations. Consumers will not be given change, so will need to use the closest denomination to pay for the ride. Cost for the taxi vouchers is half-price; e.g. $5.00 in vouchers will cost the consumer $2.50. Vouchers are available from any of the participating agencies.

Fun trips: At least a once a month supervised weekend or evening trip to a community activity or outing; e.g. the Water Slide, hike in Glacier Park, picnic at Flathead Lake, etc. Consumers must enroll and complete a registration form, available from any of the participating agencies. Those consumers who are enrolled will receive a monthly schedule of the activities. Space is limited and consumers must reserve a space by calling Special Friends. Cost will be an average of about $2.00 plus the activity; e.g. the Maze trip in July will be $9.00.

To find out more about the TransADE options, or to get enrollment forms or tickets, call any of the following participating agencies:

Special Friends (406) 756-5488
Flathead Industries (406) 755-7656
Summit Independent Living Center (406) 257-0048
Vocational Rehabilitation (406) 751-5940
Lamplighter House (406) 257-1336
Opportunity Resources (406) 755-6344

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Disability Sensitivity Training On-Line

Have you ever wished there was an easily accessible training course to teach people about disability etiquette? A free online course now is available to help business leaders, employees and others learn how to interact comfortably with people who are disabled. The Web-based course is a joint effort by the Governor's Council for Developmental Disabilities, which is part of the Georgia Department of Human Resources, and the Georgia Disability Advocate Consulting Group, Inc., a private firm that conducts seminars for businesses. You can access this training at: http://www.disabilitylearningservices.com

PLUK eNews, June 30, 2003


Computer and Web Resources Book
From the Alliance for Technology Access

The Alliance for Technology Access (ATA) is a network of agencies and services dedicated to increasing the use of standard, assistive, and information technologies by children and adults with disabilities. Their website provides a wealth of information on assistive technology, accessibility awareness, web accessibility and on-line resources.
The fourth edition of ATA’s book, Computer and Web Resources for People with Disabilities: A Guide to Exploring Today’s Assistive Technology will show you how today's technology is redefining human potential and what it means to have a disability. This highly acclaimed book includes detailed descriptions of software, hardware and communication aids, plus a gold mine of published and online resources. You can access this book fully online by clicking on the book title above.

"This book offers something no other does: a guide to maneuvering the growing world of computers, both the mainstream and the assistive technology, to find what is right for you."

from the Foreword by Stephen Hawking.

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A Guide to Disability Rights Laws

Confused by all the laws designed to protect your rights? Want to know what your rights really are but can‘t understand all the legalese of the original documents? Need some quick information to back up a presentation or report? Check out “A Guide to Disability Rights Laws” written by the U.S. Department of Justice. This guide provides an overview of key federal laws affecting people with disabilities, including the Americans with Disabilities Act, the Fair Housing Act, Individuals with Disabilities Education Act, the Rehabilitation Act and many more. Contact information and websites for each law are also provided, in case you need more information.


Peer Training June 2003

By Becky Burke
Peer Training was held here in Missoula in the new conference room on June 18th, 19th, 25th, and 26th. Fourteen trainees attended the 4 day workshop.Two staff members, Jennifer Baker and Dawn Gauthier, also sat in on the training. The group of trainees included folks from all of our service areas. Trainees learned about topics ranging from communication in the peer mentoring process to intimacy in relationships. Michael Beers, one of the individuals trained, also entertained the group one evening with his stand-up comedy routine.
This was my first time conducting the Peer Training. Thank you to all the staff and Missoula peers who pitched in and helped me with logistics and presentations. Some of the comments I received from the training evaluations included statements like, "I learned a lot" and "I wish the training were longer because I loved meeting everyone." I can't wait until next year!

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October 2003

ADAPT'S "Free Our People" March and Rally | MiCASSA Summary | Montana to Receive Federal Grant to Strengthen Consumer Control in Medicaid Services | Youth Update | Purchasing Durable Medical Equipment | Will Medicare Pay For This Purchase? | Medicare Wants To Hear Your Voice | Summit Welcomes New Peers | County Updates

ADAPT'S "Free Our People" March and Rally a Huge Success

Advocates from Montana joined people from all parts of the country in a historic march and rally in support of MiCASSA, the Medicaid Community-Based Services and Supports Act of 2003. On September 4 over 200 members of ADAPT began a grueling 14 day, 144 mile march from the Liberty Bell in Philadelphia to Capitol Hill in Washington D.C.. The marchers, most of whom use wheelchairs, were determined to show Congress just how important this bill is and the urgent need to reform America's long-term care system so that people have a choice in services and options for community living.

The marchers fought exhaustion, hunger and nasty weather on their journey to the Capitol. They were alternately drenched, baked and steamed, and sore muscles were the order of the day. Add to that the challenge of feeding so many people on the road, keeping dozens of power wheelchairs charged, and arranging for accessible "porta-potties" along the way and you have a true logistical feat. See http://www.freeourpeople.org for photos and day by day memoirs of the marchers. Not even Hurricane Isabel could dampen their spirits as the storm lashed Washington, D.C. on the heels of the march!

As the marchers rolled onto Capitol Hill on September 17 they were cheered on by about 1500 people with disabilities and supporters of MiCASSA who rallied to urge Congress to pass MiCASSA and end the institutional bias in Medicaid. Bob Liston, a Missoula resident and member of ADAPT Montana said that "The trials and tribulations that we faced (during the march) were nothing like what people in institutions go through." Several members of Congress who are co-sponsors of MiCASSA called on their colleagues to pass the bill immediately. Senator Tom Harkin, (D-IA), said, "The door needs to be open so that people will have choices. It is long past time that people could be in their homes, not somebody else's nursing homes." Sen. Arlen Specter, (R-PA), stated that "70 percent of funding for nursing homes is fundamentally unfair." (Over 70% of current medicaid funding for long-term care is spent on nursing homes and other institutions instead of on personal assistance and other community-based services that enable people to live at home.)

Summit peer advocate, Brooke Jacqueth, took part in the rally and did a great job of representing Summit in this historic event. She was joined by advocates from other Montana CILs in Great Falls and Billings who also added their enthusiasm and support. Many thanks are due ADAPT Montana members Bob Liston and Marsha Katz of Missoula. Kudos to both Marsha and Bob for their time, energy and hard work to make these events a success! Bob served as co-chair for the march and Marsha, as she typically does on ADAPT actions, worked with the media and kept all of us informed as the march and rally unfolded.

For more information on MiCASSA check out the ADAPT web site at http://www.adapt.org and http:// www.freeourpeople.org.


MiCASSA Summary from ADAPT.org

MiCASSA gives people real choice in long term services. Amending Title XIX of the Social Security Act (Medicaid), it creates an alternative service called Community Attendant Services and Supports. MiCASSA allows individuals eligible for Nursing Facility Services or Intermediate Care Facility Services for the Mentally Retarded (ICF-MR) the choice to use these dollars for "Community Attendant Services and Supports."
THE MONEY FOLLOWS THE INDIVIDUAL!
MiCASSA has been introduced in the US House of Representatives as HR2032 and in the Senate as S971. For more information on the bill status check out http://www.adapt.org.


Montana to Receive Federal Grant to Strengthen
Consumer Control in Medicaid Services

Montana was one of several states awarded an "Independence Plus" grant under President Bush's New Freedom Initiative to strengthen long-term care services for people with disabilities. The grant, which will be administered by the Senior and Long Term Care division of Montana's Department of Public Health and Human Services, will support the development of a cash and counseling model to give Medicaid recipients more control over their Medicaid services. Summit has been asked to play a part in this exciting pilot project. Summit staff will be responsible for providing personal assistance management training for participants to help them strengthen their management skills and ability to work effectively with caregivers. Stay tuned for more details as this innovative project gets underway in the coming months.


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Youth Updates by Jude Monson

This summer and the new school year bring exciting updates for youth in Missoula, Montana, and nationally. Here is a brief recap!

  • Montana Youth Leadership Forum (MYLF): Three students from the Missoula area participated in the MYLF in Billings in July. Congratulations to Michael from Big Sky, Tess from Hellgate, and Barkley from Sentinel High School! Summit's Peer Advocate Coordinator, Becky Burke, and Peer Advocate, Michael Beers, presented at the forum and both are ready to go back to lead again next year!
  • National Youth Leadership Network (NYLN): Summit Peer Advocates, Travis Hoffman and Michael Beers, attended the NYLN in Washington, DC this past August. Travis is a member of the NYLN board and Michael was a new youth participant. Montana is represented well by these two men!
  • Missoula's High School Transition Program: Sue Fury recently met with Summit staff and peers on the Youth and Presentation Committee to discuss transition services for students with disabilities. Summit staff Becky Burke and Jennifer Baker will facilitate a program for young women called RAVE which stands for Respect, Attitude and Values Education. Travis and Michael will soon begin a leadership program for young men.
  • Here are two websites that offer Transition information statewide.
    http://www.ruralinstitute.umt.edu/transition/
    www.ncwd-youth.info/

Congratulations to two Summit Peer Advocates who received Community Service Bureau awards at the annual conference in West Yellowstone. Travis Hoffman received the Leadership and Advocacy Award. Dustin Hankinson received the Pam Davis Award.


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Purchasing Durable Medical Equipment

To purchase durable medical equipment through Medicare you will need a prescription from your doctor. Depending on the item, you will likely need a "certificate of medical necessity" (CMN). Call your DME Regional Carrier to request a CMN and have your doctor fill it out. Remind your doctor that Medicare covers DME for use in the home. TIP: If you are able to show your need of the equipment in the home, you will also be able to use it outside of the home.

Use a provider who accepts assignment. To avoid hassles and save money, you should use Medicare suppliers who accept the Medicare-approved amount as payment in full. Medicare will pay 80% of its approved charge to the supplier directly and you or your supplemental insurer will only have to pay the 20% coinsurance (and any unmet Part B deductible). See Page 6 for a list of suppliers in your area.
If you feel you've been wrongfully denied, you can appeal. 80% of Medicare Part A appeals and 92% of Part B appeals turn out in favor of the person appealing, so it's in your best interest to make the effort. Be sure to make your appeal as soon as possible as you have a maximum of 120 days in which to initiate an appeal (people in Medicare HMO plans only have 60 days).

Appealing is simple, just make a copy of your Medicare Summary Notice (MSN) and send it to the address on the back with a note asking Medicare to review your claim. Include information that supports your case, such as a letter from your doctor explaining why you needed the item.

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Will Medicare Pay For This Purchase?

It is important to understand that not all suppliers handle Medicare services and purchases of durable medical equipment (DME) in the same way.

A Participating Supplier accepts assignment. This means the doctor or supplier has made an agreement with Medicare to accept their approved amount as payment in full. They may not charge you more than the approved amount. The supplier will bill Medicare directly. You are responsible for paying your deductible and coinsurance amounts.

A Non-Participating Supplier accepts Medicare insurance, but does not accept assignment. This means that the supplier is allowed to charge you up front. If you have met your yearly Medicare Part B deductible of $100 and your purchase has been prescribed by a doctor, Medicare should reimburse you for 80% of the Medicare-approved amount. The supplier will submit the claim to Medicare on your behalf.

A Non-Enrolled Supplier is not required to bill Medicare. If you submit a claim to Medicare after purchasing equipment from a non-Medicare supplier, Medicare may reimburse you for part of the cost, or you may be responsible for the total cost. You should call your DME Regional Carrier to find out if reimbursement is available for your item before you make the purchase. Call 1-800-MEDICARE (1-800-633-42273 - yes it is too many numbers, but it works).

Your best option is to use a Medicare supplier who accepts assignment. You will not need to pay anything up-front, so you save on out-of-pocket expenses. Below is a list of participating and non-participating suppliers and providers in western Montana, by county.

Flathead - Lake - Lincoln - Missoula - Ravalli - Sanders

FLATHEAD COUNTY
Participating Medicare Suppliers and Providers
Applied Health Services (DME, prosthetics)

752-6111
Haines Public Drug, Inc
862-2543
Big Mountain Eye Care
755-5171
W.E. Loveall, OD
892-4140
Bigfork Eye Clinic PC
837-6883
North Valley Hospital Medical
863-3500
Richard G Brown, OD
862-2020
Greg Phillips, PC (pharmacy)
257-2083
Glacier Drug
892-4379
Tidymans Pharmacy
756-5960
Glacier Prosthetic & Orthotic Care
862-0710
Tracy Hand & Occupational Therapy
752-7581
Non-Participating Medicare Suppliers and Providers
Albertsons Pharmacy
275-7556
Medical Arts Outpatient Solutions
752-2492
American Medical Oxygen Co
752-6888
Norco Inc. (DME)
752-4804
At Home Solutions, Inc
752-4545
Northern Care, Inc. (Orth/Prosth)
755-6322
Naomi G. Barnes, OD
862-3346
Rosauers Pharmacy
755-5099
Community Home Oxygen Inc
752-4818
Shopko Pharmacy
257-1274
Glacier Opticians Inc.
752-5027
Smiths Food & Drug
892-8333
Beth Horner (optometry/optician)
756-8400
Stoick Drug (DME, pharmacy, orthotics)
755-4103
Jason C. Johnson (DME)
862-1321
Sykes Pharmacy
257-4806
Kmart Pharmacy
257-5454
Vision Clinic PLLC
755-5910
Phyllis Knoll Prosthetics
257-2666
Visual Edge Inc.
752-4468
Lincare Inc. (DME)
257-2454
Wal-Mart Pharmacy & Optometry
756-7256

LAKE COUNTY
Participating Medicare Suppliers and Providers

Bigfork Eye Clinic

837-6883
Leonard & David Vanio, PC (opt/opt)
883-4733
Brian O. Baird (optometry/optician)
883-4355
Jocko Pharmacy
726-3993
James Ofstad, OD
676-8921
Shiree Dupuis Ryan (pharmacy)
676-2111
Non-Participating Medicare Suppliers and Providers
Bundy Management Inc. (DME, pharmacy)
883-3838
Beth Horner (optometry/optician)
883-4733
John P. Freeborn (DME)
883-1112
R&R Health Care Solutions (pharmacy)
676-5600
Mission Drug
745-3000
Wal-Mart Pharmacy
883-9221

LINCOLN COUNTY
Participating Medicare Suppliers and Providers

Franks Express Drugs (DME, pharmacy)

293-3784
Steven Sorenson, OD, PC (Eureka)
296-2507
Kootenai Drug and Gift (DME, pharmacy)
295-4361
Steven Sorenson, OD, PC (Libby)
293-4136
Patrick-Purdy (optometry/optician)
293-6236
 
Non-Participating Medicare Suppliers and Providers
Libby Drug (DME, pharmacy)
293-3958
Rosauers Pharmacy
293-7702

Note: There are no suppliers/providers located in Mineral County.

MISSOULA COUNTY
Participating Medicare Suppliers and Providers

Lisa A. Jackson (DME)

728-8418
RNH Medical Inc (DME)
327-9200
Leonard & David Vanio, PC (Optometry)
549-5550
National Vision
251-4465
Rocky Mountain Optical & Contact Lens
541-3918
W. Scott Albrecht OD
549-2541
Caron Health Corp (pharmacy)
327-1650
F&G Pharmacy
721-6640
Jeo Inc (pharmacy)
549-4125
Jocko Pharmacy
726-3993
Tidyman's Pharmacy
728-5944
 
Non-Participating Medicare Suppliers and Providers
Albertson's Pharmacy on Oxford
549-5127
Lolo Drug
273-2322
Albertson's Pharmacy on Reserve
728-1118
Missoula Clinic Pharmacy
549-7131
Albertson's Pharmacy on Russell
549-7717
Missoula Orthotics and Prosthe Lab (DME, orthotics, prosthetics)
549-0921
American Drug Stores
728-1380
Norco (DME)
549-2321
American Medical Oxygen (DME)
543-8887
Partnership Health Center Pharmacy
829-4197
Apria Healthcare (DME)
549-3866
Rosauers Pharmacy
721-4330
Community Home Oxygen (DME)
728-4315
Safeway Pharmacy
251-5415
Costco (optometry/optician, pharmacy)
543-6445
Savmor Drug 1 Inc
721-6017
DMGKE Inc (optometry/optician)
728-1356
Sheppard OD, PC, Sandy (optometry/opt)
549-4851
Florence Community Pharmacy
273-7979
Shopko (optometry/optician, pharmacy)
721-3789
Hanger Prosthetics & Orthotics
721-9244
Simons, PC, Michael (optometry)
549-9413
Harrington Surgical Supply (DME, orth)
721-8468
Specctica (optometry/optician)
549-5700
J&J Enterprises (pharmacy)
549-6163
Sunshine Oxygen Service (DME)
549-2266
Kmart Pharmacy
251-0497
US Vision Optical
542-2533
Lenscrafters
549-9078
Wal-Mart (optometry, pharmacy)
829-8532
Lincare (DME)
543-1832
Wal-Mart Pharmacy on Hwy 93 South
251-6066

RAVALLI COUNTY
Non-Participating Medicare Suppliers and Providers

Albertsons Pharmacy

363-7089
Hamilton Physical Therapy (DME)
375-0980
Beyer Big Sky Optical
363-2020
Montana Home Medical (DME)
777-7043
Bitterroot Drug (DME, pharmacy
363-3611
Norco (DME)
363-1800
Bundy Management (DME, pharmacy)
363-6203
Ravalli Family Eye Care
363-1530
Corvallis Drug
961-3221
Ridgeway Pharmacy (DME, pharmacy)
777-4410
Florence Community Pharmacy
273-7979
VDV Inc. (DME, pharmacy, orthotics)
777-5591
Hamilton Pharmacy
363-2300
Victor Primary Care Clinic (DME)
642-3991

SANDERS COUNTY
Participating Medicare Suppliers and Providers

William E. Shull, OD

826-3761 Jocko Pharmacy 726-3993
       
       
Non-Participating Medicare Suppliers and Providers
Robert W. Kelley, OD, PC 827-4327 BGC Pharmacy 827-4349
Plains Rexall Drug 826-3552    

2001 Newsletter Archive | 2002 Newsletter Archive
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Medicare Wants To Hear Your Voice

Bring the consumer voice to the national debate on the future of Medicare! If you or someone you know is interested in speaking out on health care issues affecting people with Medicare, you may want to join MRC's Consumer Advisory Board. You must have Medicare to be a member. Go to http://www.medicarerights.org/takeactionframeset.html for more information, or call 1-800-480-2060 ext. 72.

Dear Marci Volume 2, Issue 38: Week of September 22, 2003


Summit Welcomes New Peers

Our Peer Advocates are a very important part of Summit services. Many people with disabilities can benefit from having someone there who really knows where they're coming from. Being a peer advocate can be an empowering and fulfilling experience. Peers are given opportunities to educate the public, promote understanding, acceptance, inclusion, and create opportunity for people with disabilities.
In June, 14 people with disabilities went through the 20 hour beginning peer training. They came from Missoula, Lake, Ravalli, and Flathead Counties. The results were highly successful and many were hired on as peers. Some folks still have to complete some part of training, the post test or interview.

From Missoula County, the new peers are: Michael Beers, Chris Clasby, Jason Freytag, Laura Lee Peters, and Lin Skjelset.

From Ravalli County, the new peers are: Scot Browne, Mary Millin, and Velda Vial.

From Lake County, the new peer is: Tina Billedeaux.

From Flathead County, the new peer is Amber Lang.

Some of the new trainees are still in the process of completing their training. They are Janice Solomon and Barbara Willis from Missoula County, Shaun Nelson from Ravalli County, and Deborah Adams from Lake County.

Please welcome all these new peers who join Summit's staff! We are very excited to add so many new advocates to the peer program!

If you are interested in becoming a Peer Advocate, contact your nearest Summit Office for an application.


2001 Newsletter Archive | 2002 Newsletter Archive
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This newsletter is funded by the U.S. Department of Education grant #H132A30808 and in part under an agreement with the Montana Department of Public Health and Human services. Any statements herein do not necesssarily reflect the opinion of the departments.

This page was last updated on 6/23/08