My name is Melissa Foulke and I am
writing to request support for my
son through Medicaid. My husband, Jake, and I have five little boys ages
six, five, two, and one-year-old twins. In August our family relocated
from the Washington, DC area to Texas. We moved to Texas to support my
husband in his career at Rackspace. He has worked for Rackspace for 9 and
a half years in the Northern Virginia area. In order for him to continue
to grow and advance in his career we moved to San Antonio so he could work at
the Rackspace Headquarters.
During the last six years our family has been
through an inordinate number of trials. In this time we have welcomed
five children into our lives, but have also endured the difficulties of having
three premature babies and NICU stays, seven surgical procedures on our
children, three rounds of botox injections in our son's legs to help him walk
better, and a miscarriage. I have had four surgeries myself and have
fought cancer while being pregnant with our twins. During this time my
husband has not only maintained his job but has managed to earn awards and
receive raises and promotions.
Today I am writing to you
about our beautiful little boy Justin. Justin was born at just 29 weeks
gestation. Doctors do not know why he came early, but he did.
Justin spent the first 47 days of his life in the NICU. When he was only
a few weeks old I was told that he had a brain bleed. The doctors would
do weekly tests to follow the brain bleed. Only a few days later I sat
down with a doctor who told me that Justin had PVL (Periventricular
Leukomalacia). This brain bleed led to his diagnosis of Cerebral Palsy. I
was told that the damage was severe and went all the way from the front of his
brain to the back. I was told that he should walk and talk but they did
not know when. I was told that they were very concerned about his
cognitive abilities. At 8 months old Justin was diagnosed with CVI
(Cortical Visual Impairment). At age 2 Justin was diagnosed with Osteopenia
(brittle bones).
Today Justin is five
years old. He cannot sit up, stand, or walk unassisted. He cannot
change his clothes, brush his teeth, or bathe himself. Justin is,
however, one of the funniest little boys I know. He loves music. In
fact, he wakes up singing praise and worship songs every single morning.
His favorite song is Amazing Grace. Justin is smart, as well as a smart
alec. He is clever, kind to his brothers, and thoughtful. His smile
can make the worst day all better. Justin is a gift from God. His
nickname is JT. My husband wanted his middle name to be Tyme—Justin Tyme
because he was born and lives in God's perfect timing.
JT uses several pieces of
equipment daily. He uses a special chair to eat and a special chair to
sit and play. He uses a special needs stroller to ride the bus and get
around at school. We leave his motorized wheel chair at school during the
week so he could learn how to operate it safely. He has a special bath
chair and toilet seat. JT attends four private therapy sessions a week
and has receives a number of therapy and services at school, such as physical
therapy, occupational therapy, speech therapy, and vision assistance.
Justin's teacher said that he is a very smart boy who can learn things quickly
but that his CVI is causing learning delays. We are hopeful that he will
begin to learn braille in the near future to accelerate his learning.
When I first applied for
Medicaid in Texas, Justin was denied. I applied under the section
"person 65 or older OR person with a disability." The denial
letter we received stated he was denied because I did not include the correct
documentation, although the letter did not clearly say what documentation was
missing. I went to the Medicaid office and applied again, submitting
additional documentation I was told would help. I later received a phone
call telling me that he would be denied again—they said that since he was not
in a nursing home he was not eligible. About a week later I received
another phone call, telling me to call another office to see if he would be
eligible for a waiver. When I called the Department of Aging and
Disability Services office to request a waiver I was heartbroken when told
there was a six-year wait list for Medicaid and the only way to bypass the wait
list was to put my child—my five-year-old, cognitively-aware son who cannot
move without assistance—in a nursing home for no less than 30 days. I was
and continue to be appalled and disgusted by this. In order for JT to
receive what he needs for a functional life during the next six years we are
expected to place him in a nursing home for an extended length of time.
We cannot subject him to that experience.
So here we are, in a new
state without the support of our family, friends and medicaid unable to pay for
therapy and equipment. In January, when our deductibles reset we will
have to decrease the frequency of his therapy sessions since we will not be
able to afford the cost. We have no hope for JT to get a new stroller
until he is 11 years old and makes his way to the top of the 6 year Medicaid
waiting list. He has had his current stroller since he was two years old
and we have adjusted it to its limits. He is clearly outgrowing it.
Virginia Medicaid paid for this wonderful, supportive, assistive stroller and
we do not have the ability to pay for his next stroller. Last year alone
our family accrued one million dollars in medical bills, most of which was
covered by our health insurance. However, the remaining cost was still a
financial burden for our family. Although we have great insurance,
it will not contribute to the cost of our son's equipment since they
consider it to be durable medical equipment, which in their view means he does
not need it because it is not life-saving. This is why we need
Medicaid—not only to help with medical bills but even more to provide our son
with the equipment he needs to have an enjoyable and full life. When
Justin had Medicaid when living in Virginia, we were able to provide him with
services and equipment he needed without delay or question. Here in
Texas, we will continue to have expenses most families do not. We need
help with those expenses through Medicaid here.
It breaks my heart that
the Medicaid process is so difficult for those who are already doing their best
to care for their children. Children with disabilities are already
segregated from others in life. Justin is already different because he is
in a stroller at the age of five. He does not get to run around in the
back yard with his brothers. Instead, he sits watching them—laughing with
them and enjoying them but wishing so badly he could join them. My son
deserves better. My son is a human being who is not being given the
chance to grow and mature.
As his mother and
advocate, I will fight for him to have the best life he can have. I will
fight for him to have the equipment he needs to continue to learn and
grow. I will fight so that he can continue to attend the therapy sessions
he needs to learn to care for himself, sit up, use the bathroom, and bathe
himself. I fight knowing my son can do these things, that he has the
determination and desire to do these things. However, he needs more help
than my husband and I can provide, and we are asking you to—please—provide him
with that support through Medicaid.
Best regards,
Melissa Foulke