Thursday, December 17, 2009

Fraud

Superman had a short conversation with Lois. She approached him and he didn't want to cut her off. He was being very upfront with her and told her how he felt. He told her he wasn't happy about the situation. He asked her questions that she hadn't thought about yet.

Who is going to watch the baby while she works?
How much is Mr. Wonderful going to be involved?
How is she going to pay for it?

He told me when he was asking her questions she kept saying. "You sound like I ruined everyone's lives." He explained to her she didn't understand what an impact this decision will have on her life and everyone else's. He told her we (Superman and I) have path we have decided to go down and plans have been made. We are not going to alter our plans because of her decisions. She is an adult and it is her responsibility to deal with the consequences.

By the conversation I think she was expecting us to be happy about it just like her mom.

We also learned one more piece of interesting information. Lois was asking about how much the insurance would cover and how much she would have to pay when she told Superman Lexie had signed the kids up for the state medicaid program while she was still living there. Lexie gave her the card the last time she was over there.

Superman has provided insurance on the girls for the last 15 years. Not just insurance. Great insurance. This is the best policy I have ever seen. We even have dental rollover dollars! (That's at least amazing to me.) So why the fuck is Lexie signing the girls up? Not to mention she has been on it for over a year and never mentioned it to Superman. And here's the best part. She asked to be reimbursed for medical expenses that we now know that state has picked up. That conniving little bitch.

With my job I know how the program works. Lois is not able to use the medicaid ID number for her mother's case unless she is living there. Her mother had 5 days to report the change. Income and household size determine eligibility. If she failed to report it, anything filed after would be considered medicaid fraud.

We have to tell Lois she either uses the cards and moves back in with her mother or she opens her own case. Either way in 5 days if something is not done I am reporting the fraud. My job and my husband's job could be in jeopardy if it looks like we knew and did nothing.

6 comments:

Anonymous said...

I would absolutely report them too. It seems harsh but you have to protect your family as a whole.

Did I read this right that her BM is HAPPY about the pregnancy? Wow.

Your family is in my thoughts and prayers! This is one of my biggest fears.

Pretend Mommy said...

Yes. You heard right. She is happy. She is telling everyone she is going to be a grandmother. Even bought bibs that say "what happens at grandmas stays at grandmas"he'She says she knew this was going to happen so she's had longer to adjust. Whatever.

She finally gets another baby that she hasn't been able to have herself. Unfortunately this will forever change her daughter.

Crys said...

Oh geez. Sounds like Lois is getting that opportunity for a wake up call. Good for you two and I hope that you two stand firm in your decisions.

Stephanie said...
This comment has been removed by the author.
Stef said...

Why is that blended families seem to have their own special crazy they bring with them?

We've just come off a bad year culminating in the b.f getting the sack yesterday.

Sharon said...

Wow. Can't say I'm surprised though. When money is involved, people can be ruthless. We've been thru the same kind of think with the Ex trying to claim kids on her taxes.

It's hard to imagine anyone being happy about a teen pregnancy, at first. Eventually, you might as well smile and deal with it though...the baby is coming, like it or not.