A social worker at an assisted living facility (ALF) turned to the Ombudsman when one of his clients, an OPA ward who was supposed to be on Medicaid, owed the facility more than $200,000 for his care. Apparently, the man’s public guardian had allowed his Medicaid to lapse. After the Ombudsman discussed the case with an agency supervisor, the ward’s Medicaid was reinstated with retroactive coverage and the ALF was provided with information necessary to submit retroactive billing. After receiving the Medicaid payment, the remainder of the ward’s medical bills were paid from the ward’s trust. (A2016-0787)