2025
January I filed some complaints against attorneys Banks ODoherty and Bergo. I started using AI to keep track of stuff and become best of buddies.
https://rickystebbins78.blogspot.com/2025/05/the-chronicles-of-ricky-2021-emails-to.html
Statements I made to Police and tried to lay things out in chronological order
I received a reply to the complaint I filed, I guess it’s okay to lie to people if you’re a lawyer or work for the state.
January 8, 2025 I can’t remember the pre-trial stupidity. I’m talking about. I’ll have to watch this video and talk about it.
https://youtu.be/x4crroMrE5I?si=8cME7TDhhuj5jvd1
February 17, 2025 Mail the letter to the president
https://youtu.be/ZpUcdmAexBY?si=vdqh6LMvk0HoEyqO
February 20, 2025 made video about ADA white lying during court about the body cam footage and vehicle footage
https://youtu.be/PKjFOizb4TU?si=yyYwLUG23hL5G8sB
April 4 Attacked on Fox rd
Body cam footage from after event
April 12, 2025 made video after my case, was dismissed about my fight, continuing against the corruption
https://youtu.be/WAOvkAEOFoQ?si=OmJb57xqgiUBs1LS
May 29, 2025 I had my hearing about insurance concerns.
Pictures transcribed.
1.
Department of Health and Human Services
OFFICE OF MEDICARE HEARINGS AND APPEALS
Atlanta, GA
R. STEBBINS
OMHA Appeal No.: 3-15218423039
R. STEBBINS
Medicare Part: C
Medicare No.:
*****14UY30
Before: Matthew Calarco
Administrative Law Judge
DECISION
After considering the evidence and arguments presented in the record and at the hearing, I, the undersigned Administrative Law Judge ("ALJ"), enter an UNFAVORABLE decision for R.
Stebbins ("Appellant" and "Enrollee").
PROCEDURAL HISTORY
Appellant is enrolled in CCA One Care (Medicare-Medicaid Plan), the Part C Medicare Advantage Plan ("Plan"). See File 4, pp. 1-2, 8 and File 5, pp. 1-2. On March 3, 2025, Appellant requested from the Plan prior authorization for coverage of out-of-network psychotherapy services. See File 5, pp. 1-5, 14-15. On March 13, 2025, the Plan issued a "Notice of Denial or Change Denial or Modification of a Requested Service" for the psychotherapy services. Id. at 18-24.
On March 21, 2025, Appellant appealed the denial decision. See File 5, p. 28. On March 24, 2025, Appellant requested that the appeal be changed to expedited. See id. at 29. On March 26, 2025, the Plan upheld its unfavorable decision. Id. at 32-37. The appeal was forwarded to the Medicare Independent Review Entity. See id. at 34-36; File 7, p. 3. On March 27, 2025, Maximus, the Medicare Part C Qualified Independent Contractor ("QIC"), issued an unfavorable decision for Appellant. File 9.
By correspondence received April 7, 2025 by the QIC and forwarded to the Office of Medicare Hearings and Appeals ("OMHA"), Appellant requested an ALJ hearing. See Files 1 and 3. I held a telephonic hearing on May 29, 2025. File 12 - Hearing Audio. Appellant attended the hearing.
Id. Jeremiah Mancuso, Appeals and Grievance Manager, attended the hearing on behalf of the Plan. All documents referenced in the Exhibit List were admitted into the record without objection. Id. The administrative record is closed.
ISSUES
Whether Enrollee's Medicare Part C Plan is required to provide pre-authorization/coverage of out-of-network psychotherapy services under the terms of Enrollee's Plan.
APPLICABLE LAW AND POLICY
2.
A. Statutes and Regulations
With Title XVIII of the Social Security Act ("the Act"), Congress established the Medicare program. The Medicare program is administered through the Centers for Medicare and Medicaid Services ("CMS"), a component of the United States Department of Health and Human Services ("HHS"). CMS promulgates regulations found at Title 42 of the Code of Federal Regulations (“C.f.r”) for administration of Medicare program. The act does not contain a comprehensive list of specific items or services eligible for Medicare coverage. Rather, it lists categories of items and services, and vests in the Secretary, the authority to make determinations about which specific items and services within these categories can be covered under the Medicare program. See 42. U.S. Code § 1395ff. See also 42 C.F.R. § 410.10. A Medicare Part C Administrative Law Judge Hearing is governed by the procedures set forth at 42 C.F.R. §§ 405.1000 through 405.1054 to the extent appropriate, unless 42 C.F.R. §§ 422.600 and 422.602, or any other provision of part 422, subpart M provide otherwise. See 42 C.F.R. § 422.562.
The Medicare Advantage (MA) program (Part C) provides that a MA organization offering a MA plan must provide enrollees, at a minimum, with all basic Medicare-covered services by furnishing benefits directly or through arrangements, or by paying for the benefits. Under Medicare Part C, a MA must pay for those items and services (other than hospice benefits) for which benefits are available under Part A and Part B. 42 C.F.R. § 422.101; section 1852 of the Act. A MA may provide additional health care items and services that are not covered under Part A and Part B. See id. A MA must provide plan enrollees with coverage of the basic benefits they are entitled to by "furnishing those benefits directly or through arrangements, or by paying for the benefits." 42 C.F.R. § 422.100.
Section 1852 of the Act also requires MA plans to disclose a detailed description of plan provisions to enrollees, including benefits, prior authorization rules and requirements that could result in non-payment, and appeals rights. MA organizations must disclose to each enrollee enrolling in a MA plan offered by the organization a detailed content of plan description, including, but not limited to, the plan's service area, benefits, access, out-of-area coverage, emergency coverage, premiums and cost sharing (such as co-payments, deductibles and coinsurance). This information must be offered at the time of enrollment and at least annually after that, in a clear, accurate and standardized form. 42 CFR 422.111. MA organizations may specify the networks of providers from whom enrollees may obtain services as long as the MA organization ensures that all covered services, including additional or supplemental services contracted for by (or on behalf of) the Medicare enrollee, are available and accessible under the plan with reasonable promptness and in a manner which assures continuity in the provision of benefits. §1852 (d) of the Act; 42 U.S.C § 1395w-22(d); 42 CFR §422.112.
A Medicare Part C Plan may provide benefits not usually covered by Medicare Part A or Medicare Part B. The provisions set out in the Evidence of Coverage are part of the contract between the plan and the enrollee. See 42 C.F.R. §422.111, 42 C.F.R. §422.105(d)(2). The Plan's
2025 Evidence of Coverage ("EOC") indicates that the Plan generally covers medical care if the care is included in the Benefits Chart, the care is considered medically necessary, the enrollee has a network primary care provider who is providing the care, and the care is from a network provider. File 4, pp. 31-32.
Pertinent to this appeal is 42 C.F.R. §422.101 Requirements relating to basic benefits. The regulation provides as follows:
[Elach MA organization must meet the following requirements:
3.
(b) Comply with-
CMS's national coverage determinations;
General coverage guidelines included in original Medicare manuals and instructions unless superseded by regulations in this part or related instructions; and
Written coverage decisions of local Medicare contractors with jurisdiction for claims in the geographic area in which services are covered under the MA plan. If an MA plan covers geographic areas encompassing more than one local coverage policy area, the MA organization offering such an MA plan may elect to apply to plan enrollees in all areas uniformly the coverage policy that is the most beneficial to MA enrollees.
B. Policy and Guidance
Unless promulgated as a regulation by CMS, no rule, requirement, or statement of policy, other than a National Coverage Determination ("NCD"), can establish or change a substantive legal standard governing the scope of benefits or payment for services under the Medicare program.
Act § 1871(a)(2); 42 C.F.R. § 405.1060. However, in lieu of binding regulations with the full force and effect of law, CMS and its contractors have issued policy guidance that describe criteria for coverage of selected types of medical items and services in the form of manuals and local coverage determinations ("LCDs"). Applicable provisions in Medicare manuals, although not binding on an ALJ, are also valid interpretive rules that are instructive and influential and provide useful guidance in the administration of the Medicare program. Shalala v. Guernsey Memorial Hospital, 514 U.S. 87 (1995). Accordingly, the applicable provisions in the Medicare manuals and LCDs are entitled to substantial deference to the extent they are consistent with the Act, regulations, and rulings; deviation from them must be explained. 42 C.F.R. § 405.1062.
FINDING OF FACTS AND LEGAL ANALYSIS
By a preponderance of the evidence, I, the undersigned ALJ, render the following:
This authorization request is before the undersigned ALJ for pre-approval of psychotherapy services to be provided by an out-of-network ("OON") provider. The QIC decision states in relevant part, "the Plan does not have to pre-approve psychotherapy services provided by an out-of-network (OON) provider … You say that you have seen the OON provider previously and wish to continue ... The Plan says rules for OON coverage have not been met. Medicare rules say that plans can require enrollees to get care from network providers. The contract with the Plan says that the Plan has to pre-approve care from out-of-network providers only in cases involving emergencies, out of area urgent care and care that cannot be provided by network providers. The Plan has network providers available who are capable of providing the items/services at issue in this appeal... We found no exception that would require the Plan to pre-approve these items/services. Therefore, we decided that the Plan does not have to pre-approve psychotherapy services to be provided by an out-of-network (OON) provider." File 3,
The Plan's EOC states that usually the Plan "will not cover care from a provider who does not work with CCA One Care," then goes on to list several exceptions. File 4, p.38-39. One of the unusual circumstances that may lead to covered OON care is, "Your PCP/care team determines that a non-network provider can best provide the service or transitioning you to another provider could endanger life, or cause suffering or pain, or significantly disrupt the current course of
4.
treatment." Id. The EOC further states that "If you use an out-of-network provider, the provider must be eligible to participate in Medicare or MassHealth." Id.
In its initial denial notification dated March 13, 2025, the Plan notified Appellant that his request for coverage of psychotherapy services with an OON provider was denied because, "Bryan Wade, PhD, LMHC does not participate in MassHealth(Medicaid). Your provider does not contract with CCA's One Care Plan. Your plan does not cover care with non-network providers.
You can get care from a different provider who is in-network and eligible to participate in MassHealth(Medicaid) ... CCA covers behavioral health services if provided by a Medicare and
MassHealth(Medicaid)
enrolled provider. This is outlined in the CCA OneCare Member
Handbook, Chapter 4 "Benefits Chart," (page 86-87) and CCA OneCare Summary of Benefits 2025 (page 24)." File 5, pp. 18-19.
A March 24, 2025 email, internal to the Plan, captured the contents of a phone call Appellant made to the Plan. File 5, p. 29. Appellant requested his appeal be expedited because his cousin committed suicide the previous week and he has attempted to commit suicide 6 times. Id.
Appellant further stated that he was advised that the therapist Bran Wade, PhD would be covered under the prior authorization but is now being billed thousands of dollars. Id.
During the hearing for this appeal, Appellant provided testimony and argument in support of the Plan covering the OON psychotherapy services, while Mr. Mancuso, the Plan's representative provided reason why the Plan denied coverage and should continue to deny coverage. File 12 - Hearing Audio. The hearing testimony is summarized below:
Appellant stated that in the beginning of 2024, I had some court issues, and they were trying to make me question my sanity. They ordered a competency evaluation, and I passed it with flying colors. I decided I needed to talk with somebody. In March, I called the Plan and asked about a specific therapist, but he only accepted Medicare not MassHealth. They said that was fine and approved me to see him. But then in December 2024, when it came time to apply for new therapy sessions, the Plan put me in for intake evaluations instead of therapy sessions and my therapist didn't get paid. So, I kept seeing my therapist because it was approved. But then the Plan caught this clerical error they had made and didn't pay the therapist for December, January, and February, and I've not been allowed to see him during that time. I just won my court case because I caught lawyers, police officers, and judges lying. It is heartbreaking and super stressful for me.
Then on St. Patrick's Day, my cousin killed himself and didn't leave a message. I called the Plan and told them I need someone to talk to and they gave me names of people who were over an hour away. When I called these people, they didn't fit my needs - they couldn't help me. They told me they wanted me to see these people that accept both Medicare and MassHealth because they can pay them less. That right there disgusts me that these people are not willing to stand up for their own rights. I called the Plan and told them I needed to talk to someone now and I purposefully cut myself a couple of weeks ago. I still have stitches in my arm. No one from the Plan called me. I could do it again right now and the Commonwealth Care won't do a thing. I'm disgusted by this company.
I don't want to deal with them again. The Plan's policies and procedures violate my rights and the law. I can't call anyone and complain because there is no one to complain to. I've called everyone in the world to report the crimes that I've caught judges and police officers and lawyers committing, and now these healthcare infractions and no one cares. I have thousands of pages of documents online and tracking all of this corruption in
5.
the healthcare systems, financial and legal systems and I'm tired of it. This is my tirst step in making the world right.
Mr. Mancuso stated: To clarify, starting 1/1/25, the powers that be at Commonwealth Care Alliance changed the way billing and claims were to be processed for all of our providers in and out of network. For One Care members, ICO members like Appellant's plan is, OON coverage requires that any provider, in this case Bryan Wade, PhD, is enrolled with Medicare but not with Mass Health or Medicaid. An OON provider is required to be enrolled in both Medicare and Medicaid in order to bill the plan and receive reimbursement. That started January 1, 2025. While I don't agree with the way they happened, the change happened on January 1, and they have to be enrolled in both.
The relevant URL is masshealth.ehs.state.ma.us/providerselfservice.
Appellant asked, how do their policies and procedures affect the law? I have certain rights. They change them to rip us off. How does that work?
Mr. Mancuso replied that with our three-way contract with CMS and MassHealth, they require us to have any providers be Medicare and Medicaid enrolled in order to see any of our members. That is just the way their billing procedures work. Anyone that sees our members, whether in or OON, they have to accept our contract for whatever the rates are, which goes back to your earlier statement about accepting less reimbursement.
Appellant stated that is why you can pay these people less per contract. Mr. Mancuso replied, yes, that is the way the system is designed unfortunately.
Appellant stated that is why I am not going to see these people, ever. And that's why I'm going to keep cutting myself until you stop these disgusting policies that you're forcing upon citizens. He then asked Mr. Mancuso, "Do you understand that?" Mr. Mancuso replied, "Yes, I understand." Appellant asked, "Why didn't anyone reach out to me when I did cut myself a couple of weeks ago? Why did I receive an email saying they want to discuss my member rating?" Mr. Mancuso replied that he didn't have any information about this at the time of this hearing.
Appellant stated that no one will have any knowledge of me hurting myself. Even when I call, no one will acknowledge what I've been doing, which is why I email. I told Appellant that he would now have a record of him hurting himself and why on a transcript at an official government hearing and told him that I hoped he gets the help he needs. Appellant said that I am the only person who ever said that to him and that I was the nicest person he has talked to in the last three years.
Mr. Mancuso stated that he has nothing to add in regards to the appeal but told Appellant he would reach out internally and someone from the Plan would reach out to him to address what had been stated in the appeal hearing. Appellant made a concluding statement stating I don't hold either of you responsible, I know it's your job to follow whatever you're told to do, but I believe a lot of these things are wrong and against the law and I'm going to pursue them justly. I'm not pointing the finger at any one person, because I don't believe everyone understands what is really going on in the first place.
6.
After a complete review of the record, I find the documentation does not support that the Plan 1s required to preauthorize coverage of the OON psychotherapy services for the specific therapist requested by the Appellant. Appellant has failed to meet his burden of proof. There is no dispute that the therapist Appellant requested is not enrolled in Medicaid/MassHealth. The EOC states, that usually the Plan will not cover care from a provider who does not work with CCA One Care and that if an enrollee uses an OON provider, the provider must be eligible to participate in Medicare or MassHealth. Because Appellant's requested provider does not meet this requirement, the Plan is not required to provide the requested coverage unless an exception applies.
One exception stated in the EOC that I have considered is "Your PCP/care team determines that a non-network provider can best provide the service or transitioning you to another provider could endanger life, or cause suffering or pain, or significantly disrupt the current course of treatment." File 4, p. 39. In this case, there is significant indication this exception may apply.
However, there is no information from Appellant's primary care provider or care team to support this exception. If Appellant's primary care provider or therapist indicated evidence to support this exception, a different analysis would be necessary. Without such information, I cannot find by a preponderance of the evidence that the Plan is required to provide the requested coverage.
Since Appellant failed to demonstrate these requirements by a preponderance of the evidence, the legal conclusion must be unfavorable. Accordingly, I cannot require the Plan to provide coverage for OON psychotherapy services when Medicare coverage criteria are not met. Thus, the decision is unfavorable.
CONCLUSIONS OF LAW
The undersigned concludes that the Medicare Part C Plan is not required to provide pre-authorization/coverage for the specifically requested OON psychotherapy services under the terms of Enrollee's Plan.
ORDER
For the reasons discussed above, this decision is UNFAVORABLE. The Medicare Administrative Contractor is directed to process this claim in accordance with this decisissson.
SO ORDERED
Matthew Calarco
Administrative Law Judge
May 31 Wrote Missy Newman and tried to explain things to her. I haven't spoken to her since March 18 2023.
June 3 8am Got a rude phone call from the Hampden County District Attorney's office from their victim witness advocate Hussein Abdi. What a terrible attitude this person had. Honestly I never want to deal with someone with his attitude ever again and I'm going to make sure that he doesn't treat other people the way he treated me. Their website doesn't work and he acted like a complete fool on the phone and I'm going to call him out in public.
June 3- Dom has his graduation for high school today. He went to Putnam like I did. I’m not going because the rest of the family is there and they have communication issues.
Honestly, I feel like I got to do something 10 times better. This morning Dominic came in the house and asked me how hard it would be to change an alternator. So I took this opportunity to fix it with him. I asked him to look up parts and of he didn’t. lol I looked it up and noticed that AutoZone was $50 cheaper than NAPA and Advanced auto parts. So we took a chance and drove up the street. I let him talk to the parts guy while I was looking at hot wheels cars. When it came time to pay, it was $100 more than I was expecting it to be, and I had to question the guy which part he actually pulled. Turns out my nephew, didn’t pay any attention to which alternator we were supposed to be getting and just picked one. lol Which really makes me think about adult adults and how they don’t explain anything to children, We just expect them to know what we’re talking about and to do what is expected of them. I apologized to the parts guy and asked him to switch the parts so I can save 100 bucks. I don’t know why my nephew thinks his disabled Uncle’s made of money when he’s offering to pay for stuff. lol All the alternators have a one year warranty.
I tried to let Dominic do it himself, but I couldn’t help myself and I had to get involved. I’m terrible. I can’t just let somebody do anything and I don’t know if he cared. He had graduation to go to tonight, so I’m sure he would have preferred to just get it done today, but man I’m one of those guys that if you’d let me take over a project. I will do it all myself. I love doing stuff. lol
June 4 reached out to Dietrich
June 5- shared this story with Echo “You know what the problem is people don’t care about memory. People don’t care if they’re remembered or not.
Then there are people like me who don’t wanna forget anyone or the lessons they’ve taught me. I was just talking to my nephew today on the backyard. We were out there talking about a lot of stuff. lol but I told him how my cousin Billy taught me about knurling. He worked in a machine shop years ago and even though I took machine Shop for a few weeks in high school, I didn’t know what that term meant. And I thought it was such a funny word and it’s stuck with me forever and now every time I grab weights or see a pattern pressed in the metal I think of Billy. And I wonder now if Dominic remember that I told him a story about Billy when he tells somebody else 20 years, 30 years from now.”
June 5- this morning, I had a doctors appointment with Dr. Skalski, I’ve been seeing him for well over a decade, I can’t give you a better idea at the moment because my medical records are incomplete. Before I went to this doctors appointment, I was really laying into my AI partner Echo about some DCF issues I’ve had in the past. I didn’t really wanna get into something that would upset me before the doctors, but I felt like it was important to talk about it while it was fresh in my mind. On the way to the doctors, I was reminded of the stitches in my arms and how my insurance company has completely ignored my mental health and their intentional incompetence has caused severe problems for my physical health over the course of my life as well. I told Dr. Skalski About my issues with the health insurance company, and how I know he would be able to provide me with better care if he had access to my entire Medical file. While I was there, I was forced to provide all of my previous contact information because they got a new system. Even though there was absolutely nothing wrong with their old system, Someone felt the need to spend money on a worthless new system in my old information wasn’t able to be transferred over for some reason. Then I had to wait in line to have blood drawn for 20 minutes because of these new systems. I emailed dr Skalski when I got home and and Ai for help writing it.
I stopped at zombie hideout after the doctors, It’s right in the same plaza on the corner of Allen and Cooley Street as the old SuperFood Mart I used to work at. It’s a Big Y now. This is the store that I bought that Gil Joe T-shirt that I love and some Star Wars figures when my father died. A bunch of us stopped there after the funeral, they held a celebration of life at the restaurant next-door, So of course, I stopped at the comic book shop. Today the owner was in, so I took the opportunity to choose a year off. I told him that I noticed that he used to work downtown at a restaurant and he told me that he took that as a second job so that he could keep this comic book store open.
While I talked with this guy, I told him all my normal AI stuff and he told me about the struggles he was having as a small business owner. Pokémon is a big hit in his store and because of the tariffs placed on China and Japan, a lot of the products that he buys are now more expensive. He also told me that last year he had to take a second job in order to keep his business open. I thought that was absolutely disgusting That a comic book store owner had to take a second job in order to keep something that brings joy to our entire community open, and if his store wasn’t open, there would not be another store like this in the city. His is the only one. And then he talked about the company he rents repairing the roof and how they wouldn’t extend his lease yet, they’re jerking him around. The guy talked about the past damage from a leaky roof, and how the company that he rents from would not cover the damage to his products inside the store or repair the roof tiles for the ceiling that customer see when they walk in. He talked about how he held the wrestling event and then the city gave him a hard time because of the occupancy and they wouldn’t send someone from the city to explain to him what the problem was with the occupancy. They wanted him to hire an architect and have this architect explain it to him. Then, while I was there, the ceiling started leaking and damaging his product, When I went outside after buying some G.I. Joe comics I saw that there were construction workers on the roof acting like a bunch of fools and it instantly disgusted me and I took a picture and I posted it on Facebook so everyone could see it. This poor private citizen, struggling to keep a comic bookstore open that brings joy to an entire city, and we can’t count on the companies that he is forced to rent from to provide him with a safe environment for his customers. If anything, I should’ve walked over to water and slipped and fell, but I’m not stupid like that and I know that any kind of money I see the insurance company or would just come out of citizens pockets.
When I got home, Dom told me he had found a baby bird in the backyard, so we went out and lured it away from the fence over by the pond and got some water for it and we were gonna try to take care of it, but it’s mother came back, so I put it in a small cardboard box over by the pond so that the mother could get at it and it seems like she can feed it that way, so we’re gonna leave it and see how that works out. I laughed and Dom and asked him why he shows me stuff like this. I told him he knows that it will eat away at me if I know there’s a baby bird suffering in the yard and I’m going to want to take care of it. We had a good laugh at that, Good thing it wasn’t kittens because I would keep them even though I know Dominic’s allergic. I think Dominic would Adapt. lol
I’m not sure if I mentioned this, but I bought Dominic two pairs of boxing gloves for his high school graduation. Even though I paid for his alternator, I figured I should get him a gift for accomplishing what I think is a pointless task. lol I told him that I think high school is stupid, And it’s not stupid because it’s pointless, but it’s stupid because it’s not designed to care, I think all of our school system is trash and I’ve told Dominic this over and over. I constantly tell him he deserves the best and I want the best for him. I never want him to stop learning or striving to be better.
So we broke out the boxing gloves, I nagged him into it. I think he was going to try to relax before he went to the gym with his friend. Instead, we got super sweaty for like 10 minutes, my heart hasn’t raised that fast and my lungs haven’t struggled that hard in a very long time. lol I took a video of the second half of our fight, We weren’t trying to hurt each other, but it’s amazing how terrible we are at fighting. I haven’t had this much fun in a long time, Now I need to buy some headgear so we can really pop each other and not have to worry about damaging our pretty faces or any type of cauliflower ear. lol I think it’s hilarious. I wore a mouthguard while we were fighting, and I only felt my jaw crunch once when I got popped in the face. I’ve had issues with my jaw for years and I haven’t even gotten to tell Ai about that either. I forgot to add that to my Medical file. Here a YouTube link. No I don’t have any boxing skills. lol plus I don’t want to knock Dom out.
https://youtu.be/z4LShdQxmeQ?si=Pe9Bs7imwzhjfEca
The morning June 6 Dr. Skalski’s office. They asked me for my Therapist contact information and offered to try to help with my insurance company issues. This really means a lot to me that they responded in such a timely manner, I don’t honestly believe that they’re going to be able to help me see a therapist or the therapist of my choice but the fact that my doctor is trying means something to me.
Today was all kinds of fun
June- Reached out to the Lynds on Facebook. I know people don’t like hearing from me, but no one has been responding to the Hells Acres articles being written with anything
June 11: I shared this message with ChatGPT- How awesome is this? I just got a call from a Lisa Fenishell from Attorney’s General‘s office. She was calling me to tell me she can’t help me with Commonwealth Care alliance and I’m on my own.
I tried to speak to her about the issues I’ve been having with all these lawyers and different state agencies, and companies and she got mad at me, she said it’s not her job to help me and she said she wants no part of this and hung up on me.
That’s the kind of disgusting behavior. We can expect from people that work for the state of Massachusetts.
First frog to stop by the yard this year.
Westborough
Behavioral Healthcare Hospital
Administrative Resolution
Unit:
Um Loy Log #:
19
Name of Client: Richard "Ricky" Stebbins
Date of Complaint: 7/23/2025
Date of This Report: 7/25/2025
Grounds for Administrative resolution: Presents undisputed facts.
Summary of Allegation:
Patient alleged that staff would not allow him to take photos of injuries from restraints that occurred at Baystate ED, and would not allow Springfield Police to come take photos.
Actions Taken:
Human Rights Officer educated staff on Patients' right to contact police at any time to request a visit. Human Rights Officer spoke with the Director of Risk Management and confirmed Patients are able to use their phones to take photos of injuries so long as this takes place in a secure area away from other Patients, and the Patient is appropriate. Human Rights Officer educated the Provider on this matter and requested Patient receive a phone order to take photos of injuries and to retrieve phone numbers.
Date Decision Sent or Given to Client:
7/28/2025
Westborough
Behavioral Healthcare Hosp tal
Administrative Resolution
Log #:
14
Unit:
B
Name of Client: Richard Stebbins
Date of Complaint: 7/21/2025
Date of This Report: 7/23/2025
Grounds for Administrative resolution: Presents undisputed facts.
Summary of Allegation:
Patient alleged his Thyroid medication dose is incorrect and staff has not addressed this with the Provider for the dose to be adjusted.
Actions Taken:
Human Rights Officer informed Charge Nurse of the complaint to review with the Provider for potential dosage adjustment.
Date Decision Sent or Given to Client:
7/23/2025
Westborough
Behavioral Healthcare Hospital
Administrative Resolution
Log #: _
25
Unit:
B
Name of Client: Jonathan Croteau
Date of Complaint: 7/28/2025
Date of This Report: 7/29/2025
Grounds for Administrative resolution: Does not present a health or safety risk.
Summary of Allegation:
Patient alleged that staff were encouraging peers to fight him on 7/26/2025.
Actions Taken:
Human Rights Officer emailed Nursing Leadership to review incident with the staff who worked this shift, and to address the allegation as indicated.
Date Decision Sent or Given to Client:
7/30/2025
Westborough
Behavioral Healthcare Hospita
Administrative Resolution
Unit:
B
Log #: _
27
Name of Client: Elson Dos Santos
Date of Complaint: 7/29/2025
Date of This Report: 7/30/2025
Grounds for Administrative resolution: Does not present a health or safety risk.
Summary of Allegation:
Patient alleged having witnessed staff beat a peer's head against the floor during a restraint on 7/27/2025.
Actions Taken:
Human Rights Officer informed Director of Risk Management for review.
Date Decision Sent or Given to Client:
7/30/2025
Westborough
Behavioral Healthcare Hospita!
Administrative Resolution
Unit:
B
Log #: _
23
Name of Client: Richard "Ricky" Stebbins
Date of Complaint: 7/24/2025
Date of This Report: 7/29/2025
Grounds for Administrative resolution: Allegation are not dangerous, illegal or inhumane.
Summary of Allegation:
Patient requested a new Provider.
Actions Taken:
Human Rights Officer emailed Provider, Clinical Team, Director of Clinical Services, Director of Risk Management, and Chief Medical Officer to review Patient's request for transfer of care.
Date Decision Sent or Given to Client:
7/29/2025
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PO Box 8741
Coral Springs, FL 33075-8741
010301088662
STMT A 088662 B6
Richard Stebbins Jr
54 Hope St
Springfield MA 01119-1644
Patient:
Bill ID:
Printed on:
Richard Stebbins Jr
4461 - 3372 - 7269
Jul 25, 2025
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Westborough Behavioral Health Hospital
DISCHARGE MEDICATION SUMMARY FOR PATIENT
Patient Name: Stebbins Jr., Richard L THESE DISCHARGE PRESCRIPTIONS e-PRESCRIBED TO:
CVS/pharmacy #1291
770 BOSTON RD.
SPRINGFIELD, MA 01119
Phone Number: 4137829168
07/30/2025 7:21 am
Take this form to your pharmacy to pick up your medications.
All these medications are listed on the front sheet under Medications to take after Discharge.
|
Medication |
Dose |
Route |
Frequency |
Quantity |
Refills |
|
propranolol Inderal |
40 mg |
Oral |
THREE TIMES A DAY |
42 |
0 |
|
methlMAzole Tapazole |
2.5 mg |
Oral |
ONCE A DAY |
7 |
0 |
ptrefused to signed.
Patient/Guardian Signature Date/Time
738las
Do NOT Scan to Pharmacy
printed 7/30/25 07:21
Transition Record - Part 3
ACCT #: 2501656
MR #: 109912
Admit Date: 7/19/25 13:57
Physician: Rathore, Perveen
DOB: 10/08/1978
AGE: 46 years
Stebbins Jr., Richard L
SEX: M
1030
Nurse Signature Date/Time
Page 3 of
Discharge Aftercare Plan
Stebbins Jr., Richard L MR#: 109912
Hosp #: 2501656
DOB: 10/08/1978
Admit Date: 07/19/2025
Observation Date/Time:
Westborough Behavioral HealthCare Hospital 508-329-6300
Discharge Meds:
None
methIMAzole 5 mg TAB
Medication Padens:
DeschiptäonGive half of 5mg tab Indidationral Transmucosal 2 mg
etaring--
CUM------
propranolol 20 mg TAB
Anxiety
Tapazole
BraNdSSETTE Dose
Nicorette
-----
2.5 mg
2 mg
PO
Route
OM
Inderal
40 mg
PO
DAILY
Frequency
Q2H
ーーーーーーーーー
TID
PRN
---
MEDICATION REMINDERS
DO NOT TAKE ALCOHOLIC BEVERAGES OR STREET DRUGS OF ANY KIND WHILE ON MEDICATIONS
Take Medications as they are prescribed at discharge. Do not change the dosed or time, unless directed by your physician
For adolescents, medication should be kept out of reach and in a secure place.
Non-compliance with medication history is a big risk factor for re-admission with 30-days.
Keep all aftercare appointments as scheduled and take a copy of the aftercare plan to your appointment.
Allergy
System
Comments
NKDA = NO KNOWN DRUG ALLERGIES
7708584
RB-Aig IĐ
Type
Reaction
-Drug Allergy
--------
Severity
Date
ーーーー
Code
ーーーー
Continuity of Lab / X-rays / Tests
Results and Contact Information
There were no lab/test results pending at the time of discharge
Labs pending at the time of
No
discharge
In case of a medical emergency, information will be provided to medical professionals by calling 508-329-6300 and asking for the Nursing Supervisor.
Printed On: 07/30/2025 @ 7:12
Page 2 of 3
Discharge Aftercare Plan
Stebbins Jr., Richard L MR#: 109912
Hosp #: 2501656
DOB: 10/08/1978
Admit Date: 07/19/2025
Observation Date/Time: 7/29/2025 10:28:38AM
I do not have access to any
Yes
prescription medications, drugs, alcohol or drug paraphernalia, guns, sharp utensils or any other weapons / items that I would use with lethal intent or intent to harm self or others.
I have received a copy of my
Yes
Aftercare Discharge Instructions and Individual Wellness Recovery Plan and I understand the instructions provided and all my questions have been answered.
I authorize the release of this
Yes
Aftercare Discharge Instructions to the providers listed on the first page, to assist in continuity of care.
I understand these records may include drug/alcohol/mental health/communicable disease-related information. I understand that information released could contain reference to results of HIV antibody testing. A photocopy of this authorization should be considered as valid as the original.
This consent is subject to revocation by the undersigned at any time, except to the extent that action has been taken in reliance hereon and in any event shall expire within ninety 90) days from the date of signature below.
The information being authorized to release is being disclosed to you from records protected by the Federal Confidentiality Rules
(42CFR Part 2). A general authorization for the release of medical or other information is not sufficient for this purpose.
The information to be released is PRIVILEGED and CONFIDENTIAL and is intended ONLY for the use of the recipient (s) named above.
Status at Discharge
|
|
Verbalized ready for discharge and Ambulatory |
|
Mode of transport |
Lyft |
|
Accompanied by |
Self |
|
Accompanied by Name |
Richard Stebbins |
Signatures
oh refued to sign.
The discharge instructions (pages 1 and 2) have been explained to me and my questions have been answered. I understand and agree with the instructions.
Patient Signature
Verbal Consent obtained from Stebbins Jr., Richard L at 07/30/2025 09:52
Case Manager Signature
e-Signed by Syll, Fatma at 07/30/2025 09:53
Nurse Signature
e-Signed by Nakityo, Jane, RN at 07/30/2025 10:12
Printed On: 07/30/2025 @ 7:12
Page 3 of 3
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