The medicaid has been a barrier for me getting help. I am going to opt out of it being I never use it as the 2nd insurance anyways. I never meet the spend down. Plus my income (assets) allowed to have by medicaid guidelines will be changing in near future so it will disqualify me for the medicaid spend-down. I just need to opt out now so I can have an assessment to be linked up with a therapist. The place told me the medicaid need to be off as 2nd insurance for them to see me. I have a month to get this resolved for that appt.