Thank you for your questions. Please allow me to assist you as best as I can.
1. Will disabled people with Medicare have access to mental health providers and brain rehab centers facilities that are "not Medicare providers" under ACA?
Medicare and the ACA are unrelated. For all practical purposes the new policies
pt in place under the ACA will be a different option for paying citizens, but this new policy will not be Medicare. As a consequence Medicare access will not change (at least as far as the current law is written) and the same limitations that exist with service would exist under the ACA. So no, disabled people with Medicare will not be given covered access to non Medicare related services unless they are willing to pay for them themselves and out of pocket.
2. Will people on Medicare who have pre-existing conditions as above and who have family or Special Needs Trust resources to be able to buy private insurance under ACA (even though they have Medicare) that will give them access to mental health providers and brain injury rehab centers who "aren't Medicare providers".
The short answer to that is 'No". The reason being is because the disabled here with pre-existing conditions are already covered under Medicare. There may be options to purchase supplemental insurance but at least so far it is not yet law or is really funded, but it is an option that was discussed in the past.
My discussions with these non Medicare providers is they will take private insurance, but private insurance won't pay unless Medicare refuses to pay in writing and Medicate won't do that because the request for that written denial is coming from a non Medicate provider. What a colossal snafu. Can our health care system really be this dysfunctional?
Unfortunately, yes, there are quite a few bureaucratic barriers to coverage and most medical providers believe that the concerns will only become more difficult to overcome once the ACA is fully implemented. This is why the state of California is going to hire about 20,000 employees
whose sole job it would be to explain and facilitate the CA and other medical requirements to local residents who are seeking treatment.