Guest guest Posted June 23, 2004 Report Share Posted June 23, 2004 Hey Jen: Email me off this list and let me see if I can help at all. We have been working with a large insurance company. e Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 23, 2004 Report Share Posted June 23, 2004 My daughter is currently receiving treatment at an HBOT center. We are starting to see small changes and would like to do another round of 20-40 treatments in October. If possible, we'd like to get Medicaid to approve payment for these. I know e Creacy was able to get approval for treatment for her husband, Bill. We are also in the state of Texas but I have no idea where to begin. Can someone help me? Also, I am going to submit this current round of treatments to insurance for reimbursement. Can someone recommend what I need to send them? I'm not holding my breath but I'd like the best possible chance of getting reimbursed as to help families get this covered in the future. - mother to Mason, Kory and Cassandra (12/6/02 - living proof that miracles do happen) - Spastic Quad CP, Secondary Microcephaly, FTT & GERD www.childrenofpromise.net/cassandra.html , Is Cassandra already a Medicaid recipient in Texas? Do you have objective documentation of Cassandra's amelioration (improvements) from hyperbaric oxygen, i.e., therapists's reports, doctor's reports, before/after SPECT-scans, etc. Because HBOT is not yet the standard of care for pediatric brain-injury, it's critical that you have objective evidence to substantiate Cassandra's improvements. A good way to do this is to have an evaluation by your MD and therapists once you return--but don't tell them about Cassandra's HBOT until *after* they've written their reports and put those reports in your hands. If Cassandra's not on Texas Medicaid yet, there's a Super Dad on this list who can help you get her on Medicaid almost immediately. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 23, 2004 Report Share Posted June 23, 2004 Hey Jen: Email me off this list and let me see if I can help at all. We have been working with a large insurance company. e, It's best for all members if these sort of discussions can take place on the list--so others can learn how to access HBOT reimbursement. Plus, there are many list members who have successfully obtained HBOT reimbursement from their insurance companies and they could quit possibly help and Cassandra. e, what large insurance company are you working with? What success have you had? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2004 Report Share Posted June 24, 2004 , Yes, she is a Medicaid recipient. All of her therapists already know about the HBOT and are very interested to see the results. Both OT and PT did thorough evaluations on Cassandra prior to her starting HBOT and they plan on doing the same after her HBOT. - mother to Mason, Kory and Cassandra (12/6/02 - living proof that miracles do happen) - Spastic Quad CP, Secondary Microcephaly, FTT & GERD www.childrenofpromise.net/cassandra.html Re: [ ] Need help getting approval for more HBOT/Medicaid > My daughter is currently receiving treatment at an HBOT center. We are starting to see small changes and would like to do another round of 20-40 treatments in October. If possible, we'd like to get Medicaid to approve payment for these. I know e Creacy was able to get approval for treatment for her husband, Bill. We are also in the state of Texas but I have no idea where to begin. Can someone help me? Also, I am going to submit this current round of treatments to insurance for reimbursement. Can someone recommend what I need to send them? I'm not holding my breath but I'd like the best possible chance of getting reimbursed as to help families get this covered in the future. > > - mother to Mason, Kory and Cassandra (12/6/02 - living proof that miracles do happen) - Spastic Quad CP, Secondary Microcephaly, FTT & GERD > www.childrenofpromise.net/cassandra.html > > , > > Is Cassandra already a Medicaid recipient in Texas? > > Do you have objective documentation of Cassandra's amelioration (improvements) from hyperbaric oxygen, i.e., therapists's reports, doctor's reports, before/after SPECT-scans, etc. > > Because HBOT is not yet the standard of care for pediatric brain-injury, it's critical that you have objective evidence to substantiate Cassandra's improvements. A good way to do this is to have an evaluation by your MD and therapists once you return--but don't tell them about Cassandra's HBOT until *after* they've written their reports and put those reports in your hands. > > If Cassandra's not on Texas Medicaid yet, there's a Super Dad on this list who can help you get her on Medicaid almost immediately. > > > > _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. > Join the International Hyperbaric Medical Association http://www.hyperbaricmedicalassociation.org/docs/JOIN_Friends_Apr04.pdf > > EPSDT decisions http://healthlaw.org/pubs/200308.epsdtdocket.html > > Unrestricted downloads of 50+ pdf files on HBOT efficacy medicaid/files/ , 2/files/ and http://www.drneubauerhbo.com/papers.htm > > Download your state EPSDT program http://www.hcfa.gov/medicaid/stateplan/Map.asp by doing a search on the word " ameliorate " . State Medicaid websites http://www.medi-cal.ca.gov/RelSites_Oth_States.asp . Medicaid waiver programs: http://www.geocities.com/HotSprings/Villa/1029/medicaid.html > > Find a hyperbaric clinic http://www.netnet.net/mums/hbolistAK-FL.htm, http://www.netnet.net/mums/hbolistGA-NC.htm, http://www.netnet.net/mums/hbolistOH-WI.htm > > HBOT can save billions of dollars and millions of heartaches. Subscribe to by sending a blank email to mailto:medicaid-subscribe > Quote Link to comment Share on other sites More sharing options...
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