Guest guest Posted August 24, 2006 Report Share Posted August 24, 2006 In a message dated 8/24/06 12:14:44 PM, MTrail@... writes: >Yes, since Medicaid may also be paying for services there. > > > > > > > > > >Mark Trail, Chief > >Medical Assistance Plans > >Voice 404-651-8681 > >Fax 1-866-283-0128 Yes, since Medicaid may also be paying for services there. Mark Trail, Chief Medical Assistance Plans Voice 404-651-8681 Fax 1-866-283-0128 Can Medicaid require IEP for prior approval? Question: Does Medicaid have the right to require that a child's IEP be submitted with a request for prior approval of additional services? According to the DCH website: ____________ " " . . . If the child also has an IEP/IFSP, in addition to the written service plan, it must be submitted with the request. If the child does not have an IEP/IFSP or is not available, please note this on the DMA-81 in Block #18 (additional comments). . . " " ... For further information, contact Sherri at 404-463-6096 or scollins@.... " ________________ This is saying that your PROVIDER (therapist) MUST submit a copy of your child's IEP to get prior approval for additional therapy. Does MEDICAID have the right to REQUIRE copies of your child's PRIVATE EDUCATIONAL RECORDS so they can determine MEDICAL services? Does your therapist have the right to submit those records without your express written permission? WHY does MEDICAID want that information and how do they plan to use it? Do they even have the right to ASK for it? I have cc'd Ms. - maybe she can answer these questions. Reference: https://www.ghp.georgia.gov/wps/output/en_US/public/Provider/BannerMessages/AC SBNR08112006_2_CIS_Limit_Changes_Update.pdf Quote Link to comment Share on other sites More sharing options...
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