Guest guest Posted May 31, 2009 Report Share Posted May 31, 2009 The House and Senate both overwhelmingly passed the insurance bill today before the 12pm deadline and now it’s on its way to the Governor’s desk for signature. I know the whole process has been very different this time—not as much involvement from the community at the time it happens. . . . . .and that has felt very weird to me as well. But it’s no less important or no less exciting that now children on STATE regulated plans will be covered through their 10th b-day!!!!! Please everyone take a minute and go to the website www.texasautismadvocacy and take action now, and click on your senator and representatives e-mail to send them a huge Texas thank you for choosing to support families affected by autism. Also, if you want, it would be such a nice touch to send a thank you note with a picture of your child to Rep. Dr. Alma ’s office Sen. Eddie Lucio Jr.’s office And if you have more time: Rep. Eddie Lucio III (he’s responsible for add the language to accommodate teachers). Rep Senfronia please, please please---it’s so important to remember to say thank you, and . . . . don’t forget about thanking Mike. I promise you he worked and sweated bullets on this and went over and beyond the call of duty weekdays and holidays to get this through. Please send him a thank you too—because not too many people are ready to give up time with their kids to work to improve things for people in general. YEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE HAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA Hugs to everyone!!!!!! I’m doin’ the happy dance and I hope you are too! S. " Here in America we are descended in blood and in spirit from revolutionists and rebels - men and women who dare to dissent from accepted doctrine. As their heirs, may we never confuse honest dissent with disloyal subversion. " Dwight D. Eisenhower Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2009 Report Share Posted May 31, 2009 Not to mention that this Autism is not terminal. So what about beyond 18? What about their 20's, 30's, 40's, etc??? Some of out children are severe and will need long term care. What about them? Regina Sorry to ask a stupid question but I feel like I've been living on a different planet lately (I fell and dislocated my shoulder and have been in & out of hospitals and clinics a lot lately) when I first read the history/author of the bill info, I thought I read the age range was 0-18. When was the age range changed to 0 through 10? Was that part of the re-writing of the bill or a compromise? My sweet child turned 10 in March so my excitement once again is for " other " families' children, but not for mine. My insurance does cover my son's speech and OT but wouldn't it be nice if it would cover behavior based programs too? R. woooooooooooooooooooooooooo haaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa! The House and Senate both overwhelmingly passed the insurance bill today before the 12pm deadline and now it’s on its way to the Governor’s desk for signature. I know the whole process has been very different this time—not as much involvement from the community at the time it happens. . . . . .and that has felt very weird to me as well. But it’s no less important or no less exciting that now children on STATE regulated plans will be covered through their 10th b-day!!!!! Please everyone take a minute and go to the website www.texasautismadvocacy and take action now, and click on your senator and representatives e-mail to send them a huge Texas thank you for choosing to support families affected by autism. Also, if you want, it would be such a nice touch to send a thank you note with a picture of your child to Rep. Dr. Alma ’s office Sen. Eddie Lucio Jr.’s office And if you have more time: Rep. Eddie Lucio III (he’s responsible for add the language to accommodate teachers). Rep Senfronia please, please please---it’s so important to remember to say thank you, and . . . . don’t forget about thanking Mike. I promise you he worked and sweated bullets on this and went over and beyond the call of duty weekdays and holidays to get this through. Please send him a thank you too—because not too many people are ready to give up time with their kids to work to improve things for people in general. YEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE HAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA Hugs to everyone!!!!!! I’m doin’ the happy dance and I hope you are too! S. " Here in America we are descended in blood and in spirit from revolutionists and rebels - men and women who dare to dissent from accepted doctrine. As their heirs, may we never confuse honest dissent with disloyal subversion. " Dwight D. Eisenhower Wanna slim down for summer? Go to America Takes it Off to learn how. -- Regina Radulski Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2009 Report Share Posted May 31, 2009 remember they were just covered thru age 5, now to 10--it is growing, they are at least convinced there is an issue to be served. Maybe next year we can get it to 15 or above, we just needed this passed to get a base to increase off again. Aren't the severe kids eligible for Medicaid based on their own income (zero $) once they hit 18?? Bonnie, mom to 11/27/04, Autism, Albinism, Hyperlexia, waiting for testing for WS Not to mention that this Autism is not terminal. So what about beyond 18? What about their 20's, 30's, 40's, etc??? Some of out children are severe and will need long term care. What about them? Regina Sorry to ask a stupid question but I feel like I've been living on a different planet lately (I fell and dislocated my shoulder and have been in & out of hospitals and clinics a lot lately) when I first read the history/author of the bill info, I thought I read the age range was 0-18. When was the age range changed to 0 through 10? Was that part of the re-writing of the bill or a compromise? My sweet child turned 10 in March so my excitement once again is for " other " families' children, but not for mine. My insurance does cover my son's speech and OT but wouldn't it be nice if it would cover behavior based programs too? R. woooooooooooooooooooooooooo haaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa! The House and Senate both overwhelmingly passed the insurance bill today before the 12pm deadline and now it’s on its way to the Governor’s desk for signature. I know the whole process has been very different this time—not as much involvement from the community at the time it happens. . . . . .and that has felt very weird to me as well. But it’s no less important or no less exciting that now children on STATE regulated plans will be covered through their 10th b-day!!!!! Please everyone take a minute and go to the website www.texasautismadvocacy and take action now, and click on your senator and representatives e-mail to send them a huge Texas thank you for choosing to support families affected by autism. Also, if you want, it would be such a nice touch to send a thank you note with a picture of your child to Rep. Dr. Alma ’s office Sen. Eddie Lucio Jr.’s office And if you have more time: Rep. Eddie Lucio III (he’s responsible for add the language to accommodate teachers). Rep Senfronia please, please please---it’s so important to remember to say thank you, and . . . . don’t forget about thanking Mike. I promise you he worked and sweated bullets on this and went over and beyond the call of duty weekdays and holidays to get this through. Please send him a thank you too—because not too many people are ready to give up time with their kids to work to improve things for people in general. YEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE HAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA Hugs to everyone!!!!!! I’m doin’ the happy dance and I hope you are too! S. " Here in America we are descended in blood and in spirit from revolutionists and rebels - men and women who dare to dissent from accepted doctrine. As their heirs, may we never confuse honest dissent with disloyal subversion. " Dwight D. Eisenhower Wanna slim down for summer? Go to America Takes it Off to learn how. -- Regina Radulski Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2009 Report Share Posted May 31, 2009 Regina, Children with autism should be on CLASS, HCS or other appropriate medicaid waiver 'interest' lists. That would qualify them for medicaid once they get to the top of the list and are qualified for a spot. That will be their insurance I am assuming. Nagla > > > Sorry to ask a stupid question but I feel like I've been living on a > > different planet lately (I fell and dislocated my shoulder and have been in > > & out of hospitals and clinics a lot lately) when I first read the > > history/author of the bill info, I thought I read the age range was 0-18. > > When was the age range changed to 0 through 10? Was that part of the > > re-writing of the bill or a compromise? My sweet child turned 10 in March > > so my excitement once again is for " other " families' children, but not for > > mine. My insurance does cover my son's speech and OT but wouldn't it be nice > > if it would cover behavior based programs too? > > > > R. > > > > > > woooooooooooooooooooooooooo > > haaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa! > > > > > > > > The House and Senate both overwhelmingly passed the insurance bill today > > before the 12pm deadline and now it's on its way to the Governor's desk for > > signature. > > > > I know the whole process has been very different this time—not as much > > involvement from the community at the time it happens. . . . . .and that has > > felt very weird to me as well. > > > > But it's no less important or no less exciting that now children on STATE > > regulated plans will be covered through their 10th b-day!!!!! > > > > > > Please everyone take a minute and go to the website > > www.texasautismadvocacy and take action now, and click on your senator and > > representatives e-mail to send them a huge Texas thank you for choosing to > > support families affected by autism. > > > > Also, if you want, it would be such a nice touch to send a thank you note > > with a picture of your child to > > Rep. Dr. Alma 's office > > Sen. Eddie Lucio Jr.'s office > > > > And if you have more time: > > Rep. Eddie Lucio III (he's responsible for add the language to accommodate > > teachers). > > Rep Senfronia > > > > > > please, please please---it's so important to remember to say thank you, and > > . . . . > > > > don't forget about thanking Mike. I promise you he worked and sweated > > bullets on this and went over and beyond the call of duty weekdays and > > holidays to get this through. Please send him a thank you too—because > > not too many people are ready to give up time with their kids to work to > > improve things for people in general. > > > > > > YEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE > > HAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA > > > > > > Hugs to everyone!!!!!! I'm doin' the happy dance and I hope you are too! > > > > S. > > > > > > > > " Here in America we are descended in blood and in spirit > > from revolutionists and rebels - men and women > > who dare to dissent from accepted doctrine. > > As their heirs, may we never confuse honest > > dissent with disloyal subversion. " > > Dwight D. Eisenhower > > > > > > ------------------------------ > > Wanna slim down for summer? Go to America Takes it Off<http://www.aolhealth.com/diet/weight-loss-program/?ncid=emlcntusheal00000001\ >to learn how. > > > > > > -- > Regina Radulski > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2009 Report Share Posted May 31, 2009 Well my kids are on those waiting lists, along with 88,000 others. Let's see how many years that takes to get through. Probably 10 years. I hear once they get approved for the medicaid waiver it is the " cadillac " of all services. But then I've also heard that that cadillac doesn't come with tires, or an engine... Regina,Children with autism should be on CLASS, HCS or other appropriate medicaid waiver 'interest' lists. That would qualify them for medicaid once they get to the top of the list and are qualified for a spot. That will be their insurance I am assuming. Nagla > > > Sorry to ask a stupid question but I feel like I've been living on a> > different planet lately (I fell and dislocated my shoulder and have been in > > & out of hospitals and clinics a lot lately) when I first read the> > history/author of the bill info, I thought I read the age range was 0-18.> > When was the age range changed to 0 through 10? Was that part of the > > re-writing of the bill or a compromise? My sweet child turned 10 in March> > so my excitement once again is for " other " families' children, but not for> > mine. My insurance does cover my son's speech and OT but wouldn't it be nice > > if it would cover behavior based programs too?> >> > R.> >> >> > woooooooooooooooooooooooooo> > haaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa!> >> >> >> > The House and Senate both overwhelmingly passed the insurance bill today > > before the 12pm deadline and now it's on its way to the Governor's desk for> > signature.> >> > I know the whole process has been very different this time—not as much> > involvement from the community at the time it happens. . . . . .and that has > > felt very weird to me as well.> >> > But it's no less important or no less exciting that now children on STATE> > regulated plans will be covered through their 10th b-day!!!!! > >> >> > Please everyone take a minute and go to the website> > www.texasautismadvocacy and take action now, and click on your senator and> > representatives e-mail to send them a huge Texas thank you for choosing to > > support families affected by autism.> >> > Also, if you want, it would be such a nice touch to send a thank you note> > with a picture of your child to> > Rep. Dr. Alma 's office > > Sen. Eddie Lucio Jr.'s office> >> > And if you have more time:> > Rep. Eddie Lucio III (he's responsible for add the language to accommodate> > teachers).> > Rep Senfronia > >> >> > please, please please---it's so important to remember to say thank you, and> > . . . .> >> > don't forget about thanking Mike. I promise you he worked and sweated > > bullets on this and went over and beyond the call of duty weekdays and> > holidays to get this through. Please send him a thank you too—because> > not too many people are ready to give up time with their kids to work to > > improve things for people in general.> >> >> > YEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE> > HAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA> >> >> > Hugs to everyone!!!!!! I'm doin' the happy dance and I hope you are too! > >> > S.> >> >> >> > " Here in America we are descended in blood and in spirit> > from revolutionists and rebels - men and women> > who dare to dissent from accepted doctrine. > > As their heirs, may we never confuse honest> > dissent with disloyal subversion. " > > Dwight D. Eisenhower> >> >> > ------------------------------ > > Wanna slim down for summer? Go to America Takes it Off<http://www.aolhealth.com/diet/weight-loss-program/?ncid=emlcntusheal00000001>to learn how. > >> > > > -- > Regina Radulski> -- Regina Radulski Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2009 Report Share Posted May 31, 2009 No it's not a stupid question. It's a sad state on the short sightedness on some of the legislators. The bottom line is all those Republicans on the House Insurance Committee really don't like insurance mandates. The bill had to make certain deadlines all the way through the process or it would have died, and believe me it nearly died a LOT. This was the bill with 9 lives. The Republicans on the House Insurance Committee absolutely would not let a bill that went from 0 - 18 with no dollar caps on it out of the committee. Every bill that has been passed in every state has dollar caps except for the Texas bill because ours was so age limited. Some of those caps are extreme. In Louisiana, they have 0 - 21 coverage, but they have a dollar cap on annual services at $36,000/year. That's it. For everything. $36,000. It was a tough decision to make, but we went with age caps over dollar caps because age caps are easier to fix in the long run. Last time, I said that I'd go back to fight for and expanded age range, and we got a tripling of the coverage. It's not great, but sometimes things have to be done in incremental steps. S. PS My son turns 11 in 3 weeks, and I did all this work on a bill that we're not even going to be able to personally benefit from. > > Sorry to ask a stupid question but I feel like I've been living on a different planet lately (I fell and dislocated my shoulder and have been in & out of hospitals and clinics a lot lately) when I first read the history/author of the bill info, I thought I read the age range was 0-18. When was the age range changed to 0 through 10? Was that part of the re-writing of the bill or a compromise?  My sweet child turned 10 in March so my excitement once again is for " other "  families' children, but not for mine. My insurance does cover my son's speech and OT but wouldn't it be nice if it would cover behavior based programs too? > > > R. > > > woooooooooooooooooooooooooo haaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa! > > > > > > > > > > > > The House and Senate both overwhelmingly passed the insurance bill today before the 12pm deadline and now it’s on its way to the Governor’s desk for signature. > >  > > I know the whole process has been very different this time†" not as much involvement from the community at the time it happens. . . . . .and that has felt very weird to me as well. > >  > > But it’s no less important or no less exciting that now children on STATE regulated plans will be covered through their 10th b-day!!!!! > >  > >  > > Please everyone take a minute a > nd go to the website www.texasautismadvocacy and take action now, and click on your senator and representatives e-mail to send them a huge Texas thank you for choosing to support families affected by autism. > >  > > Also, if you want, it would be such a nice touch to send a thank you note with a picture of your child to > Rep. Dr. Alma ’s office > > Sen. Eddie Lucio Jr.’s office > >  > > And if you have more time: > > Rep. Eddie Lucio III (he’s responsible for add the language to accommodate teachers). > > Rep Senfronia > >  > >  > > please, please please---it’s so important to remember to say thank you, and .. . . . > >  > > don’t forget about thanking Mike. I promise you he worked and sweated bullets on this and went over and beyond the call of duty weekdays and holidays to get this through. Please send him a thank you too†" because    not too many people are ready to give up time with their kids to work to improve things for people in general. > >  > >  > > YEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE > > HAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA > >  > >  > > Hugs to everyone!!!!!! I’m doin’ the happy dance and I hope you are too! > > > > S. > >  > > >  > >  > > " Here in America we are descended in blood and in spirit > > from revolutionists and rebels - men and women > > who dare to dissent from accepted doctrine. > > As their heirs, may we never confuse honest > > d > issent with disloyal subversion. " > Dwight D. Eisenhower > > >  > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2009 Report Share Posted May 31, 2009 Parents can only carry CHILDREN on their policies. That's why any of the state mandates are dealing with age ranges of 21 or under. Once a child turns in to an adult (and Irma, Martha, other people who know the adult issue better than I. . . . .) they will go on Medicaid as an adult with a disability. Now the best thing is to get them in the Community Based Alternatives or keep them in one of the other Medicaid waivers that they could qualify for earlier like CLASS or HCS. > > > Sorry to ask a stupid question but I feel like I've been living on a > > different planet lately (I fell and dislocated my shoulder and have been in > > & out of hospitals and clinics a lot lately) when I first read the > > history/author of the bill info, I thought I read the age range was 0-18. > > When was the age range changed to 0 through 10? Was that part of the > > re-writing of the bill or a compromise? My sweet child turned 10 in March > > so my excitement once again is for " other " families' children, but not for > > mine. My insurance does cover my son's speech and OT but wouldn't it be nice > > if it would cover behavior based programs too? > > > > R. > > > > > > woooooooooooooooooooooooooo > > haaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa! > > > > > > > > The House and Senate both overwhelmingly passed the insurance bill today > > before the 12pm deadline and now it's on its way to the Governor's desk for > > signature. > > > > I know the whole process has been very different this time—not as much > > involvement from the community at the time it happens. . . . . .and that has > > felt very weird to me as well. > > > > But it's no less important or no less exciting that now children on STATE > > regulated plans will be covered through their 10th b-day!!!!! > > > > > > Please everyone take a minute and go to the website > > www.texasautismadvocacy and take action now, and click on your senator and > > representatives e-mail to send them a huge Texas thank you for choosing to > > support families affected by autism. > > > > Also, if you want, it would be such a nice touch to send a thank you note > > with a picture of your child to > > Rep. Dr. Alma 's office > > Sen. Eddie Lucio Jr.'s office > > > > And if you have more time: > > Rep. Eddie Lucio III (he's responsible for add the language to accommodate > > teachers). > > Rep Senfronia > > > > > > please, please please---it's so important to remember to say thank you, and > > . . . . > > > > don't forget about thanking Mike. I promise you he worked and sweated > > bullets on this and went over and beyond the call of duty weekdays and > > holidays to get this through. Please send him a thank you too—because > > not too many people are ready to give up time with their kids to work to > > improve things for people in general. > > > > > > YEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE > > HAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA > > > > > > Hugs to everyone!!!!!! I'm doin' the happy dance and I hope you are too! > > > > S. > > > > > > > > " Here in America we are descended in blood and in spirit > > from revolutionists and rebels - men and women > > who dare to dissent from accepted doctrine. > > As their heirs, may we never confuse honest > > dissent with disloyal subversion. " > > Dwight D. Eisenhower > > > > > > ------------------------------ > > Wanna slim down for summer? Go to America Takes it Off<http://www.aolhealth.com/diet/weight-loss-program/?ncid=emlcntusheal00000001\ >to learn how. > > > > > > -- > Regina Radulski > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2009 Report Share Posted May 31, 2009 Is that " Singleton for Governor Committee " still active? If so, where can I send my donation? BTW, working to help you own child is called being a parent; working to help others is called being an advocate. Sex causes the first, God causes the second. Kids in Texas are truly blessed to have you and your family among us. > > No it's not a stupid question. It's a sad state on the short sightedness on some of the legislators. > > The bottom line is all those Republicans on the House Insurance Committee really don't like insurance mandates. > > The bill had to make certain deadlines all the way through the process or it would have died, and believe me it nearly died a LOT. This was the bill with 9 lives. > > The Republicans on the House Insurance Committee absolutely would not let a bill that went from 0 - 18 with no dollar caps on it out of the committee. > > Every bill that has been passed in every state has dollar caps except for the Texas bill because ours was so age limited. Some of those caps are extreme. > > In Louisiana, they have 0 - 21 coverage, but they have a dollar cap on annual services at $36,000/year. That's it. For everything. $36,000. > > It was a tough decision to make, but we went with age caps over dollar caps because age caps are easier to fix in the long run. > > Last time, I said that I'd go back to fight for and expanded age range, and we got a tripling of the coverage. It's not great, but sometimes things have to be done in incremental steps. > > S. > PS My son turns 11 in 3 weeks, and I did all this work on a bill that we're not even going to be able to personally benefit from. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 1, 2009 Report Share Posted June 1, 2009 Read at risk, overwhelming with trying to work around navigating the system for the over 21 y/o. Remember though it always subject to change with any plan one is under. In regards to anyone having their child with any disAbilities under 21 y/o on their parents health insurance. Before anyone's daughter or son reaches 18 y/o. I would suggest to contact the Human Resource Department with your employment and request for an Application/Update for Incapacitated Dependent's Coverage. This should take care of the individual over 21 y/o to still be under your health insurance for as long you are employed or under the insurance. This is what we did for my son who will be on our insurance long term, along with any other dependent benefits while my son's dad is employed, etc. This I highly recommend sharing if you know anyone also going through any divorce as well, to make sure and mention this to their attorney to add, many families who I have run into are not aware & miss out or many families once their individuals reach 18 y/o when they are receiving their SSI and under the Medicaid program automatically end up stopping their individuals from their health insurance plan as they know it stops here, helps save money here, sometimes this will stop automatically so keep an eye out for this during that fiscal year. This happen to one of my brother-in-law for one of my 26 y/o nephew with special needs. Traditional Medicaid USE to help pay for alot of his dental work as he had reconstructed oral surgery, speak about the timing here as this has change dramatically. Found out the hard way when they took him for his follow-up dental appointment, that his dental work is no longer being covered. He is also currently under the Medicaid Waiver wait list for the HCS program. I kept warning them but in one ear and out the other. Finally his name came up for the GR funds, this they are only using for respite, which I was the chosen one to become his respite provider, might as well, since he is usually with me and actually prefers to only be with me. The problem here in our local community though when over 21 y/o some therapy centers that usually deal with any Medicaid Waiver program or accept depending like in my son's case with the Traditional Medicaid, no longer want to work with our individuals. Which is sort of stupid which I am dealing with one of the centers for now for his speech therapy as my son turns 21 in July. His health insurance is his primary, second his traditional Medicaid but get this the center has been very pleased of course because they are getting paid through our health insurance. With our health insurance though we have that plan where funds are removed for an " out of expense " , something like this. Will we were going to use it for like our deductible expense for another medical center and behold found out that the center where he receives his ST has not been billing my son's medicaid, so our out-of-expense funds are being used towards his speech therapy. The Speech therapist has already been told that she will no longer work with my son when he turns 21 y/o. But, what happen as our health insurance already approved for numerous of sessions, so guess they do not want our money. So, what is wrong with this picture? Even though my son is under the HCS Medicaid program, problem here is you will not luck out finding a ST/Provider that will contract with the HCS Providers agency most of the time and the one who did in our son's case, she was unable to work with my son, was on maternity leave. Bummer when they reach 21 y/o, Medicaid no longer pays for any dental work, too. Forget several dental center when it comes to your health insurance as some which here locally, do not accept it especially if you find a good dentist that works with individuals with special needs & need sedation. CBA will help pay for dental work, do not know deal with this program but when a person is under the CLASS or HCS, no go for the CBA program, but if your child qualifies for MDCP and then enters 21 y/o, then CBA kicks in and it is a different Medicaid plan (Star Plus) something like this. Then good luck finding a Provider as most that contract prefer dealing with anyone under the traditional Medicaid program. Most families who I know who have gone this route pray that their individual when they turn 21 y/o that they come off the wait list for the CLASS or HCS program and would love to avoid the CBA program because then you have to switch off with whatever therapy contracted with CBA/Star Plus programs, then once again rework with therapist contracted through other agencies, should their names come up finally with the CLASS or HCS program. If like under the HCS program in our case, their is an allowance of $1,000 and good luck if your young adult needs to be sedated for any dental work. If any luck the dentist and the Anesthesiologist will try to work something out but the dental appointment becomes only once a year if anyone lucks out here. One can qualify for Medicaid if you find a loophole when applying for SSI for anyone under 21 y/o or live in poverty, there are some SSI intake personnel who have mentioned this to several of my friends or get this, told to place them in a group home or state institution then they will qualify or live in poverty. I actually did not confront this, did luck out with some good SSI personnel since my son turn 18 y/o who automatically was approved for SSI & Medicaid. One does not always get the full SSI pay benefit too, I had some good mentors that told me how to go about requesting for the full amount when my son had turn 19 y/o. But of course you are only given a short time to take advantage of what you can with the Medicaid services because it is all a different ball game after 21 y/o. In regards to the health insurance bill, very glad pushed on what she did because this is the course of action needed when issues like this arise and always have to find any avenues to navigate the system. Glad she had mentioned about her son not even at this age range where her son benefits from it but anything such as this empowering the Legislation is work. KUDDOS!!! At this time and not to stir any controversial issues here but there are certain innovative treatments that some of our individuals under the autism spectrum benefit from. Sad part about this is the fact that some medical centers see other treatment center sort of being competitive and this is where the medical physicians are than reported anonymously which is one of the reason why numerous of our medical physicians or at least the ones I have been confronted with really have to watch their backs and afraid of losing their license should they even believe on like the alternative biomedical treatments. So even when one treatment center helps any individual under the autism it is still being cautious because the Texas Medical Board & the Texas Health Insurance, then it is reaching out to the Employments who are behind the scenes here. What one does not realized and that the centers or whoever applying the alternative biomedical intervention or just any innovative services and make those anonymous reports end up hurting our individuals under the autism spectrum. Our energy and time when complaining about health insurance should go towards the Texas Health Insurance complaint office and over flood them with the complaints of discrimination. This they are not receiving so all is fine in their books. While Legislation is in session, anyone complains about this, they contact the Texas Health insurance, behold no complaints. It is really another battle here. We just have to push where needed even when dealing with the Medicaid arena. Ok, when it comes to our Organization of Community Now! This is why we push for Freedom of choice as we do not want all the funds locked up in the state institutions, we would like it utilized towards the community. This is where most of the funds are locked in and most of the providers in any services will receive at the state school level. What a waste of funds because you know most are heavily medicated, ok, this is another chapter and does give one that frustration on how Texas applies the funds. Would love to have more people get involved so that we could begin planning for the next Legislation sessions in 2 years, time to reform long term care and health care. What a learning experience it has been this year with the Legislation session, really worth it but just horrible having that opportunity to see the other side of families who have their individuals in state institution since youngsters but you cross their paths on your belief of keeping your son or daughter out in the community, watch out or they will judge you and bite your head off. This did not happen to me but I did witness it one entire day until 2:00 am when several of the hearings we attended. This is just a very small piece of the pie. Thank you MIKE B. and his entourage who always find ways to work the system, taking action where needed, " agitate " and empower many. Thank goodness and it does take lots of time and work indeed. All worth it though especially when that bell goes off when a bill passes but one really does have to stay on top of it indeed. This is your Capitol! Irma > > Parents can only carry CHILDREN on their policies. That's why any of the state mandates are dealing with age ranges of 21 or under. > > Once a child turns in to an adult (and Irma, Martha, other people who know the adult issue better than I. . . . .) they will go on Medicaid as an adult with a disability. Now the best thing is to get them in the Community Based Alternatives or keep them in one of the other Medicaid waivers that they could qualify for earlier like CLASS or HCS. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 1, 2009 Report Share Posted June 1, 2009 So, does this mean that regular Medicaid will start paying for ABA for children under 10? Thanks, marilyn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 1, 2009 Report Share Posted June 1, 2009 Sadly no. but that is a top priority for next session, and we are investigating the best way to get that done. The Medicaid regulations are handled under a completely different process in a different set of codes, -- There are the DARS programs for 3 - 8, but . . . I know that's still too limited--as all the programs have waiting lists from what I hear. S. > > So, does this mean that regular Medicaid will start paying for ABA for > children under 10? > > Thanks, > marilyn > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 1, 2009 Report Share Posted June 1, 2009 Oh well. Thank you anyway for all the hard work for all of our children. Marilyn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 1, 2009 Report Share Posted June 1, 2009 Congrats to all who worked on the bill. This is a HUGE step in the right direction!! And no, it doesn’t benefit my son either since he is 15. Tonya From: Texas-Autism-Advocacy [mailto:Texas-Autism-Advocacy ] On Behalf Of gfcf_beeliever Sent: Sunday, May 31, 2009 10:14 PM To: Texas-Autism-Advocacy Subject: Re: woooooooooooooooooooooooooo haaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa! No it's not a stupid question. It's a sad state on the short sightedness on some of the legislators. The bottom line is all those Republicans on the House Insurance Committee really don't like insurance mandates. The bill had to make certain deadlines all the way through the process or it would have died, and believe me it nearly died a LOT. This was the bill with 9 lives. The Republicans on the House Insurance Committee absolutely would not let a bill that went from 0 - 18 with no dollar caps on it out of the committee. Every bill that has been passed in every state has dollar caps except for the Texas bill because ours was so age limited. Some of those caps are extreme. In Louisiana, they have 0 - 21 coverage, but they have a dollar cap on annual services at $36,000/year. That's it. For everything. $36,000. It was a tough decision to make, but we went with age caps over dollar caps because age caps are easier to fix in the long run. Last time, I said that I'd go back to fight for and expanded age range, and we got a tripling of the coverage. It's not great, but sometimes things have to be done in incremental steps. S. PS My son turns 11 in 3 weeks, and I did all this work on a bill that we're not even going to be able to personally benefit from. > > Sorry to ask a stupid question but I feel like I've been living on a different planet lately (I fell and dislocated my shoulder and have been in & out of hospitals and clinics a lot lately) when I first read the history/author of the bill info, I thought I read the age range was 0-18. When was the age range changed to 0 through 10? Was that part of the re-writing of the bill or a compromise?  My sweet child turned 10 in March so my excitement once again is for " other "  families' children, but not for mine. My insurance does cover my son's speech and OT but wouldn't it be nice if it would cover behavior based programs too? > > > R. > > > woooooooooooooooooooooooooo haaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa! > > > > > > > > > > > > The House and Senate both overwhelmingly passed the insurance bill today before the 12pm deadline and now it’s on its way to the Governor’s desk for signature. > >  > > I know the whole process has been very different this time†" not as much involvement from the community at the time it happens. . . . . .and that has felt very weird to me as well. > >  > > But it’s no less important or no less exciting that now children on STATE regulated plans will be covered through their 10th b-day!!!!! > >  > >  > > Please everyone take a minute a > nd go to the website www.texasautismadvocacy and take action now, and click on your senator and representatives e-mail to send them a huge Texas thank you for choosing to support families affected by autism. > >  > > Also, if you want, it would be such a nice touch to send a thank you note with a picture of your child to > Rep. Dr. Alma ’s office > > Sen. Eddie Lucio Jr.’s office > >  > > And if you have more time: > > Rep. Eddie Lucio III (he’s responsible for add the language to accommodate teachers). > > Rep Senfronia > >  > >  > > please, please please---it’s so important to remember to say thank you, and . . . . > >  > > don’t forget about thanking Mike. I promise you he worked and sweated bullets on this and went over and beyond the call of duty weekdays and holidays to get this through. Please send him a thank you too†" because    not too many people are ready to give up time with their kids to work to improve things for people in general. > >  > >  > > YEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE > > HAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA > >  > >  > > Hugs to everyone!!!!!! I’m doin’ the happy dance and I hope you are too! > > > > S. > >  > > >  > >  > > " Here in America we are descended in blood and in spirit > > from revolutionists and rebels - men and women > > who dare to dissent from accepted doctrine. > > As their heirs, may we never confuse honest > > d > issent with disloyal subversion. " > Dwight D. Eisenhower > > >  > Quote Link to comment Share on other sites More sharing options...
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