Guest guest Posted October 16, 2004 Report Share Posted October 16, 2004 Hi all, Yesterday we received a letter from the county Intermediate Unit, which provides Jonah's therapy. This letter asked us to sign a form giving them permission to bill Medical Assistance (MA) for the services he receives. We can also choose to deny them that request. Our quandry: because the IU does not provide Jonah with enough speech therapy, we are going to have to get an outside therapist. We were planning on using a combination of our main health insurance and MA to pay for that speech therapy (they only pay 24 visits per year). We are also hoping to get insurance to pay for PT- hippotherapy (later in the spring). So we're concerned that if the IU bills Med. Assistance, we will not be able to get reimbursed. Has anyone had to deal with this? Is it typical for the IU to bill medical assistance? Is there any issue with allowing them to do that? Do we risk any loss of services by denying them? If anyone has any experience with/knowledge about this I'd really appreciate your thoughts!!! thanks, Spencer Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2004 Report Share Posted October 16, 2004 Your main insurance will be used first. That is how it usually goes. Maybe yours is different Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 17, 2004 Report Share Posted October 17, 2004 , first off, are you in Pennsylvania????????? Why does this story sound so familiar? I do have MA for Jordan and because the IU pulled the same stunt on us, I declined their request to bill MA for his services. We had to go to mediation, and I was prepared to take this all the way to due process, had we not been successful in getting what he needed. Pennsylvania is famous for this stuff.....they give BARE MINIMUM services, unless you fight them tooth and nail, then bill MA for services that your child is not getting. My child is in a typical preschool, and was getting a 15 minute speech and OT consult.....that was it. No way I was going to give them carte blance to bill MA, most likely for hours of services he was not receiving. I think your decision is the right one. If I can help you , please don't hesitate to email me privately. ~karyn kissmekaate@... [ ] Medical Assistance Hi all, Yesterday we received a letter from the county Intermediate Unit, which provides Jonah's therapy. This letter asked us to sign a form giving them permission to bill Medical Assistance (MA) for the services he receives. We can also choose to deny them that request. Our quandry: because the IU does not provide Jonah with enough speech therapy, we are going to have to get an outside therapist. We were planning on using a combination of our main health insurance and MA to pay for that speech therapy (they only pay 24 visits per year). We are also hoping to get insurance to pay for PT- hippotherapy (later in the spring). So we're concerned that if the IU bills Med. Assistance, we will not be able to get reimbursed. Has anyone had to deal with this? Is it typical for the IU to bill medical assistance? Is there any issue with allowing them to do that? Do we risk any loss of services by denying them? If anyone has any experience with/knowledge about this I'd really appreciate your thoughts!!! thanks, Spencer Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 17, 2004 Report Share Posted October 17, 2004 No kidding! I swear, PA should be paved in red tape! This is why I'm planning on taking over for the therapists. From: Karyn [mailto: KissmeKaate@...] Date: Sun, 17 Oct 2004 07:56:10 -0400 Subject: Re: [ ] Medical Assistance <, first off, are you in Pennsylvania????????? Why does this story sound so familiar?<BR> <BR> I do have MA for Jordan and because the IU pulled the same stunt on us, I declined their request to bill MA for his services. We had to go to mediation, and I was prepared to take this all the way to due process, had we not been successful in getting what he needed.<BR> <BR> Pennsylvania is famous for this stuff.....they give BARE MINIMUM services, unless you fight them tooth and nail, then bill MA for services that your child is not getting. My child is in a typical preschool, and was getting a 15 minute speech and OT consult.....that was it. No way I was going to give them carte blance to bill MA, most likely for hours of services he was not receiving.<BR> <BR> I think your decision is the right one. If I can help you , please don't hesitate to email me privately.<BR> <BR> ~karyn<BR> kissmekaate@...<BR> [ ] Medical Assistance<BR> Hi all,<BR> Yesterday we received a letter from the county Intermediate Unit, which provides <BR> Jonah's therapy. This letter asked us to sign a form giving them permission to bill <BR> Medical Assistance (MA) for the services he receives. We can also choose to deny <BR> them that request.<BR> <BR> Our quandry: because the IU does not provide Jonah with enough speech therapy, we <BR> are going to have to get an outside therapist. We were planning on using a <BR> combination of our main health insurance and MA to pay for that speech therapy <BR> (they only pay 24 visits per year). We are also hoping to get insurance to pay for PT-<BR> hippotherapy (later in the spring). So we're concerned that if the IU bills Med. <BR> Assistance, we will not be able to get reimbursed.<BR> <BR> Has anyone had to deal with this? Is it typical for the IU to bill medical assistance? Is <BR> there any issue with allowing them to do that? Do we risk any loss of services by <BR> denying them?<BR> <BR> If anyone has any experience with/knowledge about this I'd really appreciate your <BR> thoughts!!!<BR> <BR> thanks,<BR> Spencer<BR> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 17, 2004 Report Share Posted October 17, 2004 Fight them, , and get what your child needs. We got the preschool paid for, and two hours of speech and OT.....PRIVATE, from the provider of our choice. Took time and a lot of preparation, but we were successful. Pennsylvania would rather spend money on football teams, and expensive decorative fountains (a whopping $15,000 worth of those fountains put in our $77 million dollar high school) rather than spend it on services for children who need them. My opinions on this are way too strong to be posted to this list. Our school district is disgraceful, but Pennsylvania in general is a horror story. ~karyn [ ] Medical Assistance<BR> > > Hi all,<BR> > Yesterday we received a letter from the county Intermediate Unit, which provides <BR> > Jonah's therapy. This letter asked us to sign a form giving them permission to bill <BR> > Medical Assistance (MA) for the services he receives. We can also choose to deny <BR> > them that request.<BR> > <BR> > Our quandry: because the IU does not provide Jonah with enough speech therapy, we <BR> > are going to have to get an outside therapist. We were planning on using a <BR> > combination of our main health insurance and MA to pay for that speech therapy <BR> > (they only pay 24 visits per year). We are also hoping to get insurance to pay for PT-<BR> > hippotherapy (later in the spring). So we're concerned that if the IU bills Med. <BR> > Assistance, we will not be able to get reimbursed.<BR> > <BR> > Has anyone had to deal with this? Is it typical for the IU to bill medical assistance? Is <BR> > there any issue with allowing them to do that? Do we risk any loss of services by <BR> > denying them?<BR> > <BR> > If anyone has any experience with/knowledge about this I'd really appreciate your <BR> > thoughts!!!<BR> > <BR> > thanks,<BR> > Spencer<BR> > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 24, 2009 Report Share Posted February 24, 2009 I am not sure about land, but in North Dakota it has to be preapproved. We had to pay out of pocket because it takes eight or more weeks for ND's medical assistance to preapprove. From: jumul_lisa <lisasweetlove26@...>Subject: Medical AssistancePlagiocephaly Date: Tuesday, February 24, 2009, 9:47 AM Does anyone know if medical assistance through the state of marylandcover the doc band Quote Link to comment Share on other sites More sharing options...
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