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I know in Massachuestts EI will charge a fee based on your income $0-$50 a

year.

[ ] EI question

> Just wondering, does anyone's state-sponsored EI services charge fees?

> My state (Louisiana) is going to start doing this and I was wondering

> how common a practice this is.

>

> Thanks,

> Kristi

>

>

>

>

>

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>

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Yes - I'm in Connecticut and we pay a monthly fee for EI. It's based on the

size of your family and your total family income and also whether or not you

" allow " them to bill your insurance. I put that in quotes because our

insurance won't pay anyway!! Good grief I have to say sometimes!

-

[ ] EI question

> Just wondering, does anyone's state-sponsored EI services charge fees?

> My state (Louisiana) is going to start doing this and I was wondering

> how common a practice this is.

>

> Thanks,

> Kristi

>

>

>

>

>

>

>

>

>

>

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New York State does not.

Warm regards,

******************

(Rochester, NY)

Mom to , 3.0 years, Verbal Apraxia

& , 9.5 months

________________________________

From:

[mailto: ] On Behalf Of myjunkytrash

Sent: Tuesday, May 16, 2006 4:37 PM

Subject: [ ] EI question

Just wondering, does anyone's state-sponsored EI services charge fees?

My state (Louisiana) is going to start doing this and I was wondering

how common a practice this is.

Thanks,

Kristi

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Kansas does not (at least in this county - services are county based until 3

then school district). But, services in this county are provided by a not for

profit foundation that uses fed and private $$. The foundation has been around a

while and has some major philanthropists supporting it, lots of fancy

fundraisers.

Martha

" Oakes, " <susan.oakes@...> wrote:

New York State does not.

Warm regards,

******************

(Rochester, NY)

Mom to , 3.0 years, Verbal Apraxia

& , 9.5 months

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Boy is this a hot button for me...and one I had actually forgotten

about. When my son was in EI, my insurance company reimbursed for

it. Yes, that's right, 100% covered by my insurance company. While

we were in the midst of EI, they started billing 'administrative "

fees to families based on a sliding scale. Mine was over $150 per

month! So, in addition to receving full coverage, they added this

administrative fee. I refused to pay it, and I told them if they

did not stop billing me for it, I would call my insurance company

and ask them to stop paying for the services, and then I would pay

their $150 per month.

They seemed to understand the hypocrisy of it at that point, and

stopped billing me. Oh, and by the way, they were billing (and

collecting) at almost $300 per hour for our home services.

>

> Just wondering, does anyone's state-sponsored EI services charge

fees?

> My state (Louisiana) is going to start doing this and I was

wondering

> how common a practice this is.

>

> Thanks,

> Kristi

>

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Wow, what a racket! I can't believe the timing of this in

Louisiana. What a time to hit parents of disabled kids with fees,

right as they're struggling to rebuild post-Katrina. Very nice.

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>

> Just wondering, does anyone's state-sponsored EI services charge fees?

> My state (Louisiana) is going to start doing this and I was wondering

> how common a practice this is.

>

> Thanks,

> Kristi

>

NJ does. It's a sliding scale co-pay based on income.

Sue

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Illinois charges on a sliding scale from $20 - $200 per month based on income,

etc. This is to cover administrative costs, which includes the service

coordinators, office staff, overhead costs, etc. This does not cover therapy

services, nor does it even go toward therapy services. Whether the family has

one therapist per month coming in or 20 visits per week, the fee stays the same.

If insurance pays for the services, that's great - but they don't pay for the

coordination of those services, etc. If insurance denies coverage, the state

pays for each therapy service at a pre-determined rate. This money goes to the

therapists - not to the EI system. The therapists do not work FOR the Early

Intervention system. They are providers. They are not paid by EI. Many

therapists are independent, and therefore have a lot of overhead costs of their

own, that go with owning a business (not to mention gas prices, these days and

drive time between visits).

So, residents of those states that don't charge are quite fortunate, or everyone

in the state may be helping to foot the bill through higher taxes??? No system

is perfect, but it still seems like a bargain to me. If you are receiving 2

sessions per week, those could easily cost between $150 and $200 per week! So,

even if you are at the top of the scale, the savings is about 75%.

Jill B.

> Just wondering, does anyone's state-sponsored EI services charge fees?

> My state (Louisiana) is going to start doing this and I was wondering

> how common a practice this is.

>

> Thanks,

> Kristi

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Jill here, again. I would like to add, though, that it is a shame how seldom

insurance companies will pay. They seem to be in the business of not paying. I

am well aware of the tremendous financial burden with which families of children

with disabilities are strapped. I was just trying to explain the rationale for

the administrative costs. There are no easy solutions. It would be great to

determine the state with the " model system " by looking at what each state has in

place, and then all other 49 states adopt that model - but imagine the red tape

and the logistics. whew! I can't even imagine how that could actually happen.

Well, that's the last of my " loose change " on that topic.

" No more cents worth "

Jill B.

Re: [ ] Re: EI question

Illinois charges on a sliding scale from $20 - $200 per month based on income,

etc. This is to cover administrative costs, which includes the service

coordinators, office staff, overhead costs, etc. This does not cover therapy

services, nor does it even go toward therapy services. Whether the family has

one therapist per month coming in or 20 visits per week, the fee stays the same.

If insurance pays for the services, that's great - but they don't pay for the

coordination of those services, etc. If insurance denies coverage, the state

pays for each therapy service at a pre-determined rate. This money goes to the

therapists - not to the EI system. The therapists do not work FOR the Early

Intervention system. They are providers. They are not paid by EI. Many

therapists are independent, and therefore have a lot of overhead costs of their

own, that go with owning a business (not to mention gas prices, these days and

dri! ve time between visits).

So, residents of those states that don't charge are quite fortunate, or

everyone in the state may be helping to foot the bill through higher taxes???

No system is perfect, but it still seems like a bargain to me. If you are

receiving 2 sessions per week, those could easily cost between $150 and $200 per

week! So, even if you are at the top of the scale, the savings is about 75%.

Jill B.

> Just wondering, does anyone's state-sponsored EI services charge fees?

> My state (Louisiana) is going to start doing this and I was wondering

> how common a practice this is.

>

> Thanks,

> Kristi

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I think the model should be determined federally and then applied to

all states in a standard way. I personally feel I pay quite a bit

in taxes and think there should be services provided in return.

When I think about the things our taxes pay for and then think about

how little we, as a country, invest in our children, it sickens and

embarrasses me. That's just my opinion. And don't even get me

started on insurance companies, talk about a broken system!

>

> Jill here, again. I would like to add, though, that it is a shame

how seldom insurance companies will pay. They seem to be in the

business of not paying. I am well aware of the tremendous financial

burden with which families of children with disabilities are

strapped. I was just trying to explain the rationale for the

administrative costs. There are no easy solutions. It would be

great to determine the state with the " model system " by looking at

what each state has in place, and then all other 49 states adopt

that model - but imagine the red tape and the logistics. whew! I

can't even imagine how that could actually happen. Well, that's the

last of my " loose change " on that topic.

>

> " No more cents worth "

> Jill B.

> Re: [ ] Re: EI question

>

>

> Illinois charges on a sliding scale from $20 - $200 per month

based on income, etc. This is to cover administrative costs, which

includes the service coordinators, office staff, overhead costs,

etc. This does not cover therapy services, nor does it even go

toward therapy services. Whether the family has one therapist per

month coming in or 20 visits per week, the fee stays the same. If

insurance pays for the services, that's great - but they don't pay

for the coordination of those services, etc. If insurance denies

coverage, the state pays for each therapy service at a pre-

determined rate. This money goes to the therapists - not to the EI

system. The therapists do not work FOR the Early Intervention

system. They are providers. They are not paid by EI. Many

therapists are independent, and therefore have a lot of overhead

costs of their own, that go with owning a business (not to mention

gas prices, these days and dri! ve time between visits).

> So, residents of those states that don't charge are quite

fortunate, or everyone in the state may be helping to foot the bill

through higher taxes??? No system is perfect, but it still seems

like a bargain to me. If you are receiving 2 sessions per week,

those could easily cost between $150 and $200 per week! So, even if

you are at the top of the scale, the savings is about 75%.

>

> Jill B.

>

> > Just wondering, does anyone's state-sponsored EI services

charge fees?

> > My state (Louisiana) is going to start doing this and I was

wondering

> > how common a practice this is.

> >

> > Thanks,

> > Kristi

>

>

>

>

>

>

>

>

>

>

>

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>

> I think the model should be determined federally and then applied to

> all states in a standard way. I personally feel I pay quite a bit

> in taxes and think there should be services provided in return.

> When I think about the things our taxes pay for and then think about

> how little we, as a country, invest in our children, it sickens and

> embarrasses me. That's just my opinion. And don't even get me

> started on insurance companies, talk about a broken system!

>

That would be nice. Here in NJ, we have very high income and property

taxes, and from what I'm gathering here, the highest copays for EI.

And of course, since it's an income based scale, the more taxes you

pay, the more copay.

Sue

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I was trying to respond to this string through a message from " Jeff "

and accidentally deleted the message. Anyway, sounds like Pennsylvania has a

terrific system that would serve as an excellent model for the below idea for a

federal standard. My father-in-law loves to say " There's always room at the

top. "

Jill B.

[ ] Re: EI question

>

> I think the model should be determined federally and then applied to

> all states in a standard way. I personally feel I pay quite a bit

> in taxes and think there should be services provided in return.

> When I think about the things our taxes pay for and then think about

> how little we, as a country, invest in our children, it sickens and

> embarrasses me. That's just my opinion. And don't even get me

> started on insurance companies, talk about a broken system!

>

That would be nice. Here in NJ, we have very high income and property

taxes, and from what I'm gathering here, the highest copays for EI.

And of course, since it's an income based scale, the more taxes you

pay, the more copay.

Sue

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