Guest guest Posted May 21, 2007 Report Share Posted May 21, 2007 My son just turned 3 today and is officially out of Birth-3 services. We have a private SLP now and she of course wants to do the recommended 3-5 sessions per week. She sent the request to the insurance company for authorization (Anthem BCBS Husky of 10 visits from 5/21 to 7/23 and and they are denying any coverage. They state that the documentation provided does not support the criteria for short-term rehab under Husky B guidelines. So they are not stating that it's not medically neccessary, they are just saying they will not cover any of it because he needs it long-term. The special needs program in our state is going to cover one session a week...but that is it no matter what. He has the following diagnoses: Severe Childhood Apraxia of Speech, Oral Apraxia, Velopharyngeal Insufficiency of unknown etiology, and Autism Spectrum Disorder. They were covering 3-4 hours of speech a week provided by Birth-3 because Connecticut mandates insurance companies to cover Birth-3 services...now they are refusing to cover private because he won't be rehabilitated in a short period of time. Anyone else have denial for this reason? Anyone know what to do? Mazza Quote Link to comment Share on other sites More sharing options...
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