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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 B) 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

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