RE: Question about insurance- medicaid coverage for spe...

February 12, 2008

I live in Iowa and we had OT and ST 3 times a week. The therapists co

treated. I wonder if they would pay for OT. We got 3 hours a week on medicaid.

It

was all covered. We got 30 minutes a week at school. We had a all day

evaluation done in Iowa City which is a major learning disability clinic called

the

Alfred Healy Clinic. Medicaid paid for that too. Our private insurance did not

want to pay for hardly anything. Charlotte Henry

>

> Hi All!

>

> Does anyone else on here have experience dealing with medicaid for

> therapies?

>

> I am a self- employed single parent and my son recieves straight

> medicaid through being adopted from foster care.

>

> I am being told by his new speech therapist that medicaid will only

> cover 8 30 min sessions a month (30 min 2X wk) regardless of how

far

> behind the child is. She also told me that my son is by far the

most

> severe case of apraxia she has ever seen.

>

> Has anyone else been in my shoes?

>

> Have any suggestions?

>

> I would like to get the most I can out of insurance and am not sure

> if this really is it???

>

> He is in SN pre-k and I am meeting with his Speech therapist he is

> seeing there this friday. Currently the school is only providing

him

> 1 30min individual session and 1 group session with 3 other

children

> that all can talk. My son can say 'Hi' and about 15 approxmations

> that only people that know him can understand. He turned 3 the

> beginning of January and has been recieving EI speech since he was

17

> months old. I am going to insist that he get individual ST

sessions.

> I think he should get it every day at the school but at least 3

times

> a week. Is this too much to expect from the school system?

>

> I have a very limited income and another child I am trying to get

EI

> speech for also. I want to start private ST with someone that

> specializes in apraxia but it is very expensive and I am saving so

I

> can afford 3 months worth before I start so he wont have to keep

> missing.

>

> I am so overwhelmed by all this red tape to get my son the help he

> needs. So much time has went by with very very little progress and

I

> worry he may never have his voice if I cant hurry and get him the

> help he needs.

>

February 13, 2008

Hi,

I don't know if any of this will help you, but I'll share with you everything I

know.....

First of all, I feel your frustration. My son is adopted, but we don't get any

allowances or special insurances, because we went through a private agency.

BUT, I do know that I constantly remind EVERYONE that he's in the HIGHEST risk

category, possible. What I mean is, I outline as many things about his

genetics, prenatal environment, delivery/birth that I can in order to keep the

focus on early intervention instead of " wait and see " . Secondly, I've been told

by other parents that have gone through the foster agnecies that they can get

additional money to help off-set the costs of therapies, etc.....I would go back

to the foster agency and talk to them about this. Tell them your concerns and

see if they can give you any help. I've also hooked up with the local

university to get services for my son. The therapists are students, but they're

closely supervised and work " behind the camera " . My son just began recieving

two hours per week through the university, and he still gets two hours per week

through EI (but the EI will stop at the end of March.....) I'm also looking at

getting a grant through First Five to start a play group. SOme of the money

would be used to hire an OT consultant during the " play " .

Hope something here is helpful

@...: stehn4@...: Wed, 13 Feb

2008 00:30:10 -0500Subject: Re: [ ] Question about insurance-

medicaid coverage for spe...

I live in Iowa and we had OT and ST 3 times a week. The therapists co treated. I

wonder if they would pay for OT. We got 3 hours a week on medicaid. It was all

covered. We got 30 minutes a week at school. We had a all day evaluation done in

Iowa City which is a major learning disability clinic called the Alfred Healy

Clinic. Medicaid paid for that too. Our private insurance did not want to pay

for hardly anything. Charlotte Henry>> Hi All!>> Does anyone else on here

have experience dealing with medicaid for> therapies?>> I am a self- employed

single parent and my son recieves straight> medicaid through being adopted from

foster care.>> I am being told by his new speech therapist that medicaid will

only> cover 8 30 min sessions a month (30 min 2X wk) regardless of howfar>

behind the child is. She also told me that my son is by far themost> severe case

of apraxia she has ever seen.>> Has anyone else been in my shoes?>> Have any

suggestions?>> I would like to get the most I can out of insurance and am not

sure> if this really is it???>> He is in SN pre-k and I am meeting with his

Speech therapist he is> seeing there this friday. Currently the school is only

providinghim> 1 30min individual session and 1 group session with 3

otherchildren> that all can talk. My son can say 'Hi' and about 15

approxmations> that only people that know him can understand. He turned 3 the>

beginning of January and has been recieving EI speech since he was17> months

old. I am going to insist that he get individual STsessions.> I think he should

get it every day at the school but at least 3times> a week. Is this too much to

expect from the school system?>> I have a very limited income and another child

I am trying to getEI> speech for also. I want to start private ST with someone

that> specializes in apraxia but it is very expensive and I am saving soI> can

afford 3 months worth before I start so he wont have to keep> missing.>> I am so

overwhelmed by all this red tape to get my son the help he> needs. So much time

has went by with very very little progress andI> worry he may never have his

voice if I cant hurry and get him the> help he needs.>

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February 13, 2008

I understand medicaid to be a federal program, but is run by the state, so I

think it would make the most sense to find someone Iocally to help you navigate

the system, like a social worker at a hospital.

In the interim, here is a link that I have not used, but hear is a wonderful

resource for monies for therapy.

http://www.unitedhealthcarechildrensfoundation.org/apply.html

Best of luck

Sharon

Hanagan <hanagan_8@...> wrote:

Hi,

I don't know if any of this will help you, but I'll share with you everything I

know.....

First of all, I feel your frustration. My son is adopted, but we don't get any

allowances or special insurances, because we went through a private agency. BUT,

I do know that I constantly remind EVERYONE that he's in the HIGHEST risk

category, possible. What I mean is, I outline as many things about his genetics,

prenatal environment, delivery/birth that I can in order to keep the focus on

early intervention instead of " wait and see " . Secondly, I've been told by other

parents that have gone through the foster agnecies that they can get additional

money to help off-set the costs of therapies, etc.....I would go back to the

foster agency and talk to them about this. Tell them your concerns and see if

they can give you any help. I've also hooked up with the local university to get

services for my son. The therapists are students, but they're closely supervised

and work " behind the camera " . My son just began recieving two hours per week

through the university, and he still gets

two hours per week through EI (but the EI will stop at the end of March.....)

I'm also looking at getting a grant through First Five to start a play group.

SOme of the money would be used to hire an OT consultant during the " play " .