Families needed to join INDIANA class action lawsuit

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passing this on:

Do you know any parents that this may apply to? The contact information is there

for interested families. The ACLU is looking to get around 20 families for a

class action suit.

Hello,

I am a parent of a child with a disability. The ACLU and I are looking for

families that have children under the age of 21 that have had their therapies

Denied or Altered by Medicaid. Specifically, we are looking for Descriptions on

the

*“Indiana Medicaid Prior Review and Authorization Request Decision Formâ€*

of:

*405 IAC 5-22-6 ((6)*

Rehabilitative therapies will be covered for no longer then two (2) years

except when there is a significant change in the recipient’s condition

necessitating additional therapies. Our records indicate this therapy has

been provided for at least two (2) years with minimal documented change in

the recipient’s condition. Therefore, the request is denied.

and/or

*405 IAC 5-22-6 ((7)*

Maintenance therapy is not a covered service. The submitted documentation

does not indicate improvement in the recipient’s abilities. Therefore, the

request is denied.

If you have forms with these denial descriptions, I would appreciate it if

you would contact Gavin Rose at the ACLU. The ACLU is considering taking

action against Medicaid concerning the rulings above. They believe that

children under the age of 21 are protected by law and if stated to be

medically necessary by a physician these services should be covered (this is

paraphrased by me and as you probably can tell, I am not an attorney.)

If you have any questions, please feel to contact me or Mr. Rose.

Gavin Rose

Attorney

ACLU

(317) 635-4059 Ext# 106 (office)

(317) 635-4105 (fax)

groseaclu-in (DOT) org (email, no spaces)