Melissa Stone, Director of DDS, is in charge of the new rules for therapy, and she has agreed to meet with the Medicaid Saves Lives founder. We are still setting up the date and time, but please comment with your concerns and comments so that she can be sure to relay them!
Here are some concerns listed by other parents and concerned citizens:
M. Johnson:
1. Who will be deciding what services my child is qualified for and how much time she needs to achieve her goals?
2. What type of time delay will there be with determining the above?
3. What tools will these individuals be using to determine if she is qualified? To what lengths will they go to, to see she gets the services she needs??
4. If extra time is requested beyond the cap of 90 minutes, what is the process to get that extension, on the parents, the therapist, and the school where she attends?
5. I do feel that many services are abused and that something does need to be done, but with that said, what amount will truly be saved by going through this process and possibly contracting out to a third party?
K. Brunen:
In addition there is already what seems to be an eternity for 1) evaluations to be done, 2) then get sent to Ped, 3) referral to be sent back to facility and then 4) scheduled for therapy. This past summer we had a speech eval done and it was over a month for all of that to happen prior to beginning treatment. That’s extremely valuable time. I’m also very concerned on how and who will be determining who gets the extension. As a PT in an Ortho clinic most of my life when pre-autos we’re required for additional therapy, most of the time it was an administrator with very little medical knowledge of specific conditions or functions deciding if further therapy was warranted and justified. This also puts tremendous stress and work on the already over-worked therapists. Their time needs to be spent in therapy with our kids not doing more paperwork fighting to get additional therapy that many of our children desperately need.
Comment below to list your concerns!
Hi! This is Cash. We live in Alma! He was given a postnatal diagnosis for Down syndrome where we also found out he has transient leukemia. Though he is overall very healthy and has not developed full blown leukemia, we do frequent testing with both oncology and hematology. He receives 90 mins/wk of PT, OT, and Speech. We would not be able afford these therapies without secondary coverage from TEFRA.
Our daughter was born at 37 1/2 weeks with the cord around her neck. She was diagnosed with Hypoxic Ischemic Encephalopathy which is lack of oxygen to the brain. Her MRI at 5 days old showed severe global brain damage. We were told she may never walk, talk or eat. Over the past 4 years she has also been diagnosed with Microcephaly (a babies head is significantly smaller due to abnormal brain devel


Rebecca says, “Medicaid has saved us from going broke financially. My son Jacob was born 3 months early. He’s had 15 surgeries and is a cp baby along with wearing a procussion vest airway clearance. We see 9 specialists at ACH; without Medicaid we would be broke from the surgeries and doctors visits along with hospitalizations.”