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Federal laws state, in no uncertain terms, that your state Medicaid provider cannot deny, limit or reduce what your physician says is “medically necessary.” I’m going to start by saying I am not a lawyer. I’m a mom, of an eleven year old girl who has severe brain damage and non-stop seizures. In 2002, . . . → Read More: Letters of Medical Necessity: When your doctor becomes a partner in advocating for your child A discussion recently came up on a mailing list I belong to about how many mic-key buttons the kids were getting through Medicaid. It ranged from twelve a year down to two per year. For those who don’t know, a mic-key button is a two inch long piece of plastic with an inflatable balloon . . . → Read More: What federal law entitles our children to By Summer Harrison, on December 17th, 2009 Two court decisions handed down by a US Federal District Judge in Georgia have essentially made a civil crime out of denying our children their medical legal rights. The bottom line effect of these decisions is to give parents and caregivers a level of control over deciding . . . → Read More: Major court victories for our kids’ legal medical rights By Summer Harrison, on December 31st, 2009 Medical necessity is the defining factor for all Medicaid services accessed through EPSDT (for children on Medicaid under 21) or any participants in a state’s 1115 or 1915 Medicaid waiver programs. The tendency over the past years has for states to try to exert control over determination . . . → Read More: EPSDT and “Medical Necessity” By Summer Harrison, on January 31st, 2010 A federal court decision in Florida last week has highlighted the fact that some states are still refusing to provide diapers to children covered under EPSDT. Diapers are a medically necessary service under EPSDT. All you need is a prescription from your doctor and letter of medical . . . → Read More: Diapers are a covered service under EPSDT By Summer Harrison, on January 5th, 2011 A discussion recently came up on a mailing list I belong to about how many mic-key buttons the kids were getting through Medicaid. It ranged from twelve a year down to two per year. For those who don’t know, a mic-key button is a two inch long . . . → Read More: Are our kids getting all the help they are entitled to under the law? By Summer Harrison, on October 21st, 2009 A U.S. District Court judge in California yesterday put a halt to Medicaid cuts in home and community services that were due to go into effect on November 1. “This is a big day for people with disabilities, their families and seniors throughout the state – . . . → Read More: California court decision stops Medicaid home service cuts By Summer Harrison, on January 7th, 2010 The definition of retaliation under the Americans with Disabilities Act is important for important for parents and caregivers to understand. Here it is, directly out of the ADA: Sec.36.206 Retaliation or coercion. (a) No private or public entity shall discriminate against any individual because that . . . → Read More: What the Americans with Disabilities Act calls “Retaliation” |
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