Heidi has a BS in Civil Engineering from Purdue. After the birth of her son Jacob, she elected to stay home to ensure his needs were met. Heidi is very involved in many organizations;last year she was appointed by the Governorâs office to be on 3 Medicaid Reform committees, looking at overhauling the entire Medicaid system.Heidi currently has an advocacy distribution list of over 2,500 members to promote awareness of the advocacy issues that affect children and adults w/ disabilities & empower parents. June 29, 2007
Dearest Advocates:
Even though the Governor vetoed HB 549, I have some great news! Effective July, 2007, The Dept of Community Health is changing the procedures for prior authorizations for therapy............
If you would like to see all the updates, please go to the following website and look at page 11+ regarding PAs:
https://www.ghp.georgia.gov/wps/output/en_US/public/Provider/MedicaidManuals/CIS_v7_2007-07.pdf
The one concern we have is that the manual states "up to" 180 days. I know the Trialliance is working on this issue and trying to get clarification from DCH at this time. Reminder: We currently have to submit therapy PAs for more than 8 units / month (approx. 2 visits/month) EVERY 3 months and this would increase to every 6 months!
Once again, I do think us continuing to educate everyone on what the "real" issues are, helps the process. No, we did not get everything we want (including increasing the number of units our children can receive prior to having to get the PA) BUT at least this is a step in the right direction.
Thanks again to everyone that got involved to making a difference this legislative session. More work needs to continue BUT we are making progress!
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UPDATE: Today on ABC Good Morning
PLEASE continue to post your comments on ABC's website regarding the segment Good Morning America aired on Tuesday entitled “Rocky Transition From Public Medicaid to Private HMO’s”………… Here is the web link:
http://abcnews.go.com/GMA/OnCall/comments?type=story&id=3314626&GMA=true
Just in case you missed the news story:
http://abcnews.go.com/GMA/OnCall/story?id=3314626&page=1
UNITED... WE WILL MAKE A DIFFERENCE.
Sincerely,
Heidi