Let's Get Together, Inc. - http://www.lgtinc.org
Therapy and Good Morning America Update
http://www.lgtinc.org/articles/246/1/Therapy-and-Good-Morning-America-Update
Heidi J. Moore
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. 
By Heidi J. Moore
Published on 06/29/2007
 

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!

 

 ===================================

 

UPDATE:  Today on ABC Good Morning America.................Apparently- Eight-year-old Mikeriya Ainsley (the girl that was in the news segment) HAS BEEN REINSTATED HER THERAPY!  I hope you can see the power of the media and helping everyone see the “real” issues our children face in receiving the services they NEED!

 

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

 
--
Heidi J. Moore
(Proud Mother to Jacob - 7 years old with Down syndrome & Jared - 5 years old)

For more information about how Heidi can help you maximize your child's potential, please go to www.heidijmoore.com

"Help The Children Now, So They Can Help Themselves Later!"

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