Re: Re: Re: Medicaid New Mexico and other states / Medicaid for HBOT

[Guest guest]

:

If either Pet or SPECT were available in New Mexico, I would be very, very tempted to want to incorporate this as it is so hard to argue with. Unfortuneately, neither scan is available in our state, and we will neither have the room nor the financial means to set up a SPECT Scan unit as we start up.

I am trying to get a hold of the administrator of Children's Medical Services that operates under the Dept of Health, has nothing to do with Medicaid, and takes care of the needs of children with serious chronic medical problems. I will see if that means they will help out with HBOT for their CP children.

Meanwhile, I am trying to find out who is in charge of the fragile child waiver program.

Dr. S

------------------ Reply Separator --------------------

Originally From: Freels

Subject: Re: [ ] Re: Medicaid New Mexico and other states / Medicaid for HBOT

Date: 10/31/2001 02:22pm

Dr. Stoller,

A couple of things. We won our case because we could prove clear

improvement from Hyperbaric Oxygen Therapy with before/after SPECT-

scan

imaging. I encourage you to incorporate SPECT-scans into your practice if

you have not done so already. Just to "prove" objectivity in your

reimbursement pursuit, it may be best to have the SPECT-scans performed

off-site on "neutral" territory--such as at a hospital.

2. As you proceed, I would encourage you to recruit a family with a

brain-injured child who will have the best chance of significant and

dramatic improvement from HBOT. Take before/after video and contact as many

members of the news media as possible to educate them and inform them of

how all this works--both HBOT and the Medicaid law for children as found in

Paragraph 5.

In addition, you might want to pull the CDC paper from

http://gro

ups./group/medicaid/files/ to make the case that

HBOT is also a money-saver for government and society.

I also found this: http://www.h

ealthierschools.org/mits/mitsmin5.html .

Maruca's plans to deliver Medicaid services through the school

systems. Perhaps some friends of yours in the media would be interested in

putting two and two together with this?

On this page is a list of people and their phone numbers who might just be

on your side: http://www.h

ealthierschools.org/mits/mitsfrum.html

>For clairification, Medicaid New Mexico said no to TBI/ABI. However,

>there is a Brain Injury Service Fund in New Mexico (thanks to all the

>DWIs here) and they have said yes to HBOT regardless of age, but only

>for true TBI which leaves out CP, Stroke, etc.

>

>If it is necessary to take this to court, we will.  All help

>appreciated.

>

>Dr. Stoller

>

>

>

>------------------ Reply Separator --------------------

>Originally From: HBOMEDTODAY@...

>Subject: [ ] Re: New Mexico and other states / Medicaid

>for HBOT

>Date: 10/31/2001 11:26am

>

>

>As New Mexico says no to HBO for traumatic Brain Injury, the IHMA

>will mount

>the information required to help them see the both the original law

>citing

>why coverage should be provided and the recent findings by Georgia

>Medicaid

>providing the facts as to why.

>

>If any one else has information, case law, insurance payments by 3rd

>party

>payors, etc, please forward them to this list or to me directly at

>the

>addresses below.

>

>Sincerely,

>

> R. Locklear, Editor

>Hyperbaric Medicine Today

>HBOMEDTODAY@...

>www.hbomedtoday.com

>1140 Cheryl Road

>West Palm Beach, FL 33417

>(561) 640-4546 Phone

>(561) 640-4457 Fax

>

>

>

>

>

[Guest guest]

>:If either Pet or SPECT were available in New Mexico, I would be

>very, very tempted to want to incorporate this as it is so hard to argue

>with. Unfortuneately, neither scan is available in our state, and we will

>neither have the room nor the financial means to set up a SPECT Scan unit

>as we start up.I am trying to get a hold of the administrator of

>Children's Medical Services that operates under the Dept of Health, has

>nothing to do with Medicaid, and takes care of the needs of children with

>serious chronic medical problems. I will see if that means they will help

>out with HBOT for their CP children.Meanwhile, I am trying to find out

>who is in charge of the fragile child waiver program.Dr.

>S------------------ Reply Separator --------------------

Dr. Stoller,

An idea might be to go straight to your state legislators. I have a data

bank with email addresses for almost every state legislator for every state.

Below are the email addresses for New Mexico.

It might be worth a try to put together a " presentation " of your case. You

might even want to lobby them to fund a SPECT imager so as to prove the

efficacy of the Hyperbaric Oxygen Therapy.

Currently, the pediatric neurologists throw their hands up and say there's

nothing they can do--so nothing is ever done. This nothingness is

compounded by the fact that pediatric neurologists have the credentials

that--on paper--says they are the experts of brain-injury in children.

Now, when the most severely injured children get nothing to improve their

brain-injury, they eventually become wards of the state, and according to

the CDC paper those kids will cost taxpayers and society $503,000/year/per

kid and $2.4 billion per kid per lifetime.

If pediatric neurology has given up, and the government has to take over,

then the government--both state and federal--still has a responsibility to

ensure their constituents that public monies are utilized as wisely as

possible--no matter what any special interest group (pediatric neurologists

& neurologists) has to say about it.

To further help, you might want some graphic examples of the efficacy of

Hyperbaric Oxygen Therapy. I have uploaded 2 before/after examples pulled

from the downloadable video from Neubauer's website:

http://www.oceanhbo.com .

You can download these from the photo section of this listserv. I have

stacked these two examples to create a letterhead that I frequently use.

Once people see the effect of HBOT for themselves--particularly lay people,

it becomes very difficult to argue with.

http://photos./group/medicaid/vwp?.dir=/ & .src=gr & .dnm=Cas

e+study+%231.jpg & .view=t & .done=http%3a//photos./group/medicaidfo

rhbot/lst%3f%26.dir=/%26.src=gr%26.view=t

http://photos./group/medicaid/vwp?.dir=/ & .src=gr & .dnm=Cas

e+study+%232.jpg & .view=t & .done=http%3a//photos./group/medicaidfo

rhbot/lst%3f%26.dir=/%26.src=gr%26.view=t

<gail.beam@...>,<mcoll@...>,<anna.crook@...>,<dfoley@sta

te.nm.us>,<mpgarcia@...>,<mpgubbels@...>,<jheaton@...>

,<tmarquardt@...>,<wken.martinez@...>,<rbmiera@...>,<jmohor

ovic@...>,<danice.picraux@...>,<drodella@...>,<judy.russ

ell@...>,<mstewart@...>,<jamesg.taylor@...>,<tcat@cyb

erport.com>,<dtripp@...>,<wallace@...>,<radair@...>,<pcamp

os@...>,<jcarraro@...>,<ccisneros@...>,<dduran@....

us>,<dfeldman@...>,<carroll.leavell@...>,<plyons@...>,<r

maes@...>,<william.payne@...>,<lrawson@...>

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

" I have sworn upon the altar of God, eternal hostility against every form

of tyranny over the mind of man. " -- Jefferson, probably an early

advocate of Hyperbaric Oxygen Therapy.

----------------------------

Freels

2948 Windfield Circle

Tucker, GA 30084-6714

USA

770/491-6776 (phone and fax)

509/275-1618 (efax, sends fax as email attachment)

mailto:dfreels@...

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