Re: New to list - in Georgia

[Guest guest]

Hi and welcome..I am in Atlanta too. I am working on getting a

support group going for the Atlanta area if you are interested. I

wish I could help you with the insurance question, I can not, though

I am sure there are others on here that can. My suggestion was going

to be Peachcare, as my husband is self-employed, and we were able to

qualify.

If you do not get an answer, repost this in a couple of days as an

insurance question, as everyone does not read every post. Sorry I

could not be of help.

Liz

http://kidstalkback.tripod.com/kidstalkback/

> Hello -

>

> I am new to this list. I live in the Atlnata area and have 3

> children. The youngest has just turned 3 in Nov. and is my child

> with many symptoms of apraxia and dysarthia. He started ST with

the

> county program (Babies Can't Wait) at the age of 18 months and, of

> course, is done now since he is 3. He has also started OT and PT

at

> Egleston Children's Hospital this last fall. The left side of his

> body is weaker than the right and his has overall hypotonia and

also

> some hypertonia on one calf. He has had excellent health and there

> is nothing remarkable in his medical history other than an

infection

> at birth which cleared rapidly with antibiotics. Basically, there

is

> nothing on which we can " blame " this disorder. In fact, we do not

> even have a dx other than DD. The pediatrician has mentioned very

> mild CP, but hesitated to give it. We have not seen a neurologist

> yet, but I think we really need to now.

>

> Our new insurance company has just informed us that they would not

> cover any ST, OT or PT since it appears to be developmental in

nature

> verus rehabilitative. The school system said his speech disorder

was

> not significant enough to qualify for services. I do not agree

with

> that and will request another eval or have them pay for an

> independent eval. Not only does he have final consonant deleltion,

> but his intelligibility also decreases greatly in connected

speech.

> And he drools very much...not just significantly but profusely. He

> ruined my husbands cell phone last month and when he draws, his

paper

> is all wet by the time he finishes. His fine motor skills are

> surprisingly close to age level, but his gross motor skills (late

> walker, has difficulty going up steps, jumping, falls often) are

> behind. Fortunately, I do not see much in the way of SI except

that

> he does not seem to notice drooling and may be hyposensitive

orally.

> He is so willing to participate in therapy and has gained so much

> from it.

>

> I cannot believe that beginning Jan 1, our child will no longer be

> receiving any therapy anywhere (other than what we do with him here

> at home). We certainly cannot afford to pay for private therapy

> ourselves but we do make over the amount to make us eligible for

> PeachCare for Kids. Does anyone have any suggestions?

>

> Thanks,

>

[Guest guest]

Hi

Babies Can't Wait is supposed to help you make the transition from their

services over to the school district from what I understand. Although using

private therapists is much more helpful that using services through the county.

I had posted this message in an earlier message but I am going to to copy and

paste it again here for you. I live in ville. If you have any questions

about this- email me

Stacey

Hi Group

Read this- it is important Here's the deal- we were having problems with out

insurance too. They basically excluded my son from any coverage that had to do

with developmental delays, neurological problems, autistic disease of childhood

etc etc. I contacted the Dept of Human Resources in the county where I live and

applied for something called the Deeming Waiver. In some areas it is known as

the Beckett Waiver. It is a special type of Medicaid that children with

special needs can get if their parents income is over the limit for other types

of government aid. I am a sahm and my husband owns his own business. We were

above the income brackett to get any type of aid. We applied for this waiver in

our son's name and after about 4 weeks it came through. They told us it usually

takes up to 3 months but it will cover any medical expenses that you have

incurred since the date you apply.

Since our insurance was denying coverage for OT services, developmental

pediatrician and everything else, this Medicaid now opens the door to many many

professionals that my son would not have ad the opportunity to see otherwise.

Our insurance denied us access to a developmental pediatrician at Emory

University. Now, with the Medicaid, we can go. Hallelujah!!.

If anyone is interested in this I will be glad to let you know more. We live in

GA but every state has Medicaid so you just have to know what to ask for. The

only way we knew was by way of the EI people.

Stacey

staceydaniel@...

[ ] new to list - in Georgia

Hello -

I am new to this list. I live in the Atlnata area and have 3

children. The youngest has just turned 3 in Nov. and is my child

with many symptoms of apraxia and dysarthia. He started ST with the

county program (Babies Can't Wait) at the age of 18 months and, of

course, is done now since he is 3. He has also started OT and PT at

Egleston Children's Hospital this last fall. The left side of his

body is weaker than the right and his has overall hypotonia and also

some hypertonia on one calf. He has had excellent health and there

is nothing remarkable in his medical history other than an infection

at birth which cleared rapidly with antibiotics. Basically, there is

nothing on which we can " blame " this disorder. In fact, we do not

even have a dx other than DD. The pediatrician has mentioned very

mild CP, but hesitated to give it. We have not seen a neurologist

yet, but I think we really need to now.

Our new insurance company has just informed us that they would not

cover any ST, OT or PT since it appears to be developmental in nature

verus rehabilitative. The school system said his speech disorder was

not significant enough to qualify for services. I do not agree with

that and will request another eval or have them pay for an

independent eval. Not only does he have final consonant deleltion,

but his intelligibility also decreases greatly in connected speech.

And he drools very much...not just significantly but profusely. He

ruined my husbands cell phone last month and when he draws, his paper

is all wet by the time he finishes. His fine motor skills are

surprisingly close to age level, but his gross motor skills (late

walker, has difficulty going up steps, jumping, falls often) are

behind. Fortunately, I do not see much in the way of SI except that

he does not seem to notice drooling and may be hyposensitive orally.

He is so willing to participate in therapy and has gained so much

from it.

I cannot believe that beginning Jan 1, our child will no longer be

receiving any therapy anywhere (other than what we do with him here

at home). We certainly cannot afford to pay for private therapy

ourselves but we do make over the amount to make us eligible for

PeachCare for Kids. Does anyone have any suggestions?

Thanks,