Re: Re: Cost**RX covered under medicaid outstate dr

[Guest guest]

Not true...not true....

100% of all Rx's are covered by medicaid for all Rx's Dr G has written. The

only snag was once on needles for IM Baygam had to get local ped to okay.

Otherwise since 1999 all of my sons Rx's faxed in from Dr G have been covered by

my sons medicaid!!!

<thecolemans4@...> wrote:

Hi Caroline -

Medicaid will not reimburse to you. The physician has

to accept what they pay, and they will only pay

directly to that physician. In Alabama, that's about

$24 for an average office visit, and they have to

agree to write off the rest. Pediatric well-checks

are fortunately reimbursed at a higher rate, but still

nowhere near the average charge. Phone consults are

never covered. But if you were only talking about

meds, it depends on if you're in California and if

they require a Medicaid physician to write the rx,

which I don't see why they would.

Medicaid will usually pay for the prescriptions, at

least, but only if they are written by an in-state

physician. They are (at least in AL) not covered if

not prescribed by an in-state physican. Whether that

doctor has to accept Medicaid in order to rx and have

the meds covered, I don't know, but you could call

your Medicaid and find that part out.

--- Caroline Glover <sfglover@...> wrote:

> I think I remember hearing that Dr. Goldberg doesn't

> take Medicaid. Is

> there a way to have those costs reimbursed in some

> way by Medicaid after the

> fact? (i.e. If we could submit the prescription

> costs to Medicaid later?)

> I'm just trying to figure out if this would help us.

>

> Caroline

>

>

>

__________________________________________________

[Guest guest]

,

That's great! Are you in California?

Caroline

> From: nancy ballard <atlantickayaker@...>

> Reply-< >

> Date: Sat, 04 Feb 2006 15:19:55 -0800 (PST)

> < >

> Subject: Re: Re: Cost**RX covered under medicaid outstate dr

>

> Not true...not true....

>

> 100% of all Rx's are covered by medicaid for all Rx's Dr G has written. The

> only snag was once on needles for IM Baygam had to get local ped to okay.

> Otherwise since 1999 all of my sons Rx's faxed in from Dr G have been covered

> by my sons medicaid!!!

[Guest guest]

I'd like this info. too! I'm in CA, and my son has the Medi-Cal waiver. Even

with our insurance as primary and the Medi-Cal as secondary, we're still paying

$$$.

Heidi

--------- Re: Re: Cost**RX covered under medicaid outstate dr

> >

> > Not true...not true....

> >

> > 100% of all Rx's are covered by medicaid for all Rx's Dr G has written. The

> > only snag was once on needles for IM Baygam had to get local ped to okay.

> > Otherwise since 1999 all of my sons Rx's faxed in from Dr G have been

covered

> > by my sons medicaid!!!

>

>

>

>

> Responsibility for the content of this message lies strictly with

> the original author(s), and is not necessarily endorsed by or the

> opinion of the Research Institute and/or the Parent Coalition.

>

>

[Guest guest]

, do you also have another insurance? Did you

have a diagnosis which allowed you to get Medicaid for

your son? How recent does it have to be? I have one

from a psychologist of autism, from 6 years ago. He's

really more a.d.d. now with severe learning

disabilities. At this point I really can't see him

driving at 16, doing any kind of paid employment.

School is very, very difficult, and I half homeschool

him. How severe does a child need to be to qualify?

Do they have the guidelines written somewhere? Barb

--- & Caroline Glover <sfglover@...> wrote:

> ,

>

> That's great! Are you in California?

>

> Caroline

>

>

> > From: nancy ballard <atlantickayaker@...>

> > Reply-< >

> > Date: Sat, 04 Feb 2006 15:19:55 -0800 (PST)

> > < >

> > Subject: Re: Re: Cost**RX covered under

> medicaid outstate dr

> >

> > Not true...not true....

> >

> > 100% of all Rx's are covered by medicaid for all

> Rx's Dr G has written. The

> > only snag was once on needles for IM Baygam had to

> get local ped to okay.

> > Otherwise since 1999 all of my sons Rx's faxed in

> from Dr G have been covered

> > by my sons medicaid!!!

>

>

>

Barb Katsaros

barbkatsaros@...

__________________________________________________

[Guest guest]

No, South Carolina

& Caroline Glover <sfglover@...> wrote: ,

That's great! Are you in California?

Caroline

> From: nancy ballard <atlantickayaker@...>

> Reply-< >

> Date: Sat, 04 Feb 2006 15:19:55 -0800 (PST)

> < >

> Subject: Re: Re: Cost**RX covered under medicaid outstate dr

>

> Not true...not true....

>

> 100% of all Rx's are covered by medicaid for all Rx's Dr G has written. The

> only snag was once on needles for IM Baygam had to get local ped to okay.

> Otherwise since 1999 all of my sons Rx's faxed in from Dr G have been covered

> by my sons medicaid!!!

Responsibility for the content of this message lies strictly with

the original author(s), and is not necessarily endorsed by or the

opinion of the Research Institute and/or the Parent Coalition.

[Guest guest]

Barb: DX of Diagnosis is perfect. Even if you didn't get medicaid right away. I

would just keep with the Autism DX, you don't have to share info how he has

improved under Dr. G's care. All you need is the Dx of Autism. That's all they

care about. Make sure you first file for social security for your son, which

they will reject him for, but you need the rejection first indorder to proceed

to the Dept of Social Services to get the Medicaid Insurance. Ask your

pediatrician to help you, or ask him if he will put you in the hands of another

parent of a child with autism that has maneuvered thru this process. Again the

magic words you are going to say to DSS is Beckett law.

Barb Katsaros <barbkatsaros@...> wrote:

, do you also have another insurance? Did you

have a diagnosis which allowed you to get Medicaid for

your son? How recent does it have to be? I have one

from a psychologist of autism, from 6 years ago. He's

really more a.d.d. now with severe learning

disabilities. At this point I really can't see him

driving at 16, doing any kind of paid employment.

School is very, very difficult, and I half homeschool

him. How severe does a child need to be to qualify?

Do they have the guidelines written somewhere? Barb

--- & Caroline Glover <sfglover@...> wrote:

> ,

>

> That's great! Are you in California?

>

> Caroline

>

>

> > From: nancy ballard <atlantickayaker@...>

> > Reply-< >

> > Date: Sat, 04 Feb 2006 15:19:55 -0800 (PST)

> > < >

> > Subject: Re: Re: Cost**RX covered under

> medicaid outstate dr

> >

> > Not true...not true....

> >

> > 100% of all Rx's are covered by medicaid for all

> Rx's Dr G has written. The

> > only snag was once on needles for IM Baygam had to

> get local ped to okay.

> > Otherwise since 1999 all of my sons Rx's faxed in

> from Dr G have been covered

> > by my sons medicaid!!!

>

>

>

Barb Katsaros

barbkatsaros@...

__________________________________________________

[Guest guest]

So if I brought in a written report with the diagnosis

on it, that would be enough? Or if I had the

psychiatrict who made the diagnosis send a note

confirming that she did that diagnosis, 6 years ago,

that would do it? Thanks! Barb

--- nancy ballard <atlantickayaker@...> wrote:

> Barb: DX of Diagnosis is perfect. Even if you didn't

> get medicaid right away. I would just keep with the

> Autism DX, you don't have to share info how he has

> improved under Dr. G's care. All you need is the Dx

> of Autism. That's all they care about. Make sure you

> first file for social security for your son, which

> they will reject him for, but you need the rejection

> first indorder to proceed to the Dept of Social

> Services to get the Medicaid Insurance. Ask your

> pediatrician to help you, or ask him if he will put

> you in the hands of another parent of a child with

> autism that has maneuvered thru this process. Again

> the magic words you are going to say to DSS is

> Beckett law.

>

>

>

> Barb Katsaros <barbkatsaros@...> wrote:

> , do you also have another insurance? Did

> you

> have a diagnosis which allowed you to get Medicaid

> for

> your son? How recent does it have to be? I have

> one

> from a psychologist of autism, from 6 years ago.

> He's

> really more a.d.d. now with severe learning

> disabilities. At this point I really can't see him

> driving at 16, doing any kind of paid employment.

> School is very, very difficult, and I half

> homeschool

> him. How severe does a child need to be to qualify?

>

> Do they have the guidelines written somewhere? Barb

>

> --- & Caroline Glover <sfglover@...>

> wrote:

>

> > ,

> >

> > That's great! Are you in California?

> >

> > Caroline

> >

> >

> > > From: nancy ballard <atlantickayaker@...>

> > > Reply-< >

> > > Date: Sat, 04 Feb 2006 15:19:55 -0800 (PST)

> > > < >

> > > Subject: Re: Re: Cost**RX covered under

> > medicaid outstate dr

> > >

> > > Not true...not true....

> > >

> > > 100% of all Rx's are covered by medicaid for

> all

> > Rx's Dr G has written. The

> > > only snag was once on needles for IM Baygam had

> to

> > get local ped to okay.

> > > Otherwise since 1999 all of my sons Rx's faxed

> in

> > from Dr G have been covered

> > > by my sons medicaid!!!

> >

> >

> >

>

>

> Barb Katsaros

> barbkatsaros@...

>

> __________________________________________________

>

[Guest guest]

If you have the original report from the Psychologist that should work. You

probably will need something from your pediatrician confirming this as well. But

that should not be a big deal. You might even be able to get Dr.G to give you

this.

Barb Katsaros <barbkatsaros@...> wrote: So if I brought in a written

report with the diagnosis

on it, that would be enough? Or if I had the

psychiatrict who made the diagnosis send a note

confirming that she did that diagnosis, 6 years ago,

that would do it? Thanks! Barb

--- nancy ballard <atlantickayaker@...> wrote:

> Barb: DX of Diagnosis is perfect. Even if you didn't

> get medicaid right away. I would just keep with the

> Autism DX, you don't have to share info how he has

> improved under Dr. G's care. All you need is the Dx

> of Autism. That's all they care about. Make sure you

> first file for social security for your son, which

> they will reject him for, but you need the rejection

> first indorder to proceed to the Dept of Social

> Services to get the Medicaid Insurance. Ask your

> pediatrician to help you, or ask him if he will put

> you in the hands of another parent of a child with

> autism that has maneuvered thru this process. Again

> the magic words you are going to say to DSS is

> Beckett law.

>

>

>

> Barb Katsaros <barbkatsaros@...> wrote:

> , do you also have another insurance? Did

> you

> have a diagnosis which allowed you to get Medicaid

> for

> your son? How recent does it have to be? I have

> one

> from a psychologist of autism, from 6 years ago.

> He's

> really more a.d.d. now with severe learning

> disabilities. At this point I really can't see him

> driving at 16, doing any kind of paid employment.

> School is very, very difficult, and I half

> homeschool

> him. How severe does a child need to be to qualify?

>

> Do they have the guidelines written somewhere? Barb

>

> --- & Caroline Glover <sfglover@...>

> wrote:

>

> > ,

> >

> > That's great! Are you in California?

> >

> > Caroline

> >

> >

> > > From: nancy ballard <atlantickayaker@...>

> > > Reply-< >

> > > Date: Sat, 04 Feb 2006 15:19:55 -0800 (PST)

> > > < >

> > > Subject: Re: Re: Cost**RX covered under

> > medicaid outstate dr

> > >

> > > Not true...not true....

> > >

> > > 100% of all Rx's are covered by medicaid for

> all

> > Rx's Dr G has written. The

> > > only snag was once on needles for IM Baygam had

> to

> > get local ped to okay.

> > > Otherwise since 1999 all of my sons Rx's faxed

> in

> > from Dr G have been covered

> > > by my sons medicaid!!!

> >

> >

> >

>

>

> Barb Katsaros

> barbkatsaros@...

>

> __________________________________________________

>