Guest guest Posted April 6, 2009 Report Share Posted April 6, 2009 Hi: My son has Oral Apraxia and has been receiving speech therapy since he was 3 1/2. He is now 5 1/2 and Blue Shield of CA decided to deny paying for speech therapy on the basis that he has not shown significant improvement in his goals over the past 6 months, thus they are determining that the therapy is no longer medically necessary. Has anyone been denied services based on this type of denial? They initially denied services because they didn't consider Apraxia as a recognized medical condition but I worked on an appeal letter to disprove this and they actually overturned their decision. Now I'm at a loss as to how to approach the fact that he hasn't made significant improvement in a timely manner. This is so frustrating and in my opinion, very unethical. (He also needs OT as he has Sensory Processing Disorder and I am on my second appeal with that. Not giving up!) Thanks for any advise you can offer. Quote Link to comment Share on other sites More sharing options...
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