Re: help with iep meeting/aging out of IE (essex county

[Guest guest]

Medical card is issued through the department of public welfare. Each

state may have their own regulation and not called a medical card. You will

need to check under the department of public welfare.In Pa there is an

application process and depending on the medical diagnosis there is no income

restriction. Our regular insurance is the first insurance billed and then it

goes to the medical card

In a message dated 2/25/2010 11:39:44 A.M. Eastern Standard Time,

t_wawzysko@... writes:

Just wanting to know if anyone could tellme what a medical card is and if

you can obtain one in all states or only certain states? Do you know if

there is an income requirement? i have two boys who are both in speech

therapy and insurance does not cover it so any help/tips would be greatly

appreciated! i have t

From: _HWillia127@..._ (mailto:HWillia127@...)

<_HWillia127@..._ (mailto:HWillia127@...) >

Subject: Re: [childrensapraxianeSubject: Re: [childrensapraxiane<WBR>t]

help with iep mee

_ childrensaprachi_

(mailto: )

Date: Wednesday, February 24, 2010, 6:32 PM

Aliza

First question I have for you is do you have a medical card for your

child?

We have both for our sons and what our major insurance does not pay the

medical card covers. Forget the neurologist for now. Go to where ever you

had

the testing done by a speech pathologist and tell them that you need

something written for this IEP, with their diagnoses. Make sure you have

their

recommendations in it, very important.

Have the Early Intervention people done any testing, if so what did they

say. You have the right to request, small group and one on one. How may

hours are they offering you a week?

Does your child have any other services, they should have an input in all

of this. Do you have a case manager.

There is a great web site __http://wrightslaw._ (http://wrightslaw./)

com/_ (_http://wrightslaw._ (http://wrightslaw./) com/)

they are a wealth ofknowledge and will give you many ideas on writing

your sons IEP.

Harriet

In a message dated 2/24/2010 5:33:05 P.M. Eastern Standard Time,

aliza3000 (DOT) com writes:

Hi all,

My son will soon be 2 1/2 and has been getting some (albeit very spotty)

services from EI since January. I send him to private speech 2 times a

week

and he gets one speech form EI. Both therapists feel that he has apraxia

(one VERY strongly). I had taken him to a developmental pediatrician back

in

September, who I was very dissapointed with. He did not mention anything

about apraxia and diagnosed him with DLD (delayed language disorder). I'm

not

sure what that is exactly. I guess my question is, knowing that this IEP

meeing is around the corner, what advice would you all give me as to what

info I need to be armed with. Should i take him for another evaluation

from a

neurologist before the meeting to have an official diagnosis or would a

diagnosis from a speech pathologist suffice? I was speaking to my OT and

asking her what she knew about the process and she told me that they

usually do

speech therapy in groups in class. If my son has apraxia, that's not going

to help him. I just want to make sure that I am prepared and ready to ask

for what my son needs. Any advice would be much appreciated. And, if you

yourself have exprienced the essex county IEP stuff first hand

(specifically

Montclair), I'd LOVE to hear from you!

Also, if you have a good nuerologist to take him to in the area that might

accept insurance, let me know. Don't know if I want to spend the money on

dr. agin unless you all feel it to be totally priceless/worth it.

Otherwise

I could spend it on his therapies. Money is tight these days....

Thanks so much,

Aliza

[Non-text portions of this message have been removed]

[Non-text portions of this message have been removed]

[Guest guest]

Did the Dev.Ped have reports/evals from both speech therapists? Was there a

mention of apraxia in their reports? Honestly, even though on paper ped. can

officially dx apraxia, I don't really think they have the knowledge/skills to

make a speech dx on their own - I mean it should be a joint effort between all

of his therapists.

Even my son's Dev. Ped admitted that & she read thru the SLP's reports to give

my son that official dx. Of course, that was also something I requested of her

b/c I wanted it documented in his medical report so that I didn't have to worry

about coninuted services for apraxia.

If you feel in conjunction with the SLP's that he does have apraxia, then I'd

call & talk with the Ped. about changing the dx. If both SLP's have stated

apraxia, then in my opinion, the Ped. should seriously consider changing his/her

dx.

[Guest guest]

Thanks so much for your helpful response!

The first person that I took my son to was the developmental ped. He mentioned

nothing about apraxia and I don't think he had any clue about it. The speech

eval. done afterwards mentions issues with his praxis, but now that I take my

son there for therapy, the therapist is certain that he is apraxic. I'm sure

that she would give me an official diagnosis. The EI speech therapist is pretty

certain as well at this point and would chime in. I guess I " m wondering if I

need to have a diagnosis from a developmental ped or nuerologist to make my

point. The first ped recommended he be reevaluated in six months time, which is

just about now anyway. I don't want to go back to this guy so I have to find

somebody good that participates in my plan here in NJ. Any suggestions would be

welcomed!

>

> Did the Dev.Ped have reports/evals from both speech therapists? Was there a

mention of apraxia in their reports? Honestly, even though on paper ped. can

officially dx apraxia, I don't really think they have the knowledge/skills to

make a speech dx on their own - I mean it should be a joint effort between all

of his therapists.

>

> Even my son's Dev. Ped admitted that & she read thru the SLP's reports to give

my son that official dx. Of course, that was also something I requested of her

b/c I wanted it documented in his medical report so that I didn't have to worry

about coninuted services for apraxia.

>

> If you feel in conjunction with the SLP's that he does have apraxia, then I'd

call & talk with the Ped. about changing the dx. If both SLP's have stated

apraxia, then in my opinion, the Ped. should seriously consider changing his/her

dx.

>