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Blue Shield to Cover Autism Therapy
Special Needs > Autism Spectrum

Blue Shield to Cover Autism Therapy

By SpecialNeeds.com Editor
...California Life & Health Insurance Co. agreed this week...July when California Insurance Commissioner Dave Jones...California Insurance Commissioner Dave Jones filed an...plans regulated by the Insurance Department in July....contracts and health insurance policies to give coverage...946. In the meantime, Commissioner Jones will continue...
Appealing Denials of Insurance Coverage
Legal > Healthcare

Appealing Denials of Insurance Coverage

By SpecialNeeds.com Editor
...Denials of Insurance Coverage...child's health insurance carrier has...step? Most insurance companies...Generally, the insurance plan will...state's insurance commissioner...insurance commissioner to investigate...Association of Insurance Commissioners...Insurance Commissioners (NAIC) has...state's insurance commissioner....insurance commissioner. If after...call the insurance company and...
Accessing Adaptive Sports Equipment: Grants and Funding Sources for Families
Special Needs > Mobility Limitations

Accessing Adaptive Sports Equipment: Grants and Funding Sources for Families

By William Lewis
Insurance calls it recreational. You...which sources to combine. Why Insurance Won't Cover It. The distinction...entire funding strategy. Insurance covers equipment prescribed...aren't mobility aids in the insurance definition but specialized...state-dependent. Most families skip the insurance fight and go straight to the...
Appealing a Power Wheelchair Insurance Denial: A Step-by-Step Guide
Special Needs > Mobility Limitations

Appealing a Power Wheelchair Insurance Denial: A Step-by-Step Guide

By William Lewis
...child's doctor prescribed a power wheelchair. The insurance company denied it. This happens more often than...successfully appealed if you understand what the insurance company needs to see and how the appeal process...starting point. Why Power Wheelchair Denials Happen. Insurance companies deny power wheelchair claims for specific,...
The CF Transition to Adult Care: How to Prepare Your Teen for Independent Health Management
Special Needs > Cystic Fibrosis

The CF Transition to Adult Care: How to Prepare Your Teen for Independent Health Management

By Franklin Morris
...lung function, and medication non-adherence during these years. The problems aren't medical. They're structural. Adult clinics operate differently, insurance coverage gaps open at predictable ages, and self-management skills that weren't required at 16 become mandatory at 19. This transition doesn't have...
Chromosomal Microarray vs. Whole Genome Sequencing: Which Genetic Test Is Right for Your Child?
Research > Genetics

Chromosomal Microarray vs. Whole Genome Sequencing: Which Genetic Test Is Right for Your Child?

By Aiden Moore
...figure out whether the $300 test is enough or if you should fight your insurance for the $3,000 one. The short answer: it depends on what you're trying...The short answer: it depends on what you're trying to find, what your insurance will cover, and how much uncertainty you can live with while you wait for...
Medicaid for Working Families: Katie Beckett Waivers, Dual Coverage, and Options You Didn't Know Existed
Global Insights > Healthcare

Medicaid for Working Families: Katie Beckett Waivers, Dual Coverage, and Options You Didn't Know Existed

By Ivy Sullivan
You earn too much for Medicaid. Your employer offers insurance, but it doesn't come close to covering your child's therapy appointments, specialist visits, or durable medical equipment. The deductible resets every...
The Healthcare Transition at 21: How to Prepare Your Child (and Yourself) for the Shift to Adult Care
Global Insights > Healthcare

The Healthcare Transition at 21: How to Prepare Your Child (and Yourself) for the Shift to Adult Care

By Ivy Sullivan
...with special healthcare needs aged 12 to 17 receive adequate transition support, according to Got Transition and MACPAC. The primary barrier isn't insurance or geography. It's this: adult providers with expertise in neurodevelopmental disabilities don't exist in numbers that match the need. You can start...
Using ABLE Accounts to Pay for Housing Without Losing SSI or Medicaid
Financial > Housing Assistance

Using ABLE Accounts to Pay for Housing Without Losing SSI or Medicaid

By Henry Bennett
...quality of life. Housing fits squarely in that category. Qualified housing expenses include: Rent or mortgage payments Property taxes and homeowners insurance Utilities (electric, gas, water, sewer, trash)...
Where to Find Low-Interest Loans for Assistive Technology and Home Modifications in Your State
Financial > Loans

Where to Find Low-Interest Loans for Assistive Technology and Home Modifications in Your State

By Sophia Wilson
...Ramps and a bathroom remodel. You've applied for grants and you're waiting. But equipment and modifications don't wait, and the gap between what insurance covers and what you need can run $10,000 to $60,000. Banks don't finance wheelchairs or custom orthotics because they can't calculate residual value...
Idaho Passed $22M in Medicaid Disability Cuts. Here's What Families Can Do Before the Governor Signs.
Legal > Government Benefits

Idaho Passed $22M in Medicaid Disability Cuts. Here's What Families Can Do Before the Governor Signs.

By James Williams
...math is straightforward. A provider receives a set reimbursement rate for each hour of service delivered. If that rate doesn't cover payroll, rent, insurance, and supplies, the provider runs at a loss. Providers can absorb small losses temporarily. A cumulative 10% cut over two years isn't small. When the...
What to Expect at Your Child's First Speech Therapy Appointment
Therapies > Speech

What to Expect at Your Child's First Speech Therapy Appointment

By Caroline Harris
...'ca' for 'cat' and 'da' for 'dog'" rather than "Her speech is unclear." Insurance card and referral: If your insurance requires pre-authorization, confirm...rather than "Her speech is unclear." insurance card and referral: If your insurance requires pre-authorization, confirm it was completed before the appointment...

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