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Showing posts from January 25, 2015

Sample Medical Order, Letter of Medical Necessity and Appeal Letter for #ABA Services

From The Arc Autism Insurance Project in collaboration with Family Voices Indiana and About Special Kids
Feel free to contact Family Voices Indiana at 317 944 8982 or info@fvindiana.org if you need additional resources or support.

Sample Medical Order, Letter of Medical Necessity and Appeal Letter for ABA Services – Medicaid under EPSDT (ages 0-21)
EPSDT – Early, Periodic Screening Diagnosis and Treatment
MEDICAL TREATMENT ORDER SAMPLE FORMAT
The prescribing physician should include:
Physician’s order for ABA therapy Letter of medical necessity written by the physician or ABA provider, which includes: Patient history Diagnosis and prognosis Description of recommended services and explanation of why the services are medically necessary What the benefit to the patient will be, and Recommended length of time for the services
Medical Necessity According to the Health and Human Services website:
Medical Necessity under EPSDT   In a report prepared for the federal Health Care Financing Administration (HC…

Fast Facts about #HIP (Healthy Indiana Plan)

Family Voices shares the following from CMS (Centers for Medicaid and Medicare Services):

Fast Facts on Healthy Indiana Plan:
Beneficiaries will begin to have access to quality, affordable coverage with the essential benefits guaranteed by law beginning on February 1, 2015 for eligible individuals.
Indiana’s plan establishes POWER Accounts, which beneficiaries will use to pay for some of beneficiaries’ health care expenses. These accounts will be funded, in part, through beneficiary contributions.
Beneficiaries will have access to all of the essential health benefits that are required under the law. The agreement allows two benefit packages (HIP Plus and HIP Basic), each covering all essential health benefits required by law and available to people based on their premium (POWER Account) contributions.
Individuals who are charged premiums (in the form of POWER account contributions) will enroll in HIP Plus and have no other cost sharing, expect for certain emergency room services. These ind…

Healthy Indiana Plan #HIP Approved and Accepting Applications

Family Voices Indiana shares the following press release regarding HIP:
INDIANAPOLIS—Governor Mike Pence announced today that the State has received approval from the federal government to use an updated version of the consumer-driven Healthy Indiana Plan known as HIP 2.0 instead of Medicaid to offer access to quality health care to 350,000 uninsured Hoosiers. The Family and Social Services Administration (FSSA) will begin taking applications immediately, and coverage will begin February 1. “Since the beginning of my administration, we have worked hard to ensure that low-income Hoosiers have access to a health care plan that empowers them to take charge of their health and prepares them to move to private insurance as they improve their lives,” said Governor Pence. “This has been a long process, but real reform takes work.” HIP 2.0 participants are required to contribute to a POWER account, which they manage like a health savings account and are rewarded for using preventive care. Conseq…

Share Your Voice About Important Maternal/Child #Health Issues

A group of Families, Trainees, and Professionals will be spending Tuesday January 27th on Capitol Hill Meeting with members of Indiana’s Congressional Delegation.  We will be speaking about:
·The importance of the Maternal and Child Health Block Grants to Indiana’s Families
·The role of  the Family to Family Health Information Centers to assist families who are raising children who have special health care needs
·The role CHIP plays in providing access to coverage and care for children in Indiana
You, too, can share your voice!  

Plan to call, email, Facebook and Tweet members of the Congressional Delegation in support.

Ask others to speak up, too.
It makes an impact when member are hearing from multiple Hoosiers around these issues.

You can find your legislators here: https://www.opencongress.org/people/zipcodelookup