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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 T reatment 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 rep

Waiver Renewals Announcement from DDRS

Waiver renewals announcement The Division of Disability and Rehabilitative Services and Bureau of Developmental Disabilities Services are pleased to share that both the Community Integration and Habilitation waiver and Family Supports waiver were recently approved for renewal by the Centers for Medicare and Medicaid Services. Both renewed waivers will have the same effective date of July 16, 2020. These renewals include several changes to service definition descriptions, outcome measures, and additional allowable activities. The complete, approved waiver documents can be found by clicking here. Many of the changes and updates being implemented in July are the result of active stakeholder engagement and feedback the bureau has received from individuals, families, and our industry partners. Included in this announcement is a summary of some of the more notable changes. The bureau plans to release additional guidance related to the renewals in the coming weeks to more fully inform stake