Friday, April 08, 2005

Just Another Day...

I got the info packet from the developmental center on Wednesday afternoon. They will give Alex an evaluation and diagnosis so we can pursue additional therapy and have it covered by insurance. I ran around yesterday getting all of the necessary materials from doctor's offices to include in the packet I will return to them, along with copies of all his previous evaluations by Early Intervention and his speech therapists. I had the packet back in the mail to them within 24 hours, sent priority mail with delivery confirmation. They should receive it today. I have no idea when to expect them to get back to us for an appointment. A referral from the pediatrician was required before they will even review the patient's paperwork, so our doctor took care of that yesterday. I got a copy of the referral for myself and one to send with the packet back to the developmental center. The pediatrician's office not only sent a copy to the developmental center through a fax, but they sent one to the insurance company as well, stating the diagnosis was "speech delay" and used one of the BAD diagnostic codes for "developmental delays" which my insurance does not cover. Ugh! I have no idea what to expect. The doctor's referral was for an evaluation and treatment. Well, the insurance won't cover treatment at this point, especially not since they used the diagnostic code for "developmental delays." With or without a referral, our insurance company should cover us visiting this specialist for an evaluation though. If the specialist can determine a better diagnosis using the best diagnostic codes for apraxia, then the insurance company will have to review it again and proceed with THAT diagnosis. Hopefully with the SLP's claim and one from a specialist, we can get coverage. They may offer us services at the center or we could try and find a local SLP that is knowledgeable about Apraxia (rare breed) around here since the center is an hour away. (sigh) Last night was suppose to be STEP training classes (Support and Training for Exceptional Parents), where a parent advocate explains the rights of parents of children with disabilities, with question/answer open discussion. When I got to the meeting, I found a note on the door that it had been cancelled and to call tomorrow to find out details. I was upset to some degree, but also a bit relieved. I'd had enough for one day. I called this morning and they said it had been rescheduled for the 21st. I had them put my name on the list of participants. Today is Friday... no school, and Alex slept in until 9:30. Shew, he's as tired as I am!

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