So what else is new? right? Received this notice from the facility where our son resides. I am sure you will be receiving a hard copy in the mail, but I wanted to notify you that as of 1/10/2015, David’s Medicaid has denied coverage for residential care and we were notified of this yesterday. (See attached letter) Facility is currently in the process of appealing this decision. I will keep you notified of the results of the appeal process which will be submitted early next week. They enclosed a copy of the notice that they received from the determination company that is under contract to our state Medicaid. The rationale for this decision is: David is a 13 year old boy who is diagnosed with Bipolar disorder and pervasive development disorder. He was in a residential setting in North Dakota for over a year and transferred to the
Just received the weekly report that encompasses all of the week not just the immediate emergence of chronic cases. Today was another “off” day. David destroyed a bunch of recently created Christmas decorations that his peers had made. Evidently he was upset. He did a number of other things, including trying to run away. He destroyed some carpet in the lower level of the lodge, he unplugged a bunch of computers in his classroom. He has been generally combative. He broke into the refrigerator and stole a bunch of Pediasure. Drank all of them. He has threatened to kill staff. There is so much more, that I feel overwhelmed by the details of it all. To be fair to David, it seems that all of the peers in his unit or lodge are struggling right now. Since all of the kids with him have an Autism diagnosis of some type,
Dad’s are supposed to be able to fix things. I can’t fix this. I can’t undo the damage caused by a selfish woman who did not think of her unborn child when she proceeded to get herself loaded up on drugs.