Say that I wanted to analyze the propensity of ND Medicaid to refuse funding beyond 365 days for PRTF/RTC level care. A component of this could include the psychiatrists telling parents that the best way to get the care a child needs is give up custody of their child. In part because in the psychiatrists experience the only way children receive the care required is through the voluntary disruption of parental custody. So question: Do children in state custody receive more than 365 days of inpatient mental health care paid for by ND Medicaid? Now given that this is a vulnerable population,how do I go about obtaining the data that I need? Follow-up questions could include: How many children in state custody for treatment of mental health issues ultimately end up in prison? Is the cost of care per child lower while the child is in custody of the state
In a word, some times, yes it does pay to complain. Just got off the phone with the hospital, David’s medicine just received authorization from the insurance company. This is so awesome. I can’t begin to tell you. Now we can stabilize his moods again. Eventually, the roller coaster rise will change. For now, I will accept the idea that it is on a plateau that is coasting evenly for a while. Yes, I am aware that a plateau is boring. Will gladly take boring for a while. Thank you Blue Cross working on this for us. Tweet #fighting4answrs
So, the insurance company contacted me because I posted a message on their facebook wall. Amazing how social media messages get a faster response than a phone call. The request made for the medicine on Tuesday was marked non-urgent. A second request was made today and it was marked urgent. This request came in half an hour ago. Even an urgent request can take 72 hours to complete. So this means we are stuck until next week again waiting for the script, although there is a slim chance it can be approved tomorrow. But then, there is also a chance that it will be denied. At which point we can appeal the decision. Why is it okay for a corporation to have this level of control over our health? I do admit that the rep who called was polite, offered to research the issue further and then return my call.