a handbook for parents of children with autism spectrum disorders

More documents

Recommendations

Info

ANSWERS TO YOUR QUESTIONS What can I do if some or all of the recommended services are denied by Community Care? What is a grievance? You can file a grievance. A grievance is what you file when you do not agree with Community Care’s decision that a service that you or your provider asked for is not medically necessary. You can file a grievance if Community Care does any one of these things: Denies a covered service. Approves less than what was asked for. Approves a different service from the one that was asked for. “It is okay, even beautiful, to be a person with Autism.” —A person with Autism How do I file a grievance? You will receive a letter from Community Care if services are not completely approved. The letter will tell you how to file a grievance. You have 45 days from the date you receive this letter to file a First Level grievance. To file a grievance, call your local Community Care customer services representative (See Appendix G). Or, write down your grievance and send it to the Community Care office in your region. Your provider can file a grievance for you if you give your consent in writing to do so. NOTE: You cannot file a separate grievance on your own if your provider files a grievance for you. - Page 20 -
What happens after I file a First Level grievance? Community Care will send you a letter to let you know your grievance was received. The letter will tell you about the First Level grievance process. You may ask Community Care to see any information about your grievance. You may also send information that may help with your grievance to the Community Care office in your region. Call your local Customer Service representative for assistance with your grievance. If you want to be included in the First Level grievance review, you must call Community Care within 10 days of the date on the letter sent confirming receipt of your grievance. You can come to your local Community Care office or be included by phone. You are not required to attend this meeting. If you do not attend, it will not affect the decision. A committee of one or more Community Care staff, including a doctor or licensed psychologist who has not been involved in the issue you filed your grievance about, will make a decision about your First Level grievance. Your grievance will be decided no more than 30 days after it is received. A letter will be mailed to you no more than five business days after Community Care makes its decision. This letter will tell you the reason for the decision(s). It will also tell you how to file a Second Level grievance if you don’t like the decision. How do I keep getting services during the First Level grievance process? If you have been receiving services that are being reduced, changed, or stopped, and you file a grievance that is hand-delivered or postmarked within 10 days of the date on the letter (notice) telling you that the services you have been receiving are being reduced, changed, or stopped, the services will continue until a decision is made. “Sometimes it makes me mad to be different, but mostly I like who I am. It doesn’t matter that I have a disability. One day I’m going to be a film director. I’m making this documentary to help parents of kids with Autism, and to show other people that kids with Autism can do a lot of things.” —A person with Autism What if I do not like Community Care’s First Level grievance decision? If you are not happy with Community Care’s First Level grievance decision, you may file a Second Level grievance with Community Care. - Page 21 -
Page 1 and 2: A HANDBOOK FOR PARENTS OF CHILDREN
Page 3 and 4: INTRODUCTION Developmental delays c
Page 5 and 6: What should I do first? Where do I
Page 7 and 8: How can my child qualify for Medica
Page 9 and 10: How does the verification process w
Page 11 and 12: As the parent of a child with Autis
Page 13 and 14: Which types of professionals delive
Page 15 and 16: As a parent, what is my role in the
Page 17 and 18: How might I approach my son or daug
Page 19 and 20: What happens if BHRS is recommended
Page 21: Who determines if my child will rec
Page 25 and 26: What if I still don’t like the de
Page 27 and 28: Can I have someone else help me wit
Page 29 and 30: How do I ask for a Fair Hearing? Yo
Page 31 and 32: What happens if my child’s doctor
Page 33 and 34: APPENDIX B: DIAGNOSTIC CRITERIA - A
Page 35 and 36: APPENDIX D: GLOSSARY Autistic Spect
Page 37 and 38: APPENDIX D: GLOSSARY PT: Physical T
Page 39 and 40: APPENDIX E: LEVELS OF CARE/ TREATME
Page 41 and 42: APPENDIX F: COMPLAINT PROCESS If yo
Page 43 and 44: APPENDIX F: COMPLAINT PROCESS You m
Page 45 and 46: APPENDIX H: COMMUNITY CARE CONTACT
Page 48 and 49: Community Care Behavioral Health Or
Page 50 and 51: Community Psychiatric Centers Rober
Page 52 and 53: Glade Run Lutheran Services 5701 Ce
Page 54 and 55: Wesley Spectrum Services (North) 54
Page 56 and 57: Advocacy ABOARD (Advisory Board on
Page 58 and 59: treatment options for those with Au
Page 60 and 61: Dan Marino’s Foundation www.danma
Page 62 and 63: Future Horizons, www.futurehorizons
Page 64 and 65: Boardmaker-Mayer-Johnson, http://ww
Page 66 and 67: Developmental Disabilities Planning
Page 68 and 69: Temple University, 1301 Cecil B. Mo
Page 70 and 71: Incidental Teaching, http://www.spi
Page 72 and 73:
Autism toolkit for physicians, http
Page 74 and 75:
Therapeutic Specialists, Inc., www.
Page 76 and 77:
Pittsburgh Office, www.pattan.k12.p
Page 78 and 79:
Dr. James Mortimer 602 Evans City R
Page 80 and 81:
1617 JFK Boulevard, Suite 800, Phil
Page 82 and 83:
State Mental Retardation Program Na
Page 84 and 85:
AUTISMLINK Special Education Suppor
Page 86 and 87:
groups.yahoo.com/group/The_Alle-Kis
Page 88 and 89:
Autism Spectrum Resource Center, ht
Page 90:
Transition from Special Education t
show all

a handbook for parents of children with autism spectrum disorders

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?