a handbook for parents of children with autism spectrum disorders

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ANSWERS TO YOUR QUESTIONS When should I file a Second Level grievance? You must file your Second Level grievance within 45 days of the date you get the First Level grievance decision letter. Use the same address or phone number you used to file your First Level grievance. What happens after I file a Second Level grievance? Community Care will send you a letter to let you know we received your grievance. The letter will tell you about the Second Level grievance process. “Autism is a world so difficult to explain to someone who does not have Autism, someone who can easily turn off the peculiar movements and actions that take over our bodies.” —A person with autism You may ask Community Care to see any information we have about your grievance. You may also send information that may help with your grievance to Community Care. You may also ask for help by calling your local Community Care Customer Service Representative (See Appendix G). You can come to a meeting of the Second Level grievance committee or be included by phone. Community Care will contact you to ask if you want to come to the meeting. You are not required to attend this meeting if you do not want to. If you do not attend, it will not affect the decision. The Second Level grievance review committee will have three or more people on it. The members of the committee will not have been involved in the issue you filed your grievance about. The committee will make a decision no more than 30 days from the date Community Care received your Second Level grievance. A letter will be mailed to you within five business days after the committee makes its decision. This letter will tell you the reason for the decision. It will also tell you how to ask for an External grievance review if you don’t like the decision. How do I keep getting services during the Second Level grievance process? If you have been receiving services that are being reduced, changed, or stopped, and you file a Second Level grievance that is hand-delivered or postmarked within 10 days of the date on the First Level grievance decision letter, the services will continue until a decision is made. - Page 22 -
What if I still don’t like the decision? If you are not happy with the Second Level grievance decision, you can ask for an External grievance review. You must call or send a letter to Community Care asking for an External grievance review within 15 days of the date you received the Second Level grievance decision letter. Use the same address and phone number you used to file your First Level grievance. Community Care will then send your request to the Department of Health. The Department of Health will notify you of the External grievance reviewer’s name, address, and phone number. You will also be given information about the External grievance review process. Community Care will send your grievance file to the reviewer. You may provide additional information that may help with the external review of your grievance, to the reviewer, within 15 days of filing the request for an External grievance review. People with Autism have a normal life span. You will receive a decision letter within 60 days of the date you asked for an External grievance review. This letter will tell you the reason(s) for the decision and what you can do if you don’t like the decision. How do I keep getting services during the External grievance review process? If you have been receiving services that are being reduced, changed, or stopped and you request an External grievance review that is hand-delivered or postmarked within 10 days of the date on the Second Level grievance decision letter, the services will continue until a decision is made. - Page 23 -
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 and 22: Who determines if my child will rec
Page 23: What happens after I file a First L
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
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a handbook for parents of children with autism spectrum disorders

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