Kinnick Kay and Carver Lee: October 8th, 2009

Thursday, October 8, 2009

October 8th, 2009

Carver got his new "Childrite" seat today. It's like a larger version of the "Bumbo" seat. I'm surprised how well he is able to sit in it. It doesn't prevent his back from curving, so I don't think it's ideal for long periods of time. We have a "Rifton" chair and "TriStander" for proper sitting/standing. This is just nice for floor time, so he can participate in circle time or fun floor activities with everyone else. It's also nice for therapy (hearing/vision). The company at www.childrite.com is offering a $50.00 discount right now on these chairs. They normally cost $200.00, but you can get them for $150.00 right now. Carver is about 32 1/2 in tall and weights 22 lbs - just for an idea of his size.

He looks so big in his new chair.

Carver got his bandages taken off yesterday. Everything seems to be healing like it should. He does have some subdural hematoma and some swelling, but that should all be gone within a couple more weeks. We're trying to schedule his activation day the 3rd week of November.

Kinnick is feeling better and eating better. She still sounds like she has a rattle, but then again, when doesn't she? Her stomach is still gassy and big.

5 comments:

Anonymous said...: What a cool chair! Carver looks so happy! Glad to hear he's healing pretty well!
Neva; October 8, 2009 at 9:36 PM
Unknown said...: Carver looks like he is enjoying his chair! I hope Kinnick is feeling better soon.; October 8, 2009 at 11:24 PM
The Hull Munchkins said...: Don't you just love this seat?!! I wish we had gotten ours 2 yrs ago!

sorry the kids have been sick. They sure are growing!
-Patty; October 9, 2009 at 12:33 PM
Kristina said...: Carver looks like such a big boy in his Childrite seat! I'm so excited to see how well he fits in the chair as we are waiting for ours to be delivered (Emma got one as a 2nd birthday present) and I was wondering how well she will fit in the seat. Now I just can't wait for our seat to be delivered.

I hope you get your activation scheduled before Thanksgiving - what a great holiday it will be when he has two ears up and running! Glad Kinnick is feeling better.; October 9, 2009 at 2:08 PM
Kate said...: He looks great! We ordered one a couple of weeks ago and are waiting for it to show up. Like Carver, Dorrie has a stander and a more complex chair, but sometimes I just want something I can pop her in and out of in a few seconds. I'm even more excited for it to get here after seeing Carver in his!; October 10, 2009 at 11:28 AM

Post a Comment

Disability Determination when you don't qualify Financially

In order to extend Cobra medical coverage 11 months due to a Disabled member of the family, a Disability Determination Award letter is required. How do you secure a Disability Determination if you are not intitled to an Award? You ask for a Special Determination (SSA-553) of Disability. How did we get this? Here are my contacts:

We live in Wichita, KS. My contact at the Social Security Administration in Wichita was Nick Janzen. His phone number is 866-931-4486.

The Kansas/Nebraska/Iowa/Missouri Regional SSA office is located in Kansas City. My contact in the Kansas City Office is Mike Stiles. His phone number is 816-936-5740. Mike is able to communicate with all of the Disability Experts including those at the national headquarters in Baltimore, MD. Mike was able to guide my Wichita, KS contact, Nick in order to complete the necessary paperwork to obtain a Disability Determination even though we didn't qualify under Title II or Title XV1.

Here's is how it worked:

Nick completed a paper SSA-3820 (for a child), and obtained as much medical evidence as possible from me. He also prepared an SSA-5002 with the date of my qualiffying event (date I went on Cobra initially). This material was then sent to the following Address:

Office of Medical and Vocational Expertise

P.O. Box 17786

Baltimore, MD 21235-7786

A Manual Development Worksheet (MDW) was used to document my case.

The OMVE will prepare and release the appropriate notice for this type of case and will return the completed case to the field office along with a special determination (SSA-553) of disability and a copy of the notice.

Overnight address:

SSA, Office of Medical and Vocational Expertise

1st Floor Oak Meadows Building

6401 Security Blvd

Baltimore, MD 21235

Sedgwick County Developmental Disability Organization - MRDD Waiver information

Kinnick and Carver are on the MRDD Waiver. This is a needs based program based on being mentally retarded or developmentally delayed - not income. So, regardless of income, you may qualify. What benefit are we getting from the MRDD waiver? If you are on this program at age 5, you will receive a medicaid card. Prior to turning age 5 (while on the waiting list), you qualify for case management and family support funds. Case management is very helpful in helping you find funding sources if needed. The family support funds have provided all of K&C's expensive equipment needs. Due to budget cuts, the family support funds are not available this year, but could return at any time. You shouldn't wait to sign up for this program. There is a waiting list to receive the medicaid card at age 5. The waiting list is 2 years or longer. Therefore the sooner you get on the waiting list the better. You do not have to be 5 to be on the waiting list.

How do you apply for the MRDD Waiver program?

Rachel Ryan

Intake and Referral Coordinator (SCDDO)

615 N. Main

Wichita, KS 67203

(316)-660-7640

http://www.sedgwickcounty.org/cddo

Kansas Medicaid - Travel Expenses

I'm posting this to help others. It has been a struggle to get Medicaid to pay for our travel expenses. I have been able to get them to commit to paying $81.00/day hotel expense, $27.00/day for food, and .20/mile for mileage to/from.

The KEY is to call the number(s) below before you leave on the trip (unless it is an emergency).

1-800-285-4978 Option 2 (Out of State Prior Auth)
The doctor from the referring hospital/office and the doctor that you will be seeing will need to send paperwork for your approval. You can call this number to confirm this is getting done.

1-888-561-8747 x5002 (Meals and Lodging)
Let them know where you are going and how long you think you will be there. You will have to call every 2 wks to extend the time. They only approve 2 wks at a time.

1-888-240-6497 (Transportation)
Let them know where you are going and how long you think you will be there. You will have to call every 2 wks to extend the time. They only approve 2 wks at a time.

Medical Transportation Approval Process

In order to obtain approval for Medical Transport, the following steps were followed:

1.) Kinnick and Carver's primary physician (Pediatrician) wrote a "Letter of Medical Necessity". Below is a small sampling of the letter:

LETTER OF MEDICAL NECESSITY

Date:
Insurance Company:
RE: Kinnick and Carver
DOB:
Diagnosis: ROP, 23 wk gestation twins, severe chronic lung disease.

Attention Medical Director:

The letter requested approval for an air ambulance round trip flight for the specific eye surgery. It then listed medical reasons why Kinnick and Carver's medical needs meet criteria for air ambulance transport for their eye surgery. Their medical needs consisted of the following:

Continuous oxygen per nasal cannula
Continuous cardiac and respiratory monitoring
Feeding intolerance that requires gastrostomy feeds
Deep suctioning using a suction machine and catheter

Signed by the Primary Physician

2.) My Primary Physician faxed the Letter to Kinnick and Carver's Case Manager at my Insurance Company.

3.) Kinnick and Carver's Case Manager forwarded the Letter to the Medical Director for approval. This process only took a couple of days.

4.) Kinnick and Carver's Case Manager faxed the Approval to Air Ambulance and my Primary Physician.

Kinnick Kay and Carver Lee

Our Journey

Email me:

Links

Blog Archive

Resources

Blogs I like to follow