Monday, November 9, 2009

Denied...

Medicaid has denied the cochlear implant request. Rocky Mountain Cochlear Implant Center will send the information on to OMS Insurance Support, and OMS will appeal, and hopefully work their magic. I might even get in contact with the Let Them Hear Foundation and see if they can be of any support as well.

Edit: LTHF is currently not accepting any appeal requests, so I'll just have to rely on OMS at this time. That's fine with me though. Also contacted Advanced Bionic's insurance support as well, to see if they could be of any help.

2 comments:

Hobratschk said...

I used to work for Wyoming Medicaid and supervised Cochlear's OMS. This denial is quite surprsing since Equality Care used to cover CI for adults....what was the reason for denial? There is no "magic" in these cases, often just a matter of seeing if their reason for denial matches their rules. Be sure to get a copy of Wyoming's current CI coverage policy. Why is LTHF no longer helping people????

CDM said...

I just updated the blog with their reasoning.. which is basically this:
"Equality care is stating that DOES NOT MEET CRITERIA: PATIENT ABLE TO COMMUNICATE THRU SPEECH."