Georgia Managed Care went into effect on June 1, 2006. We have heard
from many colleagues that they are receiving denial for services
beyond the month of June.
GSHA is collecting
this information to determine patterns of denial that are inconsistent
with the federal EPSDT Guidelines. Each therapist is responsible for
working with his/her clients to submit any appeals for the denial
decision.
This information is
critical. Also, we suggest that you work with the children’s family
to appeal the denial decisions. We have been working with the
Department of Community Health to ensure that children receive
appropriate services.
