ely@jpl-devvax.JPL.NASA.GOV (Ely Feinerman) (01/31/91)
Index Number: 13278 ******************************************************************** * * PLEASE HELP A 3 YEAR OLD AUTISTIC BOY ******************************************************************** My son is 3 1/2 years old and is autistic. He has been receiving theraphy at home since March 1990. Rhe theraphy he recieves is the same type that is used and taught by the Autism Project at UCLA. The Psychologist and his staff were all trained by Dr. Ivaar Loovas at UCLA. The problem is as follows: In March 1990 I wrote to my Insurance Plan for pre-approval of the services that would be rendered to my son. After they requested the background on the psychologist and his staff they approved the services. They continued to preapprove the services until september 1990. In Spetember 1990, the end of the month, they informed us that my son was eligible for school and they no longer should pay since the plane had anm exclusion for services that were covered by any government agency. He did become available for school, matter of fact he turned 3 in July 1990, so why did they wait. Well it has been a cat and mouse game since sept. 1990. They kept extending his preapporval for 30 hour of in home theraphy through 11/19/90. Then they said to submit the claims as we went on. Yesterday we recieved a denial from them for benefits. They stated that the staff was not qualified, that their expert( he they refuse to name) states even if the staff was qualified he would only need 10 hours a week. That is odd since the UCLA studies state 30 - 40 hours a week. I am reaching out for help, If YOU KNOW OF A SIMILAR CASES OR WHERE I CAN TURN FOR HELP>> PLEASE LET ME KNOW> MY SON DESPERATELY NEEDS HIS THERAPHY.....!!!!! PLEASE HELP MY SON!!!! WE HAVE CONTACTED A LAWYER AND WILL BE PURSUING THIS MATTER LEGALLY. I CAN BE CONTACTED VIA EMAIL AT ely@jpl-devvax.jpl.nasa.gov seismo!cit-vax!jpl-devvax!ely or 213-675-0165 after 6 pm california time m -f or all day weekends.