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One of my kids sees a peditrician who is technically a specialist in pediatric ADHD. He is the only pediatrician in the area who will see and treat kids below the age of 5 and is quite remarkable. However, he doesn't take medicaid. We're more than happy to pay for the office visits but I'm wondering if this is something that is reimburseable in any way? We have a regular pediatrician that we go to for physicals and sick visits so we're really only seeing this physician every 3 months or so.
Thanks!
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Each state typically has an "Incidental Fund" for these type of situations but each case has to be weighed and approved. In our state, we would have to get approval from our county supervisor and she would send the paperwork into the finance dept. who would then pay the pediatrician or reimburse us out of this fund.
You really won't know until you check with your county office. Some counties have their own "special" fund at their discretion due to local donations.
Often, Medicaid will pay for special services if the proper paperwork is submitted showing justification for the treatment. You may want to check into what it would take from your child's PCP to get this covered.
Kim
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I live in Tallahassee and I was told yes, the state can cover the cost, if Medicaid has denied the visit. The CW also has to have exhausted all resources they are connected to as well. Then...... if the God at your local office deems it necessary, they will submit a POS.
I do believe though this if for services they arrange; they will not re-imburse for anything.
Where are you and if you would n't mind shaing the name of the Ped. We have a 3 1/2 yr old we are adopting and can not find anyone remotely capable, let alone available to treat her. Thanks.
We're in Naples, so I think our doctor would be too far for you :)
Dr. Duncan is awesome. I'm sure if he knows anyone in your area he would refer you. His office number is (239) 649-3323. Drew started seeing him when he just over 3, which was about 5 months ago. Our regular pediatrician (who is also awesome) wasn't comfortable considering ADHD until at least age 4, and probably not until after he started kindergarten. We knew he was more than just an active 3 year old and weren't comfortable waiting that long. On the right medication he's a completely different kid!
Know that you might very well get flack from well-meaning people for "drugging" your toddler. Suggest that they babysit for a day now and after medication (if your doctor agrees that medication is the right thing to do). I guarantee they will notice the difference!
Feel free to let me know if you have any other questions!
Kelly