Boing

When we had the initial IEP meeting a little over nine months ago, one of the biggest changes was the removal of the Monster’s physical therapy.

According to the reports, he didn’t need any further physical therapy – the schools are primarily concerned with his ability to walk normally, ascend and descend stairs, and handle himself with his class at a ‘reasonable pace’.  The fact that he’s still clearly delayed, because he doesn’t ascend or descend stairs with alternating motion, doesn’t seem to factor in to the decision, and despite our best efforts to keep it in the plan, the schools put their collective foot down. Continue reading

Differences of Opinion

The Monster had another speech evaluation yesterday.

I find it interesting, as we go from therapist to therapist, at the differences in opinions as to his level of function.  (For a basic level of evaluation – they require a ‘greater than 25% deficiency’ in function here for services.)  He is currently just shy of 55 months, which means that he needs to be speaking at less than a 41 month level to be getting speech services in the schools. Continue reading

Therapy

Today was our first visit to a behavioral psychologist for the Monster.

So far, we’ve been really unable to find an ABA practice that is covered by our insurance (as mentioned previously – ABA is not required to be covered by law here in Maryland), and we’ve been working with Kennedy Krieger for a number of studies and for developmental pediatrician visits.  As part of the battery of these services, we finally got the Monster in to see someone on the psychological side of the house to start working on the other issues. Continue reading

Maryland Steps Up

I’ve posted several times before about how the insurance coverage I have through work (a company based in California) in theory covers treatments such as ABA, and yet there are no providers in my state (Maryland) that are on the insurance plan.  The reason for this is simple – here, ABA is not defined as “appropriate and medically necessary”, so insurance providers are not required to cover this proven treatment.

To be fair – our current insurer has told the wife that if we can find a provider here who is covered for other services, they would be amenable to discussing payment.  I have no idea if the new provider in January will feel similarly, but I can fight that battle when we get there. Continue reading

Boing Boing Boing

When the Monster had his IEP meeting a few months ago, one of his providers had recommended an end to his physical therapy.

Now, he’s hardly uncoordinated or a threat to himself when navigating around.  The boy does like to run, and he’s got decent motion even on uneven ground.  Our major protest was the fact that he’s still not doing some of the age-appropriate behaviors, like switching feet while ascending/descending stairs. Continue reading