[dbmat] Re: My answer to Heather's Question about therapies in DB-MD waiver

  • From: "Katherine" <dmarc-noreply@xxxxxxxxxxxxx> (Redacted sender "akacrafts@xxxxxxxxx" for DMARC)
  • To: "dbmat@xxxxxxxxxxxxx" <dbmat@xxxxxxxxxxxxx>
  • Date: Mon, 5 Jan 2015 22:43:19 -0600

I am trying to find information on SSP training in Austin. And intervenor 
training for DBMD attendant.  Thank You, Kathy Crittenden

Sent from my iPhone

> On Jan 3, 2015, at 12:02 AM, Leslie Stevens <lesliestevens07@xxxxxxxxx> wrote:
> 
> I wonder...speaking of trying to getting hippo/aqua/etc. therapies 
> covered...Does it make any difference if the therapist providing services 
> was, say, a certified PT who billed it as physical therapy, but just happened 
> to be providing that physical therapy to the client in a pool, or on a 
> horse...?  For example, Olivia does therapeutic horseback riding through SIRE 
> (wonderful organization, BTW), but her riding instructor is not a certified 
> PT or OT.  I believe in order to be truly termed as "hippotherapy" (rather 
> than just "therapeutic horseback riding" or some variation on that), the 
> provider has to be a certified PT or OT...So I just wonder if that makes any 
> difference then in how they are able to classify the services provided and if 
> it might be covered under one of the waiver programs that does include PT.  
> Maybe I'm way off...just a thought/question!  
> 
> Leslie
> 
>> On Tue, Dec 30, 2014 at 10:18 PM, Stephen Schoen 
>> <stephenschoen351@xxxxxxxxx> wrote:
>> Waivers can only offer services which are in their menu. Hippo, aqua, and 
>> music therapies are not in the DB-MD waiver menu   I don't think there is 
>> any loophole with prescriptions.  But I applaud CC's usual creative 
>> thinking. By now, some of the parents of children who are getting in the 
>> waiver are realizing the benefit of  their child's new Medicaid eligibility. 
>>  Happy New Year to all tomorrow.  Be safe!  
>> 
>>> On Dec 30, 2014 9:18 PM, "Melanie" <dmarc-noreply@xxxxxxxxxxxxx> wrote:
>>> I think it has to be a prescription from a physician, but with that 
>>> said...I am sure a Doc would do that
>>> 
>>> Sent from my iPad
>>> 
>>>> On Dec 30, 2014, at 6:20 PM, "Davis,CC (DARS)" <CC.Davis@xxxxxxxxxxxxxxxx> 
>>>> wrote:
>>>> 
>>>> I’m just wondering here, … but, … what I’m thinking is this:  Can a PT or 
>>>> OT write a prescrip for something like aqua and hippo therapy, … and can a 
>>>> speech path prescribe music as therapy.  Just wondering – I know the 
>>>> benefits are there for those needs.  Steve would probably know though, … 
>>>> as he’s been in that system in the past.  I know that the overall cost has 
>>>> to be considered.  - CC
>>>> 
>>>>  
>>>> 
>>>> From: dbmat-bounce@xxxxxxxxxxxxx [mailto:dbmat-bounce@xxxxxxxxxxxxx] On 
>>>> Behalf Of Heather Withrow
>>>> Sent: Monday, December 29, 2014 11:21 PM
>>>> To: dbmat@xxxxxxxxxxxxx
>>>> Subject: [dbmat] Re: My answer to Heather's Question about therapies in 
>>>> DB-MD waiver
>>>> 
>>>>  
>>>> 
>>>> Thank you so much for clarifying this for me, Steve!  The link helped. 
>>>> Much appreciated!
>>>> 
>>>>  
>>>> 
>>>> We have private health insurance (although it is crummy) for the basic 
>>>> OT/PT therapies but like Lauren’s mom said earlier- go for the DBMD waiver 
>>>> for the interveners.  I can’t imagine anyone NOT going for the intervener 
>>>> enlightenment!  The DBMD waiver is the first of any waiver that even 
>>>> contacted us about the opening, it’s a no-brainer.  It’s a question of 
>>>> which agency I pick to work through.  I appreciate all the other 
>>>> assistance we can get.  I’m seeing the light at last!
>>>> 
>>>>  
>>>> 
>>>> Many, many thanks for the input.  I’m listening. 
>>>> 
>>>>  
>>>> 
>>>> Heather,
>>>> 
>>>> Orion’s mom
>>>> 
>>>>  
>>>> 
>>>> On Dec 29, 2014, at 10:08 PM, Stephen Schoen <stephenschoen351@xxxxxxxxx> 
>>>> wrote:
>>>> 
>>>> 
>>>> 
>>>> 
>>>> I'm taking the liberty of answering Heather's question.   I'm not sure 
>>>> what the case manager for the DB-MD provider is referring to by 
>>>> "recreational therapy."  There is no such service for people of any age in 
>>>> the DB-MD waiver.   The one service which adults can get and children 
>>>> can't in the DB-MD waiver is Assisted Living.   Assisted living means 
>>>> living in a residence other than your families (such as a small 6 or fewer 
>>>> bed group home.)  
>>>> 
>>>>  
>>>> 
>>>> The DB-MD waiver does not (and never has)  provide hippo therapy, aqua 
>>>> therapy, and music therapy for people of any age. The only Medicaid Waiver 
>>>> which provides those services is the CLASS waiver.   Here is a link to 
>>>> description of the DB-MD Waiver services directly from the current Texas 
>>>> Administrative Code.  It is worth the time to read all of these services, 
>>>> and ask questions about any which are not clear.  (Division 3 has the 
>>>> majority of services and definitions.)
>>>> 
>>>> http://info.sos.state.tx.us/pls/pub/readtac$ext.ViewTAC?tac_view=5&ti=40&pt=1&ch=42&sch=F
>>>> 
>>>>  
>>>> 
>>>> Steve Schoen
>>>> 
> 
> 
> 
> -- 
> Leslie Stevens
> lesliestevens07@xxxxxxxxx
> 713-408-4470

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