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

  • From: "Heidi Barriga" <dmarc-noreply@xxxxxxxxxxxxx> (Redacted sender "hbarr1970@xxxxxxxxx" for DMARC)
  • To: "dbmat@xxxxxxxxxxxxx" <dbmat@xxxxxxxxxxxxx>
  • Date: Wed, 31 Dec 2014 04:00:41 +0000 (UTC)

Thank you for that correction. I guess what I should have stated is 'the waiver 
does not cover anything until all other non-resources have been exhausted' and 
left it at that. 
      From: Heather Withrow <skyhex@xxxxxxx>
 To: dbmat@xxxxxxxxxxxxx 
 Sent: Tuesday, December 30, 2014 5:47 PM
 Subject: [dbmat] Re: My answer to Heather's Question about therapies in DB-MD 
(My original question was about hippotherapy, aquatic therapy, music therapy 
not being provided until 18 years but it turns out it’s not even provided under 
DBMD but under CLASS.  That’s fine with me.  We have other ways.)
I reviewed the link Steve sent us that led to Dental Treatment under Division 
3- Requirement for Other DBMD Program Services-  Rule 42.624 Dental Treatment 
where it spells out the plan and, good news, yes, they do cover individuals 
under 21 years of age if the specific steps are followed.  Check it out.  
Also I see that, of course, if it’s in the child’s plan, program providers may 
provide OT, PT, Speech Language and Audiogoligy therapy plus dietary services. 
So yeah, these therapies may be provided at any age since there isn’t any 
mention of age under Division 3, rule 42.632 “Therapies”.  
I’m still learning, so thank you guys for your input.  Glad to help clear 
things up, too.  The link to Division 3 is below:


HeatherOrion’s Mom

On Dec 30, 2014, at 8:26 AM, Heidi May (Redacted sender "hbarr1970@xxxxxxxxx" 
for DMARC) <dmarc-noreply@xxxxxxxxxxxxx> wrote:

I didn't originally see Heather's question but let me expand on Steve's answer 
by saying the DBMD waiver does not cover therapies or dental for minors either. 
This is because it is already covered by Medicaid and, even if you don't like 
the Medicaid provider, the waiver won't pay for anything if there is a 
non-waiver resource available. There's my 2 cents. Have a great day! 

Sent from my iPhone
On Dec 29, 2014, at 11:21 PM, Heather Withrow <skyhex@xxxxxxx> wrote:

Thank you so much for clarifying this for me, Steve!  The link helped. Much 
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 

Steve Schoen


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