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Advocating Against Speech Therapy Denials by Nebraska Total Care
Jessica Thoene represented NSLHA speech-language pathology members at a meeting with representatives from the Nebraska Physical Therapy Association, the Nebraska Occupational Therapy Association and Nebraska Total Care staff in April. She also attended a Heritage Health Stakeholder meeting with Nebraska Department of Health and Human Services staff and representatives from the managed care plans. Read the summary of issues that were addressed during these meetings.
NSLHA is gathering additional information, feedback and evidence from members that are experiencing therapy denials with Nebraska Total Care. This may help educate Dr. Skoch on pediatric therapy complexities and other therapy services and needs for clients. Please share any examples of denials that you may have by contacting Janet Seelhoff, NSLHA's Executive Director.
Representation at Heritage Health Stakeholder Forum Meetings
NSLHA has representatives attend the bi-monthly Heritage Health Stakeholder Forum meetings to address authorizations, denials, payments and other issues related tot he Heritage Health Program. NSLHA has been successful in helping members recoup reimbursement for services, through relationships with the managed care organizations and the Nebraska Department of Health and Human Services. Join NSLHA and take advantage of this membership benefit.