Saturday, February 2, 2013

Protect Access to Early Intervention Services

As part of the Individuals with Disabilities Education Act (IDEA), the Early Intervention (EI) program provides evaluations and services to infants and toddlers who have developmental delays or disabilities and their families. Early Intervention is cost effective and helps infants and toddlers at the time when services can make the biggest difference.

Governor Cuomo’s 2013-2014 Executive Budget proposal would restructure Early Intervention, linking EI services with health insurance coverage. The budget proposal would:
  • Allow a health insurance representative to be part of the team that develops and reviews a child’s Individualized Family Services Plan (IFSP), giving the health insurance company a voice in determining a child’s EI services for the first time.
  • Require EI providers to join health insurance networks, negotiate their reimbursement rates with health insurers, and exhaust all appeals of claim denials by health insurers before being paid by EI, likely leading to a further reduction in the number of experienced EI providers available to serve children.
  • Require children to be evaluated and served by evaluators and service providers within the children’s health insurance network, without a clear process for obtaining an exception for children who need specialized service providers. 
For more information contact Randi Levine at RLevine@advocatesforchildren.org

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