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Denied services



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amother
Chartreuse


 

Post Wed, Mar 28 2018, 10:20 pm
My daughter has hypotonia that anyone who works with her sees immediately and agrees she needs p.t. however she is very smart and compensates. On her evaluation from EI to CPSE she scored 1.75 sd and if it's only one area it needs to be over 2 sd. So she was deemed ineligible for services.
I'm wondering if anyone has any advice as she can only score that well due to compensating and continuous therapy and I'm scared with the no therapy she'll regress.

Any advice would be much appreciated.
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happyone




 
 
    
 

Post Thu, Mar 29 2018, 12:55 am
Can you access your insurance for physical therapy?
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seeker




 
 
    
 

Post Thu, Mar 29 2018, 4:27 am
Question number one for requesting CPSE services is does it affect her ability to participate and learn in school. If so, then you have an argument. You need to have the previous therapist as well as the teacher demonstrate that she is only performing this well (and 1.75 SD is not even that well, so this shouldn't be that complicated) because of the ongoing therapy and that she would regress if the therapy is decreased or stopped.

At this point since they already denied the service you will have to request an impartial hearing to present these arguments. You may want to hire an advocate to help you get it right the first time.

Also, as happyone said, you should definitely find out if your health insurance will cover this.
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chocolatecake




 
 
    
 

Post Thu, Mar 29 2018, 4:52 am
I was denied speech therapy for my daughter because even if her speech has issues she scored well on all the learning and social services. I went thru insurance and got approved right away.
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amother
Beige


 

Post Thu, Mar 29 2018, 5:53 am
A teacher's letter is more powerful than a therapist.
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amother
Chartreuse


 

Post Thu, Mar 29 2018, 6:02 am
amother wrote:
A teacher's letter is more powerful than a therapist.


Not in NY anymore. At least not in my district. The administrator told me that had changed as teachers aren't licensed to diagnose and can't provide number scores for deviation only therapists with factual numbers can be used once a child was deemed ineligible. Or a completely new evaluation.
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amother
Chartreuse


 

Post Thu, Mar 29 2018, 6:06 am
seeker wrote:
Question number one for requesting CPSE services is does it affect her ability to participate and learn in school. If so, then you have an argument. You need to have the previous therapist as well as the teacher demonstrate that she is only performing this well (and 1.75 SD is not even that well, so this shouldn't be that complicated) because of the ongoing therapy and that she would regress if the therapy is decreased or stopped.

At this point since they already denied the service you will have to request an impartial hearing to present these arguments. You may want to hire an advocate to help you get it right the first time.

Also, as happyone said, you should definitely find out if your health insurance will cover this.


I had an advocate at the meeting but the administrator was such a stickler that the numbers don't fit in category there's nothing to talk about and the advocate wasn't too helpful Rolling Eyes . Regression and that she is factually delayed is a real concern to me. I spoke to her therapist who said she would write up a report so I hope that will work to get me approved.

Does insurance cover for in school therapists or I would then need to take her separately.
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seeker




 
 
    
 

Post Thu, Mar 29 2018, 6:14 am
Ugh. Sounds like you got a lousy administrator. You need to request a hearing Sad

I have gotten services (not very typical but more than once) for students who were performing ON grade level by demonstrating that the child's disabilities were impacting their participation in school. Though now that I think of it both of those kids were already in CSE, not CPSE.
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ttbtbm




 
 
    
 

Post Thu, Mar 29 2018, 6:46 am
I’m not an expert just have sat through quite a few of these meetings for my own children. As others have said the DOE provides services if a child is classified as having a learning disability. I do remember hearing at some point that if a child receives a diagnosis from the pediatrician for certain issues they may qualify as well. Can you find out if an official diagnosis for hypotonia would help? Maybe discuss with your pediatrician?
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amother
Copper


 

Post Thu, Mar 29 2018, 6:56 am
The CPSE supervisors are generally more of the stickler types than CSE. I have found CSE to be much nicer. If you get a frum cpse supervisor forget it. Most (although not all) really try to make it seem that they aren't biased and go out of their way to be nasty to frum people. I have seen it from both sides of the fence- as a DOE employee and as a parent of a child requesting services. Really you need to build your case before going to the DOE. A teacher letter can make a difference even if evaluation comes back different because they do not see how your daughter functions in the school environment. Do you have specific examples of what your child is having difficulties with? 1.75 SD is quite close and she will fall behind without services. Is she able to navigate playground equipment independently? Does she hurt herself more frequently? Does it affect her ability to play in her social peer group? Is she able to sit at a circle time without getting too tired? Can she stand on a line. I once had a student that couldn't stand on line and had to sit in a chair because he/she got too tired! Even if a child performs well on the academic portion if their is a gap between child ability and child performance at school then that is a reason to be able to get services. I know from my own place of work that right now the DOE is limiting OT and speech left and right and they are not so quick to give related services. In a half a year from now, that could change.
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amother
Chartreuse


 

Post Fri, Mar 30 2018, 1:16 am
ttbtbm wrote:
I’m not an expert just have sat through quite a few of these meetings for my own children. As others have said the DOE provides services if a child is classified as having a learning disability. I do remember hearing at some point that if a child receives a diagnosis from the pediatrician for certain issues they may qualify as well. Can you find out if an official diagnosis for hypotonia would help? Maybe discuss with your pediatrician?


The administrator said it can only be a specialist not the regular pediatrician.
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seeker




 
 
    
 

Post Fri, Mar 30 2018, 4:20 am
amother wrote:
The administrator said it can only be a specialist not the regular pediatrician.

OK then, sounds like you have a clear path forward, no?
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