Attn: Physical, Occupational, & Speech Therapy Providers

Posted July 6th, 2012 by mfoster & filed under Blog, Newsroom, Provider News.

Dear Physical, Occupational, & Speech Therapy Providers,

Please accept my sincere thanks for the care that you provide to the members of Magnolia Health Plan.  We are grateful for your service.

Effective 8/1/2012 we will require a copy of the Individualized Education Program for any child who is receiving therapy for any type of developmental delay to be submitted with any request for therapy.  This is done so that we can assure that there is no duplication of services.  Also much of this therapy is provided through the Early Periodic Screening Diagnostic and Treatment (EPSDT) program.  Therefore effective 8/1/2012, our Utilization Management department will look to see if a child has had his/her EPSDT Screening exam.  Therapy can not be approved if the child has not had the EPSDT exam.  

Again thank you for the care that you provider to Magnolia members and if you have any questions do not hesitate to contact us at (866) 912-6285 or call your provider representative.

Sincerely,

Jason B. Dees, D.O. FAAFP

Chief Medical Director