Add "These Findings Boggle my Mind": Audit Rips Apart Florida Program Created to Help Brain-Damaged Kids
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%22These Findings Boggle my Mind%22%3A Audit Rips Apart Florida Program Created to Help Brain-Damaged Kids.-.md
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%22These Findings Boggle my Mind%22%3A Audit Rips Apart Florida Program Created to Help Brain-Damaged Kids.-.md
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<br>An audit discovered families acquired little [brain support supplement](http://knowledge.thinkingstorm.com/UserProfile/tabid/57/userId/2153251/Default.aspx) from NICA, a program set up to assist care for [Mind Guard product page](http://wanghome.xyz:8418/marideniehy85)-damaged children. A Miami Herald/ProPublica investigation beforehand confirmed that NICA amassed a fortune while arbitrarily denying children care. This text was produced for ProPublica’s Local Reporting Network in partnership with the Miami Herald. Join Dispatches to get stories like this one as soon as they are printed. Case managers at Florida’s $1.5 billion compensation program for catastrophically [nootropic brain supplement](http://rm.runfox.com/gitlab/stevenpalombo)-broken youngsters didn’t consult specialists to find out whether medications, therapy, medical provides and surgical procedures were "medically necessary" to the health of youngsters within the plan. They relied on Google as a substitute. That was one of many findings of a state audit released this week of the Florida Birth-Related Neurological Injury Compensation Association, or NICA. The audit was ordered after the Miami Herald and [Mind Guard product page](https://live-nine9.com/bbs/board.php?bo_table=free&wr_id=468175) ProPublica detailed how NICA has amassed practically $1.5 billion in assets while sometimes arbitrarily denying or sluggish-strolling care to severely [mind guard brain health supplement](https://anycarddoor.com/forum.php?mod=viewthread&tid=189348)-broken kids.<br>
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<br>The report, from the Office of Insurance Regulation, [cognitive health supplement](https://trade-britanica.trade/wiki/User:OdessaStamey1) which oversees the business for the Florida Cabinet, also discovered that NICA arbitrarily decides who could also be compensated for care - and the way much. Administrators developed no system for resolving disputes with offended parents, discouraged parents from appealing denials to an administrative courtroom, and didn’t maintain a system for storing and tracking denials or complaints, the audit mentioned. "As a father of two, a few of these findings boggle my thoughts and elevate primary questions, equivalent to why is a program of this measurement doing record-maintaining with CD-ROMs? " the state’s chief monetary officer, Jimmy Patronis, wrote in a letter to NICA’s board chairman. "Why are denials not documented? Plus, is there any process for determining whether a process, or a piece of tools, is medically necessary or not? "Too usually, authorities can function like a heartless bureaucracy," wrote Patronis, who requested the audit after the first story by the Herald and ProPublica, "and we cannot permit NICA to perform with indifference.<br>
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<br>As a whole, the audit describes in largely clinical phrases a closed, callous, capricious system that left the dad and mom of sometimes profoundly injured youngsters with no recourse or options when their requests for help had been rebuffed. NICA administrators positioned "barriers, burdens and time restrictions" on reimbursement that aren’t in state regulation, the report stated. For example, [Mind Guard brain health](https://yogaasanas.science/wiki/User:Jennifer4021) parents can override the need for prior authorization when looking for emergency medical care. But NICA informed auditors that "it should first be demonstrated that a participant household member ‘benefited from’ or noticeably ‘progressed’ as a result" of such therapy to be reimbursed - a condition state statute doesn’t require. And even when a baby in this system was determined to be eligible for a remedy or therapy, members of the family sometimes were required to "contact NICA before committing to the acquisition," as a result of failing to do so might "jeopardize the amount of reimbursement," the audit said.<br>
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<br>NICA’s energy to arbitrarily approve or deny care was generally spelled out explicitly in tips. The program’s advantages handbook says that when a family requests a benefit exterior of the child’s separate insurance plan, or outdoors Florida, "NICA alone determines, in advance, whether or not it's going to elect to pay for those benefits, even when the remedy, evaluation or surgery is medically vital," the audit stated. One of the most curious findings concerned NICA’s method for figuring out whether requested care was medically necessary and due to this fact eligible for reimbursement. If any such system existed in any respect, it concerned consulting the web, not qualified medical professionals. "NICA acknowledged the case managers and the case manager supervisor usually use Google to analysis and decide medical necessity," the report said. Jamie Acebo of Pembroke Pines, whose daughter Jasmine spent 27 years within the NICA program, stated NICA’s administrator referred her to web sites to justify spending choices - at one point directing her to a company selling air mattresses that were inferior to the one her doctor had prescribed.<br>
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