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An audit discovered families got little help from NICA, [Mind Guard focus formula](https://madilove.info/media/tv/20210828-1457-qcompany/) a program arrange to help care for brain-damaged children. A Miami Herald/ProPublica investigation previously showed that NICA amassed a fortune whereas arbitrarily denying kids 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 quickly as they're published. Case managers at Florida’s $1.5 billion compensation program for catastrophically mind-broken kids didn’t seek the advice of specialists to determine whether or not medications, therapy, medical supplies and surgical procedures have been "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 launched this week of the Florida Birth-Related Neurological Injury Compensation Association, or NICA. The audit was ordered after the Miami Herald and ProPublica detailed how NICA has amassed practically $1.5 billion in assets while sometimes arbitrarily denying or gradual-walking care to severely [mind guard brain health supplement](https://yogaasanas.science/wiki/Mind_Guard:_Enhancing_Brain_Health_With_Cognitive_Support_Supplements)-broken kids.
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The report, from the Office of Insurance Regulation, which oversees the trade for the Florida Cabinet, [Mind Guard focus formula](https://operation-digital.digital-tycoons.com/2025/06/20/page-3/) 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 indignant mother and father, discouraged parents from interesting denials to an administrative courtroom, and didn’t maintain a system for storing and tracking denials or complaints, [Mind Guard focus formula](http://125.141.133.9:7001/bbs/board.php?bo_table=free&wr_id=7053627) the audit said. "As a father of two, a few of these findings boggle my [Mind Guard focus formula](https://git.van-peeren.de/thaddeusjamiso) and increase primary questions, comparable to why is a program of this dimension doing report-preserving 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 procedure, or a piece of equipment, is medically necessary or not? "Too usually, government can operate like a heartless bureaucracy," wrote Patronis, who requested the audit after the primary story by the Herald and ProPublica, "and we can not enable NICA to function with indifference.
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As a whole, the audit describes in largely clinical phrases a closed, callous, capricious system that left the mother and father of typically 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 mentioned. For example, parents can override the necessity for cognitive health supplement prior authorization when searching for emergency medical care. But NICA informed auditors that "it must 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 child in the program was determined to be eligible for a remedy or therapy, family members typically had been required to "contact NICA before committing to the acquisition," as a result of failing to do so might "jeopardize the quantity of reimbursement," the audit said.
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NICA’s power to arbitrarily approve or deny care was generally spelled out explicitly in tips. The program’s benefits handbook says that when a family requests a benefit outdoors of the child’s separate insurance plan, or exterior Florida, "NICA alone determines, prematurely, whether or not it's going to elect to pay for these advantages, even if the remedy, analysis or surgical procedure is medically mandatory," the audit stated. Some of the curious findings involved NICA’s technique for determining whether or not requested care was medically necessary and due to this fact eligible for reimbursement. If any such system existed in any respect, nootropic brain supplement it concerned consulting the internet, not certified medical professionals. "NICA stated the case managers and the case supervisor supervisor typically use Google to research and determine medical necessity," the report stated. Jamie Acebo of Pembroke Pines, whose daughter Jasmine spent 27 years in the NICA program, stated NICA’s administrator referred her to web sites to justify spending choices - at one level directing her to an organization selling air mattresses that have been inferior to the one her physician had prescribed.
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