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How can I get Medicaid to cover Adderall or Ritalin for Idiopathic Hypersomnia?

I was recently diagnosed with Idiopathic Hypersomnia after clearly abnormal sleep study results. My doctor prescribed Adderall and submitted multiple prior authorizations but Medicaid will not pay. We are trying Ritalin now, but it doesn’t look as though Medicaid will cover it. Is filing an appeal really a worthwhile option? What else can I do to get Medicaid to pay for this.
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189897 tn?1441126518
COMMUNITY LEADER
Oh boy, that is a really good question.  Since your doctor has filed multiple times with no luck, I think the only choice you have left is to go the appeal route....and it can't hurt to try.   This link might be helpful and it does point out success rates for the appeal process.   The link is....https://www.additudemag.com/adhd-medical-insurance-battle/
   I wish I could be more helpful.  Do let us know how things work out.  I have a feeling that your case will be becoming more common in the years ahead.
  Good Luck!
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Thank you so much! I think I will have to try the appeal process and hope for the best.
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