DotCom Therapy pediatric teletherapy provider has been approved to accept Medicaid in Wisconsin through the BadgerCare Plus program.
It’s a milestone for the company, which provides speech, behavioral and occupational therapy via video conferencing. In the past, dot com he has only worked with commercial insurers and schools. She is currently in 41 states, partners with 400 schools, and works with 13 commercial payers.
The company wanted to accept Medicaid so it could reach low-income children. DotCom, based in Madison, Wisconsin, decided to start in its home state with the BadgerCare Plus program, which covers about a third of all Wisconsin children, said Rachel Mack Robinson, president and founder of DotCom.
“If you think about barriers to care, you have affordability and accessibility,” Robinson said. “We are getting rid of the accessibility barrier through teletherapy. And we’re trying to break down that affordability barrier by working with Medicaid.”
For kids who don’t have adequate access to technology, the company has a loaner device program. DotCom also helps patients find technology through resources in their community, like libraries, that may offer free Wi-Fi and devices.
While it’s starting in Wisconsin, DotCom is working to accept Medicaid in other states in the future.
Contracting with schools and health plans is what sets DotCom apart from its competitors, Robinson said. Pediatric teletherapy companies in schools include face-to-face learning Y in luminancewhile groups that work with parents’ employers or health plans Yoinclude bright line and hopscotch. And those who accept Medicaid are rare, she said. One is Charlie Health, which offers virtual behavioral health care. But DotCom differentiates itself by providing speech and occupational therapy as well as behavioral therapy, Robinson said.
“When we initially entered the market, I was working with these [Kindergarten through 12th-grade] schools,” Robinson said. “But we know that these needs exist outside the school walls.”
All of DotCom’s therapists are W-2 employees, which makes their retention rate higher and easier to enroll in different health plans, said Bridget Krueger, the company’s chief development officer. His retention rate is 97%. Having high retention is key because employee turnover creates a lot of administrative work not only for the provider, but also for Medicaid, Krueger added. This helped DotCom secure a Medicaid contract, she said.
The administrative burden is probably what has prevented other pediatric teletherapy providers from accepting Medicaid.
“There are many factors that have likely prevented other pediatric teletherapy companies from accepting Medicaid, from reimbursement rates to administrative bureaucracy…” said Dr. Andrey Ostrovsky, former medical director of the US Medicaid Program, in a statement. Press release. . “DotCom Therapy is lighting the way and creating a path for others to follow, which can help improve the well-being of children and families across the country by making it easier for them to get care when and where it’s best for them.”
Photo: Alisa Zahoruiko, Getty Images