Humana upheld their original denial saying it’s medically unnecessary to bring her home, even though we have proven with the help of a clinical team and lawyers that it is absolutely necessary! Next step is Maximus to uphold or overturn, which claims to be an independent reviewer even though we aren’t in control of them receiving all the documentation. If Maximus upholds it them we will go before a law judge. Feeling very frustrated but also not surprised.
