Here is the part that people do not want, and it is the part that worked.

The sixty days had run.

The internal appeal window was closed and that was that.

But a closed appeal window is not the end of a thing, and this is the piece of knowledge I would put on a poster in every school nurse’s office in the country.

You do not have to appeal an old denial.

You can submit a new request.

A denial for insufficient documentation is not a determination that the person does not need the equipment.