May 2017

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Lack of Eligible Provider Types Adds Access Challenges to Ohio’s Proposed ABA Medicaid Benefit

The Coalition has concerns that the proposed Medicaid ABA rule language offers a barrier to accessing treatment due to limiting the number of eligible practitioners and organizations who can provide services. Currently, The Department of Medicaid’s proposed ABA Medicaid benefit does not allow hospitals and community mental health centers to provide ABA treatment services under the …

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SELF Waiver Service’s FBAs and Interventions for Autism Move to Medicaid State Plan in CIBS on July 1st

In July 2017, Functional Behavioral Assessments and Clinical Intervention will no longer be available to individuals with autism under the age of 21 through a SELF Waiver provider. These two services will move to the new Medicaid State Plan service called Intensive Behavioral Services for Children with Autism or CIBS. Which means, the impacted individuals with autism …

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Read The Coalition’s Public Testimony on New Medicaid ABA Benefit

On July 7, 2014, Medicaid agencies were instructed to cover autism treatment services for children under age 21. The Ohio Department of Medicaid (ODM) released draft rule language for a new Medicaid state plan, medical therapy service covering treatment interventions such as applied behavior analysis in Draft Rule: 5160-34-01 Intensive Behavioral Services for Children with Autism (CIBS). …

Read The Coalition’s Public Testimony on New Medicaid ABA Benefit Read More »

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Public Testimony for new ABA Medicaid Service Monday, May 15, 2017

On July 7, 2014, Medicaid agencies were instructed to cover autism treatment services for children under age 21. The Ohio Department of Medicaid (ODM) released draft rule language for a new Medicaid state plan, medical therapy service covering treatment interventions such as applied behavior analysis in Draft Rule: 5160-34-01 Intensive Behavioral Services for Children with Autism (CIBS). …

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Early Intervention ABA & Play Therapy Payment System Public Hearing on Wednesday, May 17, 2017

The publicly funded Part C Early Intervention (EI) Program of The Individuals with Disabilities Education Act (IDEA) provides evidenced-based interventions including ABA & Play Therapy to infants and toddlers with disabilities. The Ohio Department of Development Disabilities is proposing to adopt new rule 5123:2-10-01 (Early Intervention Services – System of Payment).  The rule establishes a structure …

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Status of Accessing Benefits Under The Autism Insurance Mandate

On April 12, 2017, Governor Kasich signs Autism Insurance Mandate legislation amongst children impacted by autism. What a great way to celebrate Autism Awareness Month by having a signing ceremony for the passed legislation. Per The Ohio Department of Insurance (ODI) on May 8, here is the current update on the status of health insurance plans adding …

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