Ohio Autism Insurance Coalition

FDA

First FDA-approved cannabis-based drug now available in the US for treating Seizures

Approved for use in patients 2 and older to treat two types of epileptic syndromes: Dravet syndrome, a rare genetic dysfunction of the brain that begins in the first year of life, and Lennox-Gastaut syndrome, a form of epilepsy with multiple types of seizures that begins in early childhood, usually between ages 3 and 5.https://www.cnn.com/…/marijuana-drug-epidiolex-…/index.html… …

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ACA Exchange Plans expecting small rate increases with some receiving rate cuts

This is good news for Ohio families that rely on the ACA Exchange plans for health care and access to the autism directive benefits Governor Kasich placed in Ohio’s ACA Exchange plans. Many families receive subsidies to help pay for premiums and some Ohio families purchase a “child only” ACA Exchange plan just access ABA …

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AMA

They are Here! AMA Announces New CPT Codes for ABA Begin January 1, 2019

The American Medical Association will be replacing the temporary CPT® codes insurance and ABA practitioners use for billing and reimbursing ABA (applied behavior analysis) treatment services with new permanent CPT® codes. Effective January 1, 2019, the new codes for adaptive behavior assessment and treatment (ABA) will roll out. ABA Practitioners, insurance carriers and the Coalition …

They are Here! AMA Announces New CPT Codes for ABA Begin January 1, 2019 Read More »

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Medical Marijuana – Epilepsy, Seizures, TBI, PTSD & Tourettes

Ohio law requires the Ohio Medical Marijuana Control Program to be fully operational by September 2018. What 21 original medical conditions qualify a patient for treatment with cannabis? AIDS, Amyotrophic lateral sclerosis or Lou Gerhig’s disease, Alzheimer’s disease, Cancer, Chronic traumatic encephalopathy or CTE, Crohn’s disease, Epilepsy or another seizure disorder, Fibromyalgia, Glaucoma, Hepatitis C, …

Medical Marijuana – Epilepsy, Seizures, TBI, PTSD & Tourettes Read More »

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Proposed Settlement from Anthem for 201 Children Denied Treatment Due to Age

Anthem Insurance Cos. Inc. will pay almost $1.63 million to end claims that it violated federal benefit laws by placing certain caps on the coverage of therapy treatments for children with severe autism disorders. Anthem also agrees to stop using guidelines that base coverage of applied behavior analysis therapy for autism solely on an individual’s …

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Autism therapy firm moves into Ohio after state law broadens insurance coverage

An Indianapolis company is bringing two autism therapy centers to central Ohio as part of a plan to ultimately open 20 sites and provide about 1,000 jobs across the state. The Hopebridge centers, slated to open in late April in Dublin and Westerville, are among 10 the company plans to have operating within a year, chief executive Dennis May …

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Tricare’s ABA Benefit: Impact of Government Shut Down on Military Families

“The Military Health System will continue to provide health care to its beneficiaries during a government shutdown. While we can’t predict the exact consequences of a shutdown on every part of our MHS, we may see some impacts on the delivery of health care services within our military hospitals and clinics. Inpatient, acute and emergency …

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CenturyLink Adds ABA Benefit for 2018

New Self-Funded Plan covering ABA… From CenturyLink: In 2018, all medical plans will cover Applied Behavior Analysis (ABA), an intensive behavioral treatment for Autism Spectrum Disorder (ASD) to reduce problem behavior and develop alternative behaviors and skills. http://centurylinkbenefits.com/docs/pdf/001379.pdfSee page 4 Thank you CenturyLink!

CHIP Program

Congress lets CHIP program lapse. Now, 3000 Ohioans insurance is in jeopardy

The Children’s Health Insurance Program (CHIP) was established in 1997 to provide new coverage opportunities for children in families with incomes too high to qualify for Medicaid, but who cannot afford private coverage. Ohio has about 3,000 Ohioans enrolled in the CHIP program. Ohio has decided to pick up the federal share of the cost …

Congress lets CHIP program lapse. Now, 3000 Ohioans insurance is in jeopardy Read More »