Treatment Barriers

Advocacy Alert: Call Senators Today for Urgent Budget Amendment

We need advocacy efforts today! Please consider sending our email template below to a few Ohio Senators to share that Ohio families with loved ones with autism are experiencing challenges accessing insurance funded therapies. Families experience denials for age caps, visit caps, lack of providers and sit on long waitlists due to lack of autism […]

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State funds set aside to help parents keep custody during kid’s crisis, were restricted and unused

The Ohio Department of Mental Health and Addiction Services is setting aside $3 million to help cover treatment and support services for children at risk of entering the justice or foster-care systems. The one-time funding boost is being distributed through the state’s 50 alcohol, drug and mental health boards, and should be available starting March

State funds set aside to help parents keep custody during kid’s crisis, were restricted and unused Read More »

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 »

anthemcologo

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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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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