Resources

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 […]

  Please read about our current push to remove age and hour caps in Ohio’s fully funded employer-sponsored health plans and the U.S. Department of Labor’s continued effort to break down parity violations that are keeping children, teens, and adults with autism getting access to behavioral services, including speech and occupational therapies. Here is a […]

The Council of Autism Service Providers is a non-profit organization that developed the generally accepted standards of care called the Applied Behavior Analysis Practice Guidelines for the Treatment of Autism Spectrum Disorder (the “ABA Practice Guidelines”). The purpose of the Guidelines is to inform decision-making regarding the use of ABA as a medically necessary service […]

The Coalition provided stakeholder feedback to the Department of Medicaid in December 2024. The Department had published draft rules for ABA therapy coverage in November 2024. The Department hopes to finalize ABA coverage rules and codify into Ohio’s Administrative Code and Rules, in April 2025. Here is a link to the Coalition’s feedback to the […]

The Ohio Department of Medicaid announced draft rules for Applied Behavior Analysis treatment services for Autism Spectrum Disorder coverage in November 2024. Stakeholder feedback ended in December 2024. Here is a link to the draft rule document. ODM ABA Proposed Rules 11.24 ERF188422 Copy

Ohio Medicaid Member News is a short, periodic email update on the progress of the ODM strategic initiatives for individuals who receive services through Ohio Medicaid’s managed care program. In this issue: The Ohio Department of Medicaid announced four managed care organizations to serve as the Next Generation MyCare plans! Ohio Medicaid annual open enrollment is […]