July is National Minority Mental Health Awareness Month
July is National Minority Mental Health Awareness Month Read More »
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
Proposed Settlement from Anthem for 201 Children Denied Treatment Due to Age Read More »
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
Autism therapy firm moves into Ohio after state law broadens insurance coverage Read More »
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
Tricare’s ABA Benefit: Impact of Government Shut Down on Military Families Read More »
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!
CenturyLink Adds ABA Benefit for 2018 Read More »
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 »
An insurance carrier cannot use a general exclusion barring coverage for in-school treatment
“Ultimately, we simply do not believe that the legislature intended to permit insurers to exclude coverage in the sensory-laden educational environment where children spend large portions of their days, or to require families to litigate the issue of medical necessity discretely in individual cases to secure such location-specific coverage for the treatment,” Pennsylvania Supreme Court
What are the pros and cons of a school-based ABA program versus a center-based ABA program?
“More children with Autism Spectrum Disorders (ASDs) are being served in community-based public school environments than ever before. This is due to many factors, including increased numbers of children being diagnosed with ASDs, the inability of specialized programs to serve the numbers of children identified, and the efforts of public schools to develop in-house ABA
ASD families in 19 Ohio counties will now have access to the Autism Directive Benefit because five insurers stepped up!
“Five insurers reached an agreement with the Ohio Department of Insurance to sell individual health plans in 19 of 20 counties that otherwise would have had no 2018 offerings on the subsidized federal Health Insurance Marketplace (ACA/Obamacare).” per Columbus Business First Only Paulding County in western Ohio still lacks an insurer on the exchange. What
Rally to Stop Freeze on New Medicaid Enrollees. Ohio Representatives will vote Thursday to Override Kasich’s Veto. Call your Ohio Representative.
ndividuals with autism will be among the estimated 500,000 people expected to lose health insurance if a freeze on new Ohio Medicaid enrollees passes. Ohio’s Medicaid expansion mostly covers the state’s working poor population. Governor Kasich stood up for Ohioans and vetoed the Medicaid freeze line item in the proposed state budget. However, the House