Access to Treatment

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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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, …

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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!

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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 …

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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 …

ASD families in 19 Ohio counties will now have access to the Autism Directive Benefit because five insurers stepped up! Read More »

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 …

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