Ohio Autism Insurance Coalition

Resources related to accessing benefits for autism treatments for all stakeholders: individuals with autism and their families, employers, insurance carriers, legislators, providers, government, regulators, advocates and educators.

Find ABA in Health Plans

Our newly formed Coalition will continue to add resources to evidenced-based treatments and support services. Please share with us the resources you would like to see.

Self-Insured ERISA Plans Resources

Child-Only Exchange and Non-Exchange Plans

  • ACA Exchange child-only plans and qualifying for subsidies
    • If your child has access to an employer-sponsored plan, you will not be eligible for a discounted (subsidy) Marketplace plan.
    • You can still purchase a non-discounted child-only Marketplace plan. Some plans allow you to carry more than one policy while others do not.
    • What are Essential Health Benefits?
    • A child-only policy may be a good option if:
      • the child lives with grandparents who do not have private insurance because they are eligible for Medicare, and the child is not eligible for Medicaid or the Children’s Health Insurance Program.
      • Parents who are divorced or live in different states.
      • Families affected by autism whose job-based coverage does not include ABA.
      • Individuals with autism who do not qualify for Medicaid
    • What health insurance providers are selling plans on the exchange in Ohio 2018?
      • AultCare Insurance Company
      • Buckeye Community Health Plan
      • CareSource Marketplace Plan
      • Medical Health Insuring Corp. of Ohio
      • Molina Healthcare of Ohio, Inc.
      • Paramount Insurance Company
      • Summa Insurance Company
      • OSCAR
    • Ohio Dept of Insurance FAQ about ACA Exchange Plans
    • Enroll on ACA Exchange Plans – national website
    • The Coalition has teamed up with Beth Miller with Morgan Benefits, LTD to help parents find the right non-employer health plan for them. Please feel free to reach out to her at 216.539.5410 or beth@morganbenefits.com
  • Child-only plans can be purchased off the ACA exchange in the individual and family insurance market. Find an insurance broker to help you find more information.

Medicaid

Medicaid in Schools Program (MSY)

Medical Necessity – Elements

ABA Treatment and Clinical Structure

Ohio’s Autism Directive & Autism Mandate

Ohio Department of Insurance

Speech & Occupational Therapy

 

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