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.

Navigating Insurance

Understanding the process of using insurance benefits to cover autism treatments

The link below shares the step by step process of navigating through the insurance process including assessment, meeting medical necessity, co-pays and out-of-pocket cost and payment for services.   

Navigating the Insurance Process May 2017

An insurance carriers expectation of treatment team structure and supervision

Insurance carriers expect a treatment team structure and supervision of registered behavior technicians to meet the ethical guidelines of providing ABA treatment.

Structure of an ABA Treatment Service Model

Applied Behavior Analysis Treatment of Autism Spectrum Disorder: Practice Guidelines for Healthcare Funders and Managers

New American Medical Association medical billing coding

Beginning in January 2019, the newly announced AMA CPT codes for Adaptive Behavior Assessment  (applied behavior analysis, ABA) and Treatment Code for insurance reimbursement take effect.

CPT_Codes_Conversion-Table_9.4.18

 

 

 

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