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.

Public Policy Action Alerts

Access to Treatment Services adds Challenges to the new proposed Medicaid ABA Service

The Coalition has concerns that the proposed Medicaid ABA rule language offers a barrier to accessing treatment due to limiting the number of eligible practitioners and organizations who can provide services.

Currently, The Department of Medicaid’s proposed ABA Medicaid benefit does not allow hospitals and community mental health centers to provide ABA treatment services under the proposed draft rule: 5160-34-01 Intensive Behavioral Services for Children with Autism also known as CIBS.

Read the Coalition’s Public Testimony given Monday, May 15, 2017 Public Testimony 5160-24-01 Ohio Autism Insurance Coalition

New Medicaid ABA Draft Rule and Upcoming Public Hearing on May 15, 2017

On July 7, 2014, Medicaid agencies were instructed to cover autism treatment services for children under age 21. The Ohio Department of Medicaid (ODM) released draft rule language for a new Medicaid state plan, medical therapy service covering treatment interventions such as applied behavior analysis in Draft Rule: 5160-34-01 Intensive Behavioral Services for Children with Autism (CIBS).  On April 12, 2017, The Coalition submitted public comments on draft rule 5160-34-01 to the ODM.  Public Comment 5160-24-01 Ohio Autism Insurance CoalitionPublic Hearing Details for this new service: The hearing will take place on May 15, 2017 at 11am at the Multi-purpose room, Rhodes State Office Tower 30 E Broad St., Columbus, Ohio 43215. The Coalition will be attending and be submitting testimony.

Early Intervention Public Hearing on May 17, 2017

The publicly funded Part C Early Intervention (EI) Program of The Individuals with Disabilities Education Act (IDEA) provides evidenced-based interventions including ABA & Play Therapy to infants and toddlers with disabilities. The Ohio Department of Development Disabilities is proposing to adopt new rule 5123:2-10-01 (Early Intervention Services – System of Payment).  The rule establishes a structure to pay for activities and expenses that are reasonable and necessary for implementing Ohio’s Early Intervention system for eligible children and their families.  House Bill 483 of the 131st General Assembly transferred responsibility for implementing the Early Intervention services program from the Ohio Department of Health to the Ohio Department of Developmental Disabilities and charged the Ohio Department of Developmental Disabilities with adopting rules necessary to implement the program.

  • Here is the proposed rule: New 5123:2-10-01 with Appendix – To Be Adopted.
  • The Ohio’s EI website: http://ohioearlyintervention.org/.
  • Public Hearing Details: On May 17, 2017, a public hearing will begin at 10am regarding the payment/reimbursement system of the Early Intervention program. The hearing will take place in the Lobby Hearing Room of the Rhodes State Office Tower located at 30 East Broad Street, Columbus, Ohio 43215.
  • Click here for the hearing notice. (EI Hearing information is located near the bottom of the page).
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