Resources

We Provide Frequent Updates and Information on Topics Important to You

Please bookmark this site and check back often for updates and information on topics ranging from legislation, insurance changes, and Medicaid changes.

Here are some links to permanent insurances resources for you.

Am I Covered

Insurance Process

Find ABA in Health Plans

Appeals and Denials

Medicaid ABA Benefit

Public Policy Initiatives

Blog

Read our latest newsletter about advocacy efforts to reduce barriers to treatment.

  Please read about our current push to remove age and hour caps in Ohio’s fully funded employer-sponsored health plans and the U.S. Department of Labor’s continued effort to break down parity violations that are keeping children, teens, and adults with autism getting access to behavioral services, including speech and occupational therapies. Here is a […]
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CASP Releases Updated Standards of Care for ABA Services for the Treatment of ASD

The Council of Autism Service Providers is a non-profit organization that developed the generally accepted standards of care called the Applied Behavior Analysis Practice Guidelines for the Treatment of Autism Spectrum Disorder (the “ABA Practice Guidelines”). The purpose of the Guidelines is to inform decision-making regarding the use of ABA as a medically necessary service […]
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The Coalition provides Stakeholder Feedback to Medicaid’s Draft ABA Coverage Rules

The Coalition provided stakeholder feedback to the Department of Medicaid in December 2024. The Department had published draft rules for ABA therapy coverage in November 2024. The Department hopes to finalize ABA coverage rules and codify into Ohio’s Administrative Code and Rules, in April 2025. Here is a link to the Coalition’s feedback to the […]
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Ohio Medicaid Announces Draft ABA Rules in November 2024

The Ohio Department of Medicaid announced draft rules for Applied Behavior Analysis treatment services for Autism Spectrum Disorder coverage in November 2024. Stakeholder feedback ended in December 2024. Here is a link to the draft rule document. ODM ABA Proposed Rules 11.24 ERF188422 Copy
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Important Announcement

Ohio Medicaid Member News

Ohio Medicaid Member News is a short, periodic email update on the progress of the ODM strategic initiatives for individuals who receive services through Ohio Medicaid’s managed care program. In this issue: The Ohio Department of Medicaid announced four managed care organizations to serve as the Next Generation MyCare plans! Ohio Medicaid annual open enrollment is […]
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Open Enrollment For Marketplace Insurance Happening Now!

  Enroll by December 15th in an ACA Marketplace plan to start coverage on January 1, 2025! Enrollment for insurance is now underway! The ACA stands for the Affordable Care Act which is for individuals and families that do not have health insurance through an employer or Medicaid. If you need intensive autism therapy, and […]
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