From Insurance

How Can I Afford ABA?

As an autism therapy provider, one of the most frequent questions we get asked by families is about how to pay for services. Most families do not have the necessary income to cover a full-time ABA program for their child, so they look to their insurance provider for help.

California Autism Survey

The Autism Society of California is pleased to release our 2014 California Autism Survey. While a number of areas are explored in the survey, the two major areas of focus are autism insurance and employment. The survey will be open through Wednesday, February 5, 2014 for input by parents, guardians and individuals with autism.

The State of the State of Autism 2014: Fitting the Pieces Together

As the ball dropped and 2014 was officially rung in, my first thought was, “More Americans with Autism will have access to important, life- changing therapies than ever before!” My second thought, after a heavy sigh, was, “It’s not enough.” There is so much more work to be done. Autism as a community of individuals, both those who are on the spectrum and those who love those on the spectrum, has struggled to find a clear voice. Ironic? Perhaps. But the time to come together is now; the time to be clear, concise, and direct is NOW!

Insurance Issues In California

On November 18th the California Department of Managed Health Care (DMHC) sent “cease and desist” orders to three insurers that denied coverage for speech and occupational therapy services without determining whether such care was medically necessary, the Sacramento Business Journal reports.

Insurance

New York Insurance Funding for Autism Seminar

We invite you to a free seminar which will teach about the New York Autism Insurance Mandate (A 8512), including what insurance companies will and will not cover, types of plans and rules regarding coverage, how to understand the complexities of different insurance carriers, which plans must comply with A 8512 and what to know during open enrollment.

California Autism Insurance Mandate Extension

Senator Darrell Steinberg has authored a bill, SB 126, to extend California’s autism insurance mandate until July 1, 2019. Without this bill, the autism mandate will sunset in 2014. The Senate Health Committee will hear this bill on April 10th, and your letters in support of the bill are vital to its passage. For your convenience, we have attached a sample letter of support. Of course, we encourage you to share your personal story with Senator Steinberg regarding the importance of the autism insurance mandate to you and your family. All letters should be emailed to Louis.Vismara@sen.ca.gov or faxed to (916)327-8867. Your support makes all the difference!

Attention California Families: New Regulations

As you may have heard, California’s Department of Insurance filed emergency regulations last month which were made permanent this week. These regulations reiterate existing law and target the delays and denials of insurance carriers who have sought to limit the application of California’s autism mandate. This is a great victory for California’s autism community, as the permanent regulations represent another tool in the arsenal of families who have been struggling to get authorization for autism treatment or battling with insurance carriers to get sufficient hours and authorizations in a timely fashion.

WHO IS TEACHING WHO – ABA INSURANCE TALKS

What surprised me was not how much I was able to convey, but how much I learned from my audience. I was there to train the parents on the new legislation they needed to become familiar with and they in turn helped train me to provide information that they and other parents needed to know.

The Growing Need For Autism Therapy

It’s no secret that the rate of children with autism has been steadily growing over the last two decades. Just a few years ago it was 1 in 110, now it’s 1 in 88 children are on the autism spectrum (with 1 in 54 males having autism).