Warning: Creating default object from empty value in /home/autism33/public_html/wp-content/plugins/wp-checkout/models/option.php on line 98

Warning: Creating default object from empty value in /home/autism33/public_html/wp-content/plugins/wp-checkout/models/shipmethod.php on line 57

Warning: Creating default object from empty value in /home/autism33/public_html/wp-content/plugins/wp-checkout/models/state.php on line 40

Warning: Creating default object from empty value in /home/autism33/public_html/wp-content/plugins/wp-checkout/models/tax.php on line 42
Autism Insurance Breakthroughs Called Into Question | Autism Key
 

 
 

Autism Insurance Breakthroughs Called Into Question


istockphoto.com/DNY59

Recent reports from Disability Scoop confirm the old adage, “If something seems too good to be true, it probably is." In early July, California officials announced deals with Anthem Blue Cross and Blue Shield of California under which the insurers said they would provide coverage for applied behavioral analysis (ABA) therapy for individuals with autism. 

Sounds like a fantastic breakthrough until you read the fine print. The ABA must be administered by a state-licensed provider and to date, California has no mechanism for even licensing ABA therapists. Outraged advocates from the Alliance of California Autism Organizations, Consumer Watchdog and other groups charge that the requirements “will lead to delays, interruptions and continued denials of treatment.” It could take up to two years for a licensing system to be established, two years in which children with autism languish without treatment. 

As autism advocates press for ABA coverage nationwide, the issue of who licenses therapy providers is emerging as the flashpoint of dispute. Lawmakers in Virginia recently approved legislation requiring insurance coverage for ABA starting in 2012, but a last minute amendment by the governor added that same proviso that the ABA therapist must be licensed by the state. Again, no state licensing agency exists, so the reality is that the 2012 start date for coverage is a cruel joke. Further requirements of pre-authorization and independent evaluation of services slow down delivery of services even more.

Even if a fast-tracking clause was added to the Virginia law to speed up the creation of the state regulatory agency, only 10 objections are needed to thwart the effort. The unsurprising opponents include the National Federation of Independent Business, Independent Insurance Agents of Virginia, the Virginia Chamber of Commerce and the Virginia Association of Health Plans. All have balked at the potential costs. A spokesman for the insurance lobby pointed out that insurance companies are free to cover ABA if they wish, yet realistically none will without a mandate to do so.

The Behavior Analyst Certification Board was established in 1998 as a national entity and set rigorous standards for certification of ABA therapists. An international association of behavioral therapist also exists. Adding another laying of bureaucracy at the state level seems designed to forestall needed coverage while still appearing responsive to the crisis of autism.

ABOUT THE AUTHOR

Susan Moffitt is the mother of high functioning twin sons with autism. When not advocating for them, she pursues her multiple creative passions of fine art, piano composition and writing. She is the author of "Upstream," a compilation of poetry, fiction and anecdotal tales that deal with raising twins with autism. For more information, visit http://SusanMoffitt.com

3 Responses to Autism Insurance Breakthroughs Called Into Question

  1. Need to get someone at the state level to point this out. If the state does not have a mechanism for licensing the therapists, then it really needs to be pointed out to the state reps. May also want to petition the board overseeing the therapists. They need to have it to where the therapies are approved regardless, at least until they can get a licensing program and training in place.

  2. Susan says:

    Yes, at this point it’s a dreadful Catch-22.

  3. cash loans says:

    There’s no need of value to acquire refinance loan. In the event that you’re serious in
    regards to getting an unguaranteed loan and increasing your
    credit rating…

Leave a Reply

Your email address will not be published. Required fields are marked *

*

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>

 
 

Terms & Privacy Policy

All information in this site is presented for support and educational purposes only. It is not intended to substitute for medical treatment or visiting a licensed medical physician. Visitors who desire to apply or use any information listed herein are urged to consult with licensed healthcare professionals first. All information is deemed reliable but its accuracy can't be guaranteed.

Read our full TERMS AND CONDITIONS
Read our PRIVACY POLICY

Did You Know?

  • * In 1970, Autism affected 1 out of 10,000 children
  • * Autism now affects 1 out of 88 children
  • * Autism affects 1 in 54 boys
  • * 1.7 million Americans have some form of autism
  • * 4 out of 5 autistic children are boys

RSS Latest Article Entries

  • Deadly Rampages and The Rocky Road to Adulthood June 4, 2014
    Once again, our nation has been rocked by another young adult conducting a murderous rampage that ends multiple lives, including his own. My heart sank when the shooter in the latest tragedy, Elliot Roger, was identified as having Asperger’s Syndrome (AS). Barely past Sandy Hook with Adam Lanza, and now this.  Even with some news […]
 

Home - Autism Symptoms - Autism Videos - Autism Organizations - Autism Message Boards - Articles - Autism Recipes - Hyperlexia - Fragile X - Tag Cloud - AQ Test - Contact