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Insurance Coverage for Autism Gains Ground

Insurance Coverage for Autism and ABA Therapy Gains Ground

Big strides taken in securing adequate insurance coverage for austism related disorders.

Insurance coverage for autism in western States of Oregon and Washington have made major strides in helping induviduals with autism get sufficient insurance coverage. Insurance coverage for autism and Applied behavioral Analysis (ABA) therapy gets a boost from recent victories in courts. There has been progress in making changes in legislation.

Group_Health_courtyard

Group Health Hosp. Seattle WA. Thank you for your forward thinking.

The Lund report gives a good accounting of the updates in a post recently by W. Scott Jorgensen

A settlement agreement awaiting court approval between Group Health Cooperative and the Seattle-based law firm Sirianni Youtz Spoonemore will establish ABA coverage for more than 664,000 residents of Washington and northern Idaho whose members are insured under plans not governed by the Employee Retirement Income Security Act (ERISA). Non-ERISA plans include church, tribal and state and local government plans.

“The court process is moving us toward a determination of appropriate coverage following the passage of the mental health parity laws at the state level,” said Scott Armstrong, CEO and president of Group Health. “We’re pleased to be taking this step toward resolving issues associated with coverage certain therapies for patients with autism.”

A similar case is set for trial on October 15 in California by plaintiffs suing Kaiser Permanente to pay for intensive autism treatments.

Dual paths are being pursued in Oregon, according to Paul Terdal, an advocate and father of two autistic children, who said that 12 families have succeeded in gaining treatment through litigation or administrative appeals.

After legislation to cover autism treatment stalled in committee last February, a work group has been meeting to discuss the framework for future legislation, including legislators, insurance industry representatives and advocates spearheaded by Sen. Alan Bates (D-Ashland), a physician and a member of the Senate Health Care, Human Services and Rural Health Policy Committee.

Read more here…

It is commendable that western states have taken steps to help those afflicted with autism. We are happy they have sufficient forethought to see how ignoring the disabling affliction could dramatically have an impact on the future financial ramafications.

Please like and share this with others, particularly those in eastern states. In hope their thinking will turn progressive and insurance coverage for autism and for ABA therapy.

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