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States Move Forward With Expanded ABA Coverage

[Source: Disability Scoop]

Months after federal officials ordered them to do so, states are starting to include coverage of treatments like applied behavior analysis for kids with autism within their Medicaid programs.

California is believed to be the first state to roll out the new coverage in response to a mandate this summer from the Centers for Medicare and Medicaid Services.

The federal agency issued a bulletin in July clarifying that Medicaid programs nationwide must offer “medically necessary diagnostic and treatment services” to children with autism including behavior therapy and other offerings like speech and occupational therapy, personal care services and medical equipment.

In a letter sent Monday, the California Department of Health Care Services told plan administrators that the state’s Medicaid program, known as Medi-Cal, will cover ABA therapy and other evidence-based behavioral intervention services for those on the spectrum up to age 21. The new offerings are available immediately and the coverage is retroactive to July 7 when the federal bulletin was issued, the state indicated.

“With the autism services, this is another way we’re working to make members’ lives better,” said Norman Williams, a spokesman for the California Department of Health Care Services. “It’s something we look forward to providing.”

Read the Rest of this Article on Disability Scoop

PediaStaff hires pediatric and school-based professionals nationwide for contract assignments of 2 to 12 months. We also help clinics, hospitals, schools, and home health agencies to find and hire these professionals directly. We work with Speech-Language Pathologists, Occupational and Physical Therapists, School Psychologists, and others in pediatric therapy and education.


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