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Under the Office of Insurance Commissioner(OIC)’s proposed rules(attached below), developmentally disabled children could receive very limited medically necessary therapy before coverage would run out. Under that scenario, children could lose all the progress made as a result of the therapy until they have coverage again the next calendar year. Please take action asking the OIC [Continue reading...] Action Alert-Please contact the Office of Insurance Commissioner For years we’ve been reporting “[U]nder the Mental Health Parity Act private insurers are required to cover medically necessary behavior therapies including Applied Behavior Analysis therapy, as well neuro-developmental therapy (speech, physical therapy, occupational therapy, sensory-motor, neuropsychological evaluation etc.).” Furthermore, we’ve noted, Washington’s Network Adequacy Statute require health plans to ensure that enrollees are entitled [Continue reading...] Insurance carriers STILL not honoring Washington State Laws “This decision is a life-saver for many families who have a child with autism,” said Arzu Forough, a parent of two of the plaintiffs, and a representative of Autism Speaks, a national advocacy group for people with autism. “We urge the Health Care Authority to implement Judge Craighead’s decision immediately so that all children of public employees who have autism can get access to this essential therapy.” [Continue reading...] Washington State Clinicians Committee Recommends Covering ABA For Autism |
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