Posts Tagged ‘insurance’

Transitioning an ABA Company to Telehealth Service Delivery Model

Working for a company that provides Applied Behavior Analysis (ABA) services, we were always tied to insurance companies’ untouchable rule: if you are not with the client face to face, you are not entitled to reimbursement and your time is not valid as service delivery. As Executive Director of...

Using Telehealth to Create a Virtual Community for Adults with Autism

During March 2020, many community-based programs for adults with Autism Spectrum Disorder (ASD) needed to make the difficult decision to suspend in-person services for the safety of all stakeholders. The unexpected interruption in daily operations led to an immediate concern for the overall quality...

How Do I Fund My Child’s Applied Behavior Analysis?

Your son/daughter has just been medically diagnosed with an autism spectrum disorder (ASD) by their primary care physician or by a psychologist. It has been recommended that you pursue Applied Behavior Analysis (ABA) therapy. ABA is endorsed by the American Academy of Pediatrics as an...

Bringing Autism Insurance Mandates into Compliance with the Affordable Care Act

When care isn’t taken, grave problems can arise when a state’s autism insurance mandate is brought into compliance with the ACA. Starting in 2014, “dollar value” limits for essential health benefits are not allowed per the Patient Protection and Affordable Care Act, more frequently called...

ABA / Autism Insurance Coverage: Mandates and Self-Insured Companies

Let me start out by saying that I am trained as a Behavior Analyst. Following my coursework and practicum experience, I had a solid foundation to begin my career working with individuals with various diagnoses, including Autism Spectrum Disorders (ASD). My training however was focused, and...

New York State Autism Insurance Law – “No one said it would be easy”

On November 1, 2011 New York State became the 29th state to require regulated health insurance plans to cover “medically necessary” services for the diagnosis and treatment of Autism Spectrum Disorders (ASD) for both children and adults. The legislation was intended to help families afford the...

Planning for the Future: Guardianships and Special Needs Trusts

As your autistic child transitions into adulthood, you will need to address two very important legal issues: guardianships and special needs trusts. Once your child reaches the age of majority, you must consider whether a guardianship is appropriate. Further, regardless of the age of your child, it...