Navigating New Ohio Autism Directive a Challenge for Parents
Trumpet Behavioral Health Launches Ohio Autism Insurance Education Series to Help Parents Understand Their Rights, Maximize Funding Options and Access Care for Their Children with Autism
Dayton, Ohio, July 1, 2014 – Families paying out-of-pocket costs for autism treatment may be able to receive much-needed relief. As of January 1, the new Ohio Autism Insurance Directive requires health plans to cover treatment for children with autism. But as navigating the directive unfolds, one of the state’s largest treatment providers says parents are not sure of what is covered or how to access coverage.
Trumpet Behavioral Health provides autism treatment for children and adults at its centers and in schools and family homes. Insurance experts with the Lakewood, Colo.-based provider are already answering questions daily from concerned and confused parents.
“The implementation of the Autism Insurance Directive is an exciting time for families who need services, but it’s also a time of confusion and unclear information. Many families don’t know how the new law will affect their ability to access much needed funding,” says Lisa Flake-Houseworth, clinical director for Trumpet Behavioral Health’s (TBH) Ohio autism centers.
Ohio has yet to enact a full autism insurance law, though Governor John Kasich has defined “habilitative services” to include certain treatments for autism. These same benefits are required to be provided by state employee health plans. Autism services required to be covered by the law include:
- Speech therapy
- Occupational therapy
- Clinical therapeutic intervention (e.g. Applied Behavior Analysis)
- Mental/behavioral health outpatient services
These directives add autism services to the Essential Health Benefits package for plans in Ohio as provided under the Affordable Care Act.
“Many families in Ohio that previously did not have access to ABA treatment and critical supports may now be able to use their health insurance because the new mandate requires health plans to include coverage for autism as a medical benefit,” said Linda A. LeBlanc, Ph.D., BCBA-D, executive director of clinical services and research at TBH. “In order to access treatment, families must know how to navigate the system for determining eligibility and maximizing their benefits or this wonderful opportunity is lost. As a community of autism service providers throughout Ohio, we must take responsibility for educating families on how to access insurance coverage or other funding sources.”
Free Insurance Eligibility Review
To help families understand options in light of these changes, TBH is launching a statewide program to educate parents and to provide free insurance eligibility reviews. TBH’s insurance specialists have expertise in navigating the “ins and outs” of insurance mandates, benefits plans and insurance requirements. Parents can complete their requests online at www.TBH.com/insurance or they can call toll-free 1-855-824-5669, option 2. Reviews are assessed and responded to within 72 hours.
Free Seminars to Help Parents Learn How to Maximize Insurance for Autism Treatment
Parents also can attend free workshops to learn what their health plan covers and to ask questions of TBH’s insurance specialists. Parents can register for free workshops at www.MyAutismInsurance.com.
In these free seminars, TBH will help parents learn how to secure insurance coverage for applied behavior analysis, speech therapy and occupational therapy.
July 11: Dayton
July 12: Dayton
July 23: Online Webinar
Autism is a complex developmental disability that causes problems with social interaction and communication. Symptoms usually start before age 3. It is a complex developmental disability that appears as early as infancy and continues throughout a person’s life. There is no known cause. Autism is considered a neurological disorder. Autism spectrum disorders affect one in 68 children. In Ohio, data from the Department of Education show that the growth in special education students diagnosed with autism continues to climb, from roughly 7,700 Ohio public school students in 2005 to nearly 14,000 in 2010.
About Trumpet Behavioral Health
For more than 30 years, Trumpet Behavioral Health (TBH) has been providing families with exceptional, outcome-based treatment based on the principles of Applied Behavior Analysis (ABA). With early intervention and intensive treatment centers, as well as home-based and in-school services, TBH serves families in Arizona, California, Colorado, Hawaii, Illinois, Kansas, Missouri, Ohio, Texas, and Wyoming. For more information about Trumpet Behavioral Health’s Ohio services, please visit www.tbh.com.
TBH offers evidenced-based behavioral health services to children and adults with ASDs and their families using a compassionate, client-centered approach. Our network of nearly 800 passionate and highly skilled board certified clinicians and trained professionals all focus on maximizing the potential of the individuals, families, and professionals we serve. Our therapies are based on the principles of ABA. Through clinical research, we strive to establish the most effective and efficient treatments as standard practice in our organization. TBH provides behavioral consulting, education and training for parents, educators, and healthcare professionals. Additionally, our staff provides clinical services in homes, schools, communities, and in intensive treatment centers. Many of our consultants are Board Certified Behavior Analyst® (BCBA®) and Board Certified Assistant Behavior Analyst® (BCaBA®) providers.