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Understanding Social Security benefits and employment… choose not to work because they are worried about losing their benefits, like Social Security Income (SSI). The video and information below can help you make your decision. … Expedited Reinstatement .” You must apply within five years of losing your benefits due to gainful employment. What is the Medicaid Buy-In program? If you earn enough money that you do not qualify for Medicaid in your state , this program allows workers with disabilities to “buy into” Medicaid coverage. This allows you to earn more money without the risk of losing important healthcare coverage. Is there someone who …
Autism Speaks commends Tennessee as it becomes 50th state requiring that insurance plans cover autism… 50th state to take action clarifying that state-regulated health benefit plans must cover all medically necessary treatment for autism. On August 1, the Tennessee Department of Commerce and Insurance issued a bulletin requiring all individual, … President and CEO Angela Geiger. "The autism community, including the volunteers who have tirelessly advocated for this coverage, appreciate the leadership of Tennessee’s Interim Commissioner Carter Lawrence for the positive impact this measure … While Autism Speaks applauds the advances in Tennessee, gaps and caps on coverage still exist in other state regulated and Medicaid plans as well as self-funded plans that are not regulated by state law. Autism Speaks remains committed to working …
New CPT codes approved for ABA… New CPT codes are available for applied behavior analysis (ABA) and will go into effect January 1, 2019. The new CPT codes provide recognition from the … that ABA is an empirically supported medical intervention. Proper implementation of the new codes will help secure reliable coverage of ABA services by health benefit plans. What are CPT codes? Current Procedural Terminology (CPT) is a listing of … Are there different types of CPT codes? Yes. Category I codes are permanent and accepted by the Centers for Medicare and Medicaid Services (CMS) and other third-party payers. Category III codes are temporary. They are intended for data …
Home and Community Based Services (HCBS) Waivers… Medicaid is a joint federal-state program providing health benefits for those who meet eligibility requirements. The program provides for people with disabilities, including autism spectrum … as income level. The intention is to allow individual states to accomplish certain goals, such as reducing costs, expanding coverage, or improving care for certain target groups. Through these waivers, states can provide services that wouldn’t …
Medicaid EPSDT… Most children enrolled in Medicaid receive services through a Medicaid health plan, such as an HMO or other insurance company. The state Medicaid … agency and the Medicaid health plan determine if treatments are medically necessary and which providers can be reimbursed for services. Under the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit of Medicaid, beneficiaries … too much to qualify for Medicaid, the Children’s Health Insurance Program may be able to provide publicly funded health coverage. Coverage for the treatment of autism under EPSDT The EPSDT program has been around for decades. However, the …
Children’s Health Insurance Program (CHIP)… are enrolled in the Children’s Health Insurance Program (CHIP) The Children’s Health Insurance Program (CHIP) expands coverage to uninsured children, up to age 19, who are not eligible for Medicaid but cannot afford private insurance. What is CHIP? CHIP is funded by states and the federal government to provide …
Accessing comprehensive health care… Health care outcomes are poorer for children and adults with autism. Adults with autism face difficulties in accessing the health care services they need, … necessary care (e.g., psychological and psychiatric services as well as pharmacy care) varies widely across payor and age. Coverage and provider limitations exist in both public and private sectors. As a result, individuals with autism are not … approach must be taken to address the health care needs of our community, including: Protecting and Strengthening Medicaid Medicaid is the single most important insurer for people with autism. It covers autism treatments for nearly half …
Oklahoma Medicaid Coverage under Soonercare… Soonercare is Oklahoma’s Medicaid health coverage program and is administered by the Oklahoma Health Care Authority (OHCA). Most children with autism in Oklahoma receive health care benefits through Soonercare. Prior to 2019, Soonercare did not include coverage for medically necessary care of children with autism. This was in violation of a 2014 mandate by the Centers for Medicare …
Recently Passed COVID-19 Congressional Legislation and Ongoing Advocacy Efforts … the country. Below are summaries of the three COVID-19 bills that have passed thus far and our advocacy priorities moving forward. The Coronavirus Aid, Relief and Economic Security (CARES) Act was signed into law on March 27, 2020. This … the law contains billions of dollars for schools and extends through November the Money Follows the Person program, a Medicaid program that gives people needing long-term support services more choice about where they live and receive care. To … First Coronavirus Response Act are available here . Also read our statement asking the DOL to ensure paid sick leave coverage for caregivers of adults who have to stay home due to the closure of an adult care facility or loss of access to …
2017 Autism Law Summit: "A gathering of doers"… Speaks and the Autism Legal Resource Center, the 2017 Autism Law Summit took place on October 27-28 in San Diego, California. Advocates and leaders from across the country attended sessions on an array of disability-related topics including health insurance, Medicaid, and transition to adulthood. Speakers included members of the Autism Speaks Advocacy Team; Dan Unumb, Esq., … Particular appreciation was given to individuals whose work was instrumental in the passage of meaningful autism insurance coverage in Alabama earlier this year. Catey Hall and Lisa Riley each earned the title of "Parent of the Year" and Bama …