ACTION ALERT: Info Needed from Parents on ABA Utilization

Posted on Thursday, January 30, 2014

ACTION ALERT: Info Needed from Parents on ABA Utilization

Thanks to the many members of our community who responded to the ASBC action alert in December and emailed the Colorado Division of Insurance (DOI) to express concern over how implementation of the Affordable Care Act will affect the ABA/behavioral services your son or daughter (or client) currently receives.

 
Since then, the Autism Society of Colorado (ASC) has been working closely with parents and providers to address the changes to Health Insurance Mandated Autism Treatment (HIMAT) as required by the Affordable Care Act. Some of the changes require the conversion of existing state-mandated monetary caps ($34,000/year for children ages 9 and younger; $12,000/year for those who are 10-18 years old) to unit limits. How this conversion is calculated is critical to the autism community.  

The ASC is asking parents to send in copies of their ABA therapy bills so the ASC can share service information with the Colorado DOI.  NO PERSONAL INFORMATION WILL BE SHARED; only the service levels will be shared.


Specifically, the following information is needed: the billing code used, the amount billed, and the amount paid. No personal details are needed. Please black out all names and other identifying details before sending these bills to ASC. ASC will ensure that all personal information is removed before sharing these documents with the DOI.

Because therapists and clinics cannot legally release this sort of confidential information, the only way to get service utilization information is from parents.

Please email copies of your bill(s) to Kim Tenure at kim@autismcolorado.org. In the subject line of your email, type “ABA conversion data.” 

Thank you for your help and support of the ASC’s work on this important issue on your behalf. Please feel free to forward this information to other parents who may be able to help or who could benefit from having an appropriate conversion implemented from the previous dollar caps to unit limitations.

For more information on the conversions, please visit Autism Coverage & the ACA, a page on the Autism Society of Colorado’s web site.

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