Friday, August 22, 2014

Federal judge rules that insurers can't deny ABA therapy for treatment of autism

A federal judge in Oregon yesterday ruled that insurance providers cannot deny coverage of Applied Behavior Analysis (ABA) therapy for the treatment of autism. The Governor of Oregon, John Kitzhaber, today agreed with this ruling and will adjust state health plans to reflect the decision.
The ruling in the class action lawsuit came when Judge Michael H. Simon deemed that Providence Health Plan violated state and federal laws when it denied coverage of ABA therapy for children diagnosed with autism and other developmental disabilities, but granted coverage for children without a diagnosis. This is a violation of federal and state health parity laws as well as mandates which decree that insurers must cover treatments, such as ABA therapy, for children diagnosed on the autism spectrum, but simultaneously deny them.
For the full article click here.
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