SAN DIEGO (December 11, 2013) -- Qualcomm, a wireless technology services firm, will introduce coverage for applied behavior analysis (ABA) for autism in its employee health plan in 2014. (The Qualcomm announcement came as Toyota was sued in federal court by an employee for denying his claims for ABA benefits for his three children who have autism.)
SACRAMENTO (November 19, 2013) -- The California Department of Managed Health Care (DMHC) has ordered three health insurers to stop denying claims filed for speech and occupational therapy for patients with developmental disabilities, including autism. The three insurers were ordered to reimburse the claims and one--Health Net--was also fined $300,000 for repeated violations.
The following participating health plans will provide coverage for autism benefits in 2014:
SACRAMENTO (October 10, 2013) -- California's 2011 autism insurance law, which was scheduled to expire next summer, has been extended through 2016 under legislation signed yesterday by Gov. Jerry Brown. Brown also signed some bills and vetoed others in a package of diversity legislation designed to improve autism services for the state's disadvantaged communities.
LOS ANGELES (September 11, 2013) -- A California policy that allowed unlicensed but nationally board-certified ABA practitioners to provide therapy under some health plans but declared this illegal for plans covering lower-income families and state employees is "nonsensical" and void in light of California's 2011 autism insurance reform law, a state appeals court has ruled.
SACRAMENTO (September 6, 2013) -- The California Senate gave final legislative approval to a bill extending the state's autism insurance reform law, set to expire next summer, through 2016. The bill now goes to Governor Jerry Brown for his signature.
The mother of David Swanson, a 21-year-old with autism and diabetes, says school districts in Yuba City, California have offered her as much as $86,000 to keep her son out of school and have barred him from attending classes with his private duty nurse since school began in mid-August. The mom, Heather Houston, says she would never give up her son’s rights to an education, even if they offered her a million dollars.
SACRAMENTO (August 29, 2013) -- As a result of enforcement action brought by the state of California, United HealthCare of California (UHC) has agreed to stop routinely denying claims for speech therapy and to reimburse its subscribers for out-of-pocket expenses. UHC reached the agreement through a settlement with the California Department of Managed Health Care (DMHC).
LOS ANGELES (Aug. 12, 2013) -- California families denied coverage by Kaiser Permanente for applied behavior analysis (ABA) and speech therapy for their children with autism between 2004 and 2012 can apply for up to $9.3 million reimbursement for their out-of-pocket expenses and debts, under a class action lawsuit settlement.