Re: ABA Therapy, CMS will no longer cover it

[Guest guest]

I have bad news for those who have CMS TItle 21 and were hoping to get ABA

therapy. I called yesterday the number on the back of the card (for Mental

Health providers)and they informed me that same morning they had received a MEMO

stating CMS will no longer cover ABA. They don't know yet exactly on what date

they will stop coverage though. So unless something changes, this is what the

future is holding for CMS title 21 holders.... Ida

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> > CMS (through Medicare) does not cover ABA, only Title 21 CMS covers ABA.

Insurance companies do cover ABA if you are from a large group policy. As far

as I have been able to tell, public schools in FL do not have ABA trained staff

to implement the programs. Some private schools do offer ABA and they also

accept McKay. If you want or need your child to get ABA while at school then

you will have to go the private school route.

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> > ABA Therapy

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> > I have been hearing alot about ABA therapy lately and I am trying get better

educated about it for my son who is in a Broward EH cluster in 4th grade and

needs additional behavior interventions. Is this something that the public

school offers, McKay and Charter schools, or is it something that is only

available from private practitioners? Can it be written into an IEP if the

public schools offer it? And, I'm guessing the health insurance companies don't

cover it. We don't have MedWaiver but we have CMS.

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[Guest guest]

I spoke to univ of Miami yesterday and they didn't inform me of the cancellation of ABA. Guess we are in a waiting period. It's possible you didn't speak to the right person. Iam counting on it.

Subject: Re: ABA Therapy, CMS will no longer cover itTo: sList Date: Friday, February 25, 2011, 12:12 PM

I have bad news for those who have CMS TItle 21 and were hoping to get ABA therapy. I called yesterday the number on the back of the card (for Mental Health providers)and they informed me that same morning they had received a MEMO stating CMS will no longer cover ABA. They don't know yet exactly on what date they will stop coverage though. So unless something changes, this is what the future is holding for CMS title 21 holders.... Ida> >> > CMS (through Medicare) does not cover ABA, only Title 21 CMS covers ABA. Insurance companies do cover ABA if you are from a large group policy. As far as I have been able to tell, public schools in FL do not have ABA trained staff to implement the programs. Some private schools do

offer ABA and they also accept McKay. If you want or need your child to get ABA while at school then you will have to go the private school route. > > > > > > > > > > > > > > > > > > > > ABA Therapy> > > > > > > > > > > > I have been hearing alot about ABA therapy lately and I am trying get better educated about it for my son who is in a Broward EH cluster in 4th grade and needs additional behavior interventions. Is this something

that the public school offers, McKay and Charter schools, or is it something that is only available from private practitioners? Can it be written into an IEP if the public schools offer it? And, I'm guessing the health insurance companies don't cover it. We don't have MedWaiver but we have CMS.> >>

[Guest guest]

Can you please give me a call, so I can help you determine the benefits for CMS title 21.

Cary Bouza-Merida

Subject: Re: ABA Therapy, CMS will no longer cover itTo: sList Date: Friday, February 25, 2011, 12:12 PM

I have bad news for those who have CMS TItle 21 and were hoping to get ABA therapy. I called yesterday the number on the back of the card (for Mental Health providers)and they informed me that same morning they had received a MEMO stating CMS will no longer cover ABA. They don't know yet exactly on what date they will stop coverage though. So unless something changes, this is what the future is holding for CMS title 21 holders.... Ida> >> > CMS (through Medicare) does not cover ABA, only Title 21 CMS covers ABA. Insurance companies do cover ABA if you are from a large group policy. As far as I have been able to tell, public schools in FL do not have ABA trained staff to implement the programs. Some private schools do offer ABA and they also accept McKay. If you want or need your child to get ABA while at school then you will have to go the

private school route. > > > > > > > > > > > > > > > > > > > > ABA Therapy> > > > > > > > > > > > I have been hearing alot about ABA therapy lately and I am trying get better educated about it for my son who is in a Broward EH cluster in 4th grade and needs additional behavior interventions. Is this something that the public school offers, McKay and Charter schools, or is it something that is only available from private practitioners? Can it be written into an IEP if the public

schools offer it? And, I'm guessing the health insurance companies don't cover it. We don't have MedWaiver but we have CMS.> >>

[Guest guest]

We should all be very concerned about this. As you may know,the State legislature is considering all sorts of proposals for reducing thebudget deficit, particularly in Medicaid funded programs. The CMS Title 21 iscurrently the only Medicaid funded option that covers ABA. Without this option,we are once again left with only a few being able to access this valuableservice – those who are strong enough financially to be able to pay out ofpocket and the 14% of Floridians whose insurance qualifies under the AutismMandate. It’s important that we speak up. I suggest you not only contact your CMSoffice, but also your State representative, Senators, and the Governor, and letthem know how this funding cut back would affect you personally. Silvia Silvia Marussich-Starin MSW Ext. 23Director of OperationsBehavior Analysis, Inc., and Behavior Analysis and Therapy, Inc.8001 SW 36 Street, Suite # 9, Davie, FL 33328www.behavior-analysis.orgThis message may contain confidential information. Unauthorized useor disclosure is prohibited. From: sList [mailto:sList ] On Behalf Of Sent: Wednesday, March 02, 2011 5:04 PMTo: sList Subject: Re: Re: ABA Therapy, CMS will no longer cover it I spoke to univ of Miami yesterday and they didn't informme of the cancellation of ABA. Guess we are in a waiting period. It's possible you didn't speak to the right person. Iam counting on it. Subject: Re: ABA Therapy, CMS will no longer cover itTo: sList Date: Friday, February 25, 2011, 12:12 PM I have bad news for those whohave CMS TItle 21 and were hoping to get ABA therapy. I called yesterday thenumber on the back of the card (for Mental Health providers)and they informedme that same morning they had received a MEMO stating CMS will no longercover ABA. They don't know yet exactly on what date they will stop coveragethough. So unless something changes, this is what the future is holding forCMS title 21 holders.... Ida> >> > CMS (through Medicare) does not cover ABA, only Title 21 CMS coversABA. Insurance companies do cover ABA if you are from a large group policy.As far as I have been able to tell, public schools in FL do not have ABAtrained staff to implement the programs. Some private schools do offer ABAand they also accept McKay. If you want or need your child to get ABA whileat school then you will have to go the private school route. > > > > > > > > > > > > > > > > > > > > ABA Therapy> > > > > > > > > > > > I have been hearing alot about ABA therapy lately and I am tryingget better educated about it for my son who is in a Broward EH cluster in 4thgrade and needs additional behavior interventions. Is this something that thepublic school offers, McKay and Charter schools, or is it something that isonly available from private practitioners? Can it be written into an IEP ifthe public schools offer it? And, I'm guessing the health insurance companiesdon't cover it. We don't have MedWaiver but we have CMS.> >>

[Guest guest]

Yes, it is very concerning. However, CMS-21 is a DCF program which is why it is being covered at the moment. I have inquired today with several people and will contact the Medicaid Program office tomorrow regarding the status of the Community Behavioral Health handbook which is to be ammended. Right now the handbook specifically excludes the diagnosis of Autism and PDD as covered diagnoses. Once this has been changed, as they have indicated it will be, it may begin to cover the therapy, we will have to wait and see if and how it will be covered. If you have any questions, please feel free to contact us http://insurancehelpfl.blogspot.com/.

Cary

Administrative Director

New Way Day Services, Inc.

3900 NW 79 Avenue, Suite 501

Doral, FL 33166

blog: http://insurancehelpfl.blogspot.com/

www.newwaydayservices.org

Subject: Re: ABA Therapy, CMS will no longer cover itTo: sList Date: Friday, February 25, 2011, 12:12 PM

I have bad news for those who have CMS TItle 21 and were hoping to get ABA therapy. I called yesterday the number on the back of the card (for Mental Health providers)and they informed me that same morning they had received a MEMO stating CMS will no longer cover ABA. They don't know yet exactly on what date they will stop coverage though. So unless something changes, this is what the future is holding for CMS title 21 holders.... Ida> >> > CMS (through Medicare) does not cover ABA, only Title 21 CMS covers ABA. Insurance companies do cover ABA if you are from a large group policy. As far as I have been able to tell, public schools in FL do not have ABA trained staff to implement the programs. Some private schools do offer ABA and they also accept McKay. If you want or need your child to get ABA while at school then

you will have to go the private school route. > > > > > > > > > > > > > > > > > > > > ABA Therapy> > > > > > > > > > > > I have been hearing alot about ABA therapy lately and I am trying get better educated about it for my son who is in a Broward EH cluster in 4th grade and needs additional behavior interventions. Is this something that the public school offers, McKay and Charter schools, or is it something that is only available from private practitioners? Can it be written into

an IEP if the public schools offer it? And, I'm guessing the health insurance companies don't cover it. We don't have MedWaiver but we have CMS.> >>