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Thursday, January 2, 2014

Oregon - Insurance Autism Denial

Applied Behavior Analysis, previously known as behavior modification, is the application of behaviorism that modifies human behaviors, especially as part of a learning or treatment process.  It is the only research-based proven therapy for the treatment of autism. However, each day, a parent is given the news that their insurance company with not cover the treatment.  In Oregon, a parent received this news despite the law, which states that this form of treatment should be covered. 

The law for autism is as follows:

Or. Rev. Stat. § 743A.190 (2007 Or. Laws, Chap. 872; HB 2918)
Requires specified health benefit plans to provide coverage for an enrolled child less than 18 years of age who is diagnosed with a pervasive developmental disorder or autism all medical services, including medical and rehabilitative services, that are medically necessary and are otherwise covered under the plan. Rehabilitative services include physical, occupational or speech therapy services to restore or improve function.

More about this story can be found by clicking the link below......

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