Medicaid Change Opens Doors for Families

July 15, 2014 | Programs

Families across the United States will have access to the autism services they need thanks to a change in Medicaid coverage of autism.

A federal agency now requires states to cover treatments for children with autism (up to age 21), including Applied Behavior Analysis, speech and occupational therapy, under Early and Periodic Screening, Diagnostic and Treatment (EPSDT).

Before Virginia adopted the change, families were limited to private pay (feasible for very few families) or coverage through private insurance (in Virginia, insurance stops covering ABA services at age 6).

VIA’s Outpatient Behavioral Services has been working with the EPSDT Medicaid program for a year and a half.

“EPSDT has given more families an avenue for services,” said VIA’s Director of Outpatient Behavioral Services, Emily Callahan, “and it’s allowed us to really significantly expand the the numbers of families we serve.”

Now, nationally, more families will be able to access the autism services they need.

Click here to learn more about this “major victory for Medicaid coverage of autism,” from Autism Speaks.

Tags: Autism Speaks, EPSDT, Medicaid, nationwide, Outpatient Behavioral Services, services