Posted on May 27, 2021
'A disgrace': Military families feel betrayed after insurance changes affect children with autism...
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It has been a long road for the Roper family to get their 11-year-old son Chase to where he is today -- playing the piano and loving fifth grade.
Chase was diagnosed with autism when he was 2 years old and since then it has been a challenging journey to help him do everything such as playing, eating and communicating his needs.
Chase was diagnosed with autism when he was 2 years old and since then it has been a challenging journey to help him do everything such as playing, eating and communicating his needs.
'A disgrace': Military families feel betrayed after insurance changes affect children with autism...
Posted from abc11.com
Insurance
Therapy
Posted 3 y ago
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anything to save a buck. well, he's just a kid so he doesn't matter. the insurance administrators who made this change never put themselves in the boots of those it will affect most.
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Really TRICARE?
"A spokesperson for Tricare explained the changes were made after three years of collaboration with industry stakeholders and lessons learned.
"Although this is a new requirement that went into effect May 1, 2021, it was never the intent to reimburse for non-clinical or educational services. School services, where BTs serve as school supports, shadows, or aides are beyond the scope of ABA services covered under the ACD. The ACD is authorized to reimburse for the active delivery of ABA services. Tricare authorized BTs in the school setting are not actively rendering ABA services," a spokesperson wrote in an email."
That sounds like a load of bullshit honestly.
--- Just noticed this is from last year...not sure how I missed this.
"A spokesperson for Tricare explained the changes were made after three years of collaboration with industry stakeholders and lessons learned.
"Although this is a new requirement that went into effect May 1, 2021, it was never the intent to reimburse for non-clinical or educational services. School services, where BTs serve as school supports, shadows, or aides are beyond the scope of ABA services covered under the ACD. The ACD is authorized to reimburse for the active delivery of ABA services. Tricare authorized BTs in the school setting are not actively rendering ABA services," a spokesperson wrote in an email."
That sounds like a load of bullshit honestly.
--- Just noticed this is from last year...not sure how I missed this.
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PO1 William "Chip" Nagel
..."Cabiao has spoken with Sen. Thom Tillis, R-NC, along with U.S. senators Kirsten Gillibrand, D-NY, and Elizabeth Warren, D-MA, regarding these concerns.
A spokesperson for Tillis confirmed he's recently heard concerns from 11 different families.
"After hearing their concerns, he is even more committed to ensuring that all military families with exceptional family members, including children with autism spectrum disorder, can get all of the healthcare services they need at the right time, at the right place, and with the right provider." Lauren Scott, Tillis' press secretary said.
Similarly, Rep. Richard Hudson's office is also taking many calls from Cumberland County families.
"As Fort Bragg's Congressman, I have heard directly from families who rely on this program. I am very concerned about this loss of care and I'm working with my colleagues on the Armed Services Committee on a solution," Hudson said in a statement.
As families wait for any reversals, their fears for the future remain."
..."Cabiao has spoken with Sen. Thom Tillis, R-NC, along with U.S. senators Kirsten Gillibrand, D-NY, and Elizabeth Warren, D-MA, regarding these concerns.
A spokesperson for Tillis confirmed he's recently heard concerns from 11 different families.
"After hearing their concerns, he is even more committed to ensuring that all military families with exceptional family members, including children with autism spectrum disorder, can get all of the healthcare services they need at the right time, at the right place, and with the right provider." Lauren Scott, Tillis' press secretary said.
Similarly, Rep. Richard Hudson's office is also taking many calls from Cumberland County families.
"As Fort Bragg's Congressman, I have heard directly from families who rely on this program. I am very concerned about this loss of care and I'm working with my colleagues on the Armed Services Committee on a solution," Hudson said in a statement.
As families wait for any reversals, their fears for the future remain."
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