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The Affordable Care Act and Autism Insurance: A bait and switch?

July 7, 2013 in Special Education Articles by Jess

The rate of autism is on the rise. Current estimates about the prevalence of the condition are that it affects one out of every 88 children. Among boys the rate is even higher at one out of every 54. It’s so bad that the advocacy group Autism Speaks has called it an epidemic.

For parents of autistic children the most effective option for treatment has long been Applied Behavioral Analysis (ABA). Numerous studies have shown the effectiveness of ABA both in the long and short term. The therapy helps children learn the essential life skills that help them succeed well into adulthood.

However many families face the issue of how to afford such treatment. Daily sessions can cost anywhere from $20,000 to $100,000 each year, and the therapy is not always covered by insurance. Read the rest of this entry →

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Proposed DSM-5 Changes & Autism: Future Implications

January 23, 2012 in Special Education Articles by Jess

Much is being written about the new definition of autism spectrum disorders for the DSM5, most of it not positive. I have to admit, I am one of those persons who is not only very skeptical, but also very disheartened by the new criteria. (Read Here and Here) While Special Education Advisor has several other articles outlining their thoughts concerning the DSM5 and receiving services under the IDEA, (here and here) I have several caveats. Read the rest of this entry →

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The Other Side of the Spectrum

October 9, 2011 in Special Education Articles by Jess

“I’m sure you want to know if he’s on the autism spectrum,” the doctor said. I was dumbstruck. I nodded. An autism spectrum disorder (ASD) was nowhere on my radar but I didn’t let on my surprise.

Instead, I sat through the rest of my son’s doctor’s appointment in a complete fog. How could I be so blindsided? I prided myself for being well informed, investigating all the possible reasons why our sweet, little boy never uttered a mama or dada by the age of 2; why he always fell short of meeting his milestones – turning over, crawling, walking, talking. I always tried to reassure myself that he was on his own developmental track and he would just grow out of it. He’d been given numerous diagnoses none of which explained our child and varied depending on the specialist -- verbal apraxia, sensory integration dysfunction, ADHD, even oppositional defiant disorder (ODD).  Read the rest of this entry →

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Health Insurance Coverage for Autism and Other Disabilities

April 18, 2011 in Special Education Articles by Jess

This material is for informational purposes only and is not intended to be construed as legal advice.  You must check with your own insurance company and your legal consultant for verification of laws and guidelines specific to your state.

Dealing with your health insurance company can be difficult and confusing, especially when your child needs ABA, occupational therapy, speech therapy, physical therapy and/or residential placement or in-patient hospitalization.  For many parents, obtaining reimbursement for these services from their insurance company has never even been contemplated.  Others call their insurance company with questions regarding these services, are told the services are not covered, and therefore reimbursement is never pursued.   Most health insurance policies, however, do cover some of these services, but obtaining coverage can be difficult. Read the rest of this entry →

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