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Bates & Company, Inc.
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Applied Behavior Analysis Therapy Coverage as Autism Treatment: Implications for the ACA
Timothy Jost, in Health Affairs Forefront Aug. 13, 2014 "[T]he United States District Court for Oregon ruled that Providence Health Plans are required to cover Applied Behavior Analysis therapy for a class of plaintiffs who are covered by Providence's insured ERISA employer group plans and diagnosed with an autism spectrum disorder.... Providence Health Plan had excluded coverage for 'services related to developmental disabilities, developmental delays, or learning disabilities.' The court held that the exclusion violated Oregon's Mental Health Parity Act and Mandatory Coverage for Minors with Pervasive Developmental Disabilities Act ... [as well as] ERISA because it violated the federal Mental Health Parity Act." [A.F. v. Providence Health Plan, No. 3:13-cv-00776-SI (D. Ore. Aug. 8, 2014)] |
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