Posted on May 27, 2021
'A disgrace': Military families feel betrayed after insurance changes affect children with autism...
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Posted >1 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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THIS is where the federal government should be focusing on regarding healthcare BEFORE making it universal. Insurance companies, hospitals, and big pharma need to be addressed BEFORE universal health takes these problems out of the public eye.
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