Since July 1, Act 62 has been in effect in the state of Pennsylvania, mandating up to $36,000 a year in coverage from health insurance plans for the treatment of children under age 21 with diagnoses on the autism spectrum. For qualifying families necessary coverage beyond that amount is covered by Medical Assistance (MA).
The effects of the act are now noticeable on benefit coverage forms that come in the mail from insurance companies. Local assistance agencies also state that when in doubt, if something on a statement is not covered, check with MA to see if it's covered through your MA provider.
The PA Department of Public Welfare has an excellent Q&A page about Act 62 and what is and is not covered.
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If you are a parent of a child with autism in Philadelphia, Montgomery, Bucks or
Delaware county and in need of treatment oriented services, Behavior Analysis
and Therapy Partners takes all ACT 62 insurances. Behavior Analysis and Therapy
Partners is a four year old outcomes oriented company. The company has strong
clinical outcome data to support its effectiveness in the treatment of children
with autism spectrum disorders (currently being reviewed for publication).
All the BAT-P behavioral consulting staff is highly trained in applied behavior
analysis and have graduated from local university BCBA programs. All the
supervisory staff is not only BCBA's but has served as BCBA faculty at local
universities.
The major partner in the business is a doctoral level school psychologist and
licensed psychologist as well as BCBA certified at the doctoral level. The
junior partner is board certified in behavior analysis. Both are internationally
known behavior analysts that have presented in Europe and America on behavioral
interventions for children with developmental disabilities including autism.
BAT-P is one of the few agencies that takes clinical outcome data and reports it
to parents in a fashion that is simple and comprehensive enough for you to
understand if your child is progressing. The agency also take customer
satisfaction data and uses it for feedback to staff members as to their
performance. Our supervisory process for our BSC is weekly and strongly
emphasizes clinical data, customer satisfaction, as well as outcomes measures.
If you believe your child is in need of behavior analytic services to make
strong treatment gains- consider us- contact Vince at 1-610-664-6200. If you
know a family will who can benefit, feel free to pass this information along.
Joe Cautilli, Ph.D.
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