A preliminary ruling from Los Angeles County Superior Court Judge James C. Chalfant found Kaiser Permanente's refusal to pay for a child's autism treatment because the provider was not licensed by the state, was not consistent with California's Mental Health Parity Act.
The ruling came as part of a lawsuit filed by Consumer Watchdog, a Santa Monica advocacy organization, against the California Department of Managed Health Care to require the agency to side with consumers when insurers refuse to pay for the autism therapy. The ruling clears the way for a trial to determine whether the department, which is responsible for regulating health plans, is doing enough to require insurers to cover such treatment.
To read more: Ruling deals a blow to denials of autism treatment