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TRAIN WV at Stonewall Presentation

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  • 1. TRAINWVRebecka Campbell and Emily Morris
  • 2. Summary of Legislation• Final draft signed onApril 2nd, 2012– Applies to statemandated plans• PEIA• CHIP• BCBS– Does not include…• Self-funded plans• Medicaid/Medicare• Small businesses
  • 3. Coverage for ABA Services• Annual Maximum Benefit $30,000– First 3 years of services– Reduced to $2,000 a month thereafter• Services must be provided by or supervised byBCBA– WWW.TRAINWV.ORG– WWW.BACB.COM
  • 4. How to Qualify• Treatments that are medically necessary– Prescribed by licensed physician or a licensedpsychologist• Age limitations– 18 mos – 18 yrs– By age 8
  • 5. Continuation of Services• Progress reports– Condition is improving in response to treatment– Maximum improvement has not be attained– Anticipated improvement is attainable in agenerally reasonable amount of time.
  • 6. TRAIN WVTraining and Resources for Autism Insurance NavigationOur goal is to increase access toeffective, empirically validatedservices to individuals withautism across the mountain state.
  • 7. TRAINWV: A Brief Background• Training and Resources for Autism InsuranceNavigation– Grant funded project– identify implementation issues– Work with stakeholders to find solutions– Disseminate information– Run a demonstration and training facility
  • 8. Highlights Over the Past Year• Resources– WWW.TRAINWV.ORG• Connect with providers• Discussion board• Additional Resources– Slideshows– Copy of legislation– FAQ about autisminsurance reform law
  • 9. Highlights Continued• Newsletter– Cover current issues– FAQ– Share providerinformation• Brochure• Find us on FB!
  • 10. Highlights Continued• Events– Stakeholders meeting• Collaborative event toidentify implementationissues– Conferences• AUCD• ABAI• Annual FamiliesConference• University colloquia
  • 11. Highlights Continued– Raising Awareness• Light it up blue!• Walk A Mile in Our Shoes• Media– Public Access– WBOY• 4 part series• Major Projects (Current)– PEIA policy– Pediatrics packet– Provider database
  • 12. Lessons Learned• Limited coverage– Percent of eligible population• Limited resources– 4,300 children– 44 registered BCBAs• Limited education– Insurance plans that follow a medical model– Parents unaware of rights– Providers• Bill issues• Lack of connection with community
  • 13. Suggested Next Steps• MOTIVATE and EMPOWER– Change in self-funded policies• Continue to train and educate next generationof BCBAs– (# students)– Undergraduate course sequence• TRAIN as a platform for communication