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A statewide survey collected responses from Californians who have been impacted
by the autism insurance law, otherwise known as Senate Bill 946 (SB 946). The
survey was made available online in both English and Spanish. The survey results
reflect responses collected from February through mid-March 2013. Below is an
executive summary of the survey results.
AUTISM INSURANCE LAW SURVEY RESULTS
SENATE BILL 946
Regional Center Assistance with Co-Pays
Total Number of Families who Completed the Survey
Number of Surveys Completed in English
Number of Surveys Completed in Spanish
(%) Percent of Families Receive Regional Center Services
(%) Percent of Families Live in Southern California
Families who Responded to the Survey...
Were you aware that the regional center might be able to help you with co-pays and/or
deductibles?
Sixty-six percent (66%) of families reported that they were
not aware; thirty-four percent (34%) of families reported
that they were aware.
Regional Center Assistance with Co-Pays & Deductibles
Have you had any problems with the
regional center paying all or part of your
co-pay or deductible?
If you had problems with the regional
center paying your co-pay or deductible,
did you file for hearing and/or request
mediation?
228
218
10
90
73
SB 946
Accessing Services Through Private Insurance Plans
Delays Getting Services Started & Provider Issues
AUTISM INSURANCE LAW SURVEY RESULTS page 2
More than 90 days
Some delays 15-30 days
Moderate delays 30-60 days
Significant Delays 60-90 days
No delays
Have you experienced any delays getting
behavioral services started through your
private insurance plan?
46.50%
29.10%
24.40%
Families who had
provider problems
Families who didn't have
provider problems
Not applicable
Have you experienced any problems with
getting an appropriate provider through
your private insurance plan?
Complaints & Independent Medical Reviews
Yes, filed a complaint
No, did not file a complaint but had provider problems
Did not have any provider problems with insurance plan
If you had problems getting an appropriate provider, did you file a complaint with your
private insurance plan?
Besides filing a complaint against your insurance plan,
have you filed an Independent Medical Review (IMR)
with the Department of Managed Health Care (DMHC)?
Yes, we filed a complaint but…
“They still denied coverage.”
“They told us it wasn’t medically
necessary.”
“[It was] denied on appeal. I stopped
short of going to the DMHC. I was too
exhausted to chase it anymore.”
Yes, we filed an IMR...
“IMR overturned Anthem’s denial. However, Anthem is
still refusing to pay for services.”
“IMR agreed with our case.”
“Decision overturned in our favor.”
“They ruled in our favor against the insurance company.”
If you are having difficulty getting your child’s services funded or delivered, please contact
your local Area Board office for assistance. For a listing of the Area Boards, please visit:
www.scdd.ca.gov/areaboards.htm#AB Locations or call (866) 802-0514.
Special thanks to the following groups for their support with the survey: Area Boards/SCDD, Autism Society of Califor-
nia Chapters, Family Resource Centers, OCRA/DRC, ARCA, Regional Center Autism Coordinators, Service Providers, and
most importantly, all the families who completed the survey. Survey design & analysis: Area Boards 9 & 13.

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SB 946 Survey Results FINAL 03.2013

  • 1. A statewide survey collected responses from Californians who have been impacted by the autism insurance law, otherwise known as Senate Bill 946 (SB 946). The survey was made available online in both English and Spanish. The survey results reflect responses collected from February through mid-March 2013. Below is an executive summary of the survey results. AUTISM INSURANCE LAW SURVEY RESULTS SENATE BILL 946 Regional Center Assistance with Co-Pays Total Number of Families who Completed the Survey Number of Surveys Completed in English Number of Surveys Completed in Spanish (%) Percent of Families Receive Regional Center Services (%) Percent of Families Live in Southern California Families who Responded to the Survey... Were you aware that the regional center might be able to help you with co-pays and/or deductibles? Sixty-six percent (66%) of families reported that they were not aware; thirty-four percent (34%) of families reported that they were aware. Regional Center Assistance with Co-Pays & Deductibles Have you had any problems with the regional center paying all or part of your co-pay or deductible? If you had problems with the regional center paying your co-pay or deductible, did you file for hearing and/or request mediation? 228 218 10 90 73
  • 2. SB 946 Accessing Services Through Private Insurance Plans Delays Getting Services Started & Provider Issues AUTISM INSURANCE LAW SURVEY RESULTS page 2 More than 90 days Some delays 15-30 days Moderate delays 30-60 days Significant Delays 60-90 days No delays Have you experienced any delays getting behavioral services started through your private insurance plan? 46.50% 29.10% 24.40% Families who had provider problems Families who didn't have provider problems Not applicable Have you experienced any problems with getting an appropriate provider through your private insurance plan? Complaints & Independent Medical Reviews Yes, filed a complaint No, did not file a complaint but had provider problems Did not have any provider problems with insurance plan If you had problems getting an appropriate provider, did you file a complaint with your private insurance plan? Besides filing a complaint against your insurance plan, have you filed an Independent Medical Review (IMR) with the Department of Managed Health Care (DMHC)? Yes, we filed a complaint but… “They still denied coverage.” “They told us it wasn’t medically necessary.” “[It was] denied on appeal. I stopped short of going to the DMHC. I was too exhausted to chase it anymore.” Yes, we filed an IMR... “IMR overturned Anthem’s denial. However, Anthem is still refusing to pay for services.” “IMR agreed with our case.” “Decision overturned in our favor.” “They ruled in our favor against the insurance company.” If you are having difficulty getting your child’s services funded or delivered, please contact your local Area Board office for assistance. For a listing of the Area Boards, please visit: www.scdd.ca.gov/areaboards.htm#AB Locations or call (866) 802-0514. Special thanks to the following groups for their support with the survey: Area Boards/SCDD, Autism Society of Califor- nia Chapters, Family Resource Centers, OCRA/DRC, ARCA, Regional Center Autism Coordinators, Service Providers, and most importantly, all the families who completed the survey. Survey design & analysis: Area Boards 9 & 13.