INSURANCE FUNDING

 

California Law SB946 Affects Funding of ABA Services for Autism

On July 1, 2012 a new law, SB946, went into effect in California and it requires most health care plans to provide coverage for applied behavior analysis (ABA) treatment for pervasive developmental disorder or autism. The new law does not apply to self-funded plans, out-of-state plans, or Medi-Cal plans. However, clients with these types of plans may be able to obtain ABA services through other ways and should contact Behavior Frontiers at 1-888-922-2843 for more information.
 
Please be aware that regional centers are only required to fund ABA services for autism as a last resort. This means that as of July 1, 2012, clients who have a diagnosis of pervasive developmental disorder or autism who receive ABA services funded by the regional center will be required to seek out and use funding from the client’s health care plan prior to using regional center funding.
 
FREE Benefits Verification!
 
Behavior Frontiers understands that the new CA law creates a potentially difficult time of transition and we want to do all that we can to help families successfully navigate through this process. We are offering FREE health care benefits verification for current and potential clients who have a diagnosis of pervasive developmental disorder or autism. If your child does not have regional center services, then health care coverage may provide another funding source for your child’s treatment. If your child does have regional center services, then verifying benefits will be mandatory.
 
We can verify your child’s health care benefits for free when you provide us with the needed information. Then we will provide you with information whether your child’s health plan covers ABA benefits for autism, as well as information related to co-payments, deductibles, etc.
 
In-Network Contracts

Behavior Frontiers has rigorously sought to establish in-network contracts with CA health plans so that families can access our state-of-the-art ABA treatment. Please find below a list of the health plans who Behavior Frontiers has signed contracts to be in-network with in California:

  • Aetna       
  • Anthem Blue Cross    
  • Blue Shield (managed by Magellan)   
  • Cigna   
  • Humana (managed by Lifesynch)    
  • Lifesynch
  • Magellan
  • United Behavioral Health

Behavior Frontiers also provides ABA services to clients through the following Medi-Cal Managed Care Plans in California:

  • Aetna Better Health of California - Medi-Cal
  • Anthem Blue Cross – Medi-Cal
  • Care1st
  • Kaiser – Medi-Cal
  • LACare
  • Valley Health Plan

We are also in the process of finalizing contracts with additional health plans. Please contact us if you would like to start ABA services with Behavior Frontiers through one of these health plans. Additionally, please contact us if you do not see your plan listed so that we can discuss your options.