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Most states require ABA to be delivered by applied behavior analyst or an applied behavior analyst paraprofessional who is licensed through the Behavioral Analyst Certification Board, Behavioral Sciences Regulatory Board, Allied Mental Health and Human Services Professionals or the state licensure board (see Overview of State Laws to License or Otherwise Regulate Practitioners of Applied Behavior Analysis).Generally becoming an applied behavior analyst requires either an advanced degree or bachelor’s degree, but in some states others may be able to obtain certification to provide ABA services.Importantly, ABA is considered an umbrella term and there are a variety of autism treatments – discrete trial training and pivotal response training – that can be considered a type of ABA treatment.Who can deliver ABA services is dependent upon state regulations.Group health plans that pay for coverage directly, without purchasing health insurance from an issuer, are called self-funded group health plans.Private employment-based group health plans are regulated by the Department of Labor.
Coverage is limited to treatment that is prescribed by the insured's licensed physician or licensed psychologist and includes: behavioral health treatment, pharmacy care, psychiatric care, psychological care, and therapeutic care (which includes services provided by a licensed and certified speech therapist). Code §10A-20-6.16 and 27-21A-23 [PDF] (as created by S. 283 ) Requires certain insurers to provide coverage for the diagnosis and treatment of autism spectrum disorder for individuals under 21 effective January 1, 2013. Treatment includes: diagnosis, assessment and services. Note: Speech language services are not clearly defined in the statue. HHS has jurisdiction over public sector group health plans (referred to as “non-Federal governmental plans”), while the Departments of Labor and the Treasury have jurisdiction over private group health plans.Employment-related group health plans may be either “insured” (purchasing insurance from an issuer in the group market) or “self-funded.” The insurance that is purchased, whether by an insured group health plan or in the individual market, is regulated by the State’s insurance department. It has also brought a new look at applied behavioral analysis (ABA), the often preferred treatment modality for individuals with ASD. Child Autism Prevalence Up To 1 In 45 and Increase In Autism Prevalence Attributed To Better Detection) and states’ decisions to mandate health plan coverage of treatment for autism spectrum disorders (ASD) has been a big issue for the health and human service field.
In December of 2014, the ABLE Act was signed into law by President Obama to allow families the opportunity to set up tax-exempt 529A savings accounts for disability-related expenses.