[Note: Shared for #AutisticHistory archive purposes. This is NOT An Autistic Ally.]
UHC Agrees To Stop Denying Speech Therapy in California
August 29, 2013
SACRAMENTO (August 29, 2013) — As a result of enforcement action brought by the state of California, United HealthCare of California (UHC) has agreed to stop routinely denying claims for speech therapy and to reimburse its subscribers for out-of-pocket expenses. UHC reached the agreement through a settlement with the California Department of Managed Health Care (DMHC).
“The agreement ensures that UHC enrollees needing speech therapy will receive the care to which they are entitled to under the law,” said DMHC Director Brent Barnhart. “Enrollees will no longer have to pay out of pocket to receive medically necessary speech therapy services and can now seek reimbursement for past out of pocket expenses.”
The settlement is the second major action in California involving denials for autism-related services by private health plans. Earlier this month, Kaiser Permanente agreed to settle a class action lawsuit by reimbursing families up to $9.3 million in claims for speech and applied behavior analysis (ABA) therapy.
UHC routinely denied claims for speech therapy, contending they were an educational rather than medical service. Following a review of consumer complaints, DMHC brought enforcement action agasinst UHC under California’s Knox-Keene Act, which requires health plans to cover speech therapy whenever those services are medically necessary.
The settlement, which became effective August 23, requires UHC to notify all current subscribers in its November 2013 subscriber newsletter, as well as all affected former subscribers within 60 days, of their right to medically necessary speech therapy services. The notice will explain how families can request reimbursement for past out-of-pocket expenses for speech therapy.
Subscribers and former subscribers must seek reimbursement before July 30, 2014.
The Autism Community Is Not The Autistic Community
More With Autism Votes
Autistic people have fought the inclusion of ABA in therapy for us since before Autism Speaks, and other non-Autistic-led autism organizations, started lobbying legislation to get it covered by insurances and Medicaid.
ABA is a myth originally sold to parents that it would keep their Autistic child out of an institution. Today, parents are told that with early intervention therapy their child will either be less Autistic or no longer Autistic by elementary school, and can be mainstreamed in typical education classes. ABA is very expensive to pay out of pocket. Essentially, Autism Speaks has justified the big price tag up front will offset the overall burden on resources for an Autistic’s lifetime. The recommendation for this therapy is 40 hours a week for children and toddlers.
The original study that showed the success rate of ABA to be at 50% has never been replicated. In fact, the study of ABA by United States Department of Defense was denounced as a failure. Not just once, but multiple times. Simply stated: ABA doesn’t work. In study after repeated study: ABA (conversion therapy) doesn’t work.
What more recent studies do show: Autistics who experienced ABA therapy are at high risk to develop PTSD and other lifelong trauma-related conditions. Historically, the autism organizations promoting ABA as a cure or solution have silenced Autistic advocates’ opposition. ABA is also known as gay conversion therapy.
The ‘cure’ for Autistics not born yet is the prevention of birth.
The ‘cure’ is a choice to terminate a pregnancy based on ‘autism risk.’ The cure is abortion. This is the same ‘cure’ society has for Down Syndrome.
This is eugenics 2021. Instead of killing Autistics and disabled children in gas chambers or ‘mercy killings’ like in Aktion T4, it’ll happen at the doctor’s office, quietly, one Autistic baby at a time. Different approaches yes, but still eugenics and the extinction of an entire minority group of people.
Fact: You can’t cure Autistics from being Autistic.
Fact: You can’t recover an Autistic from being Autistic.
Fact: You can groom an Autistic to mask and hide their traits. Somewhat. … however, this comes at the expense of the Autistic child, promotes Autistic Burnout (this should not be confused with typical burnout, Autistic Burnout can kill Autistics), and places the Autistic child at high risk for PTSD and other lifelong trauma-related conditions.
[Note: Autism is NOT a disease, but a neurodevelopmental difference and disability.]
Fact: Vaccines Do Not Cause Autism.