[Note: Shared for #AutisticHistory archive purposes. This is NOT An Autistic Ally.]
Dollars And Doctors For Medicaid Shrink As Enrollment Grows
December 11, 2014
WASHINGTON, DC — Just as access to Medicaid-funded treatment for autism is growing, two new reports show doctors face steep fee cuts and that half the providers listed as “participating” in state Medicaid managed care programs in fact do not participate or have stopped accepting new patients.
One third of American children with autism are covered through Medicaid and that coverage is expected to expand due to recent federal directives. In addition, 9.1 million new patients have enrolled in Medicaid under the Affordable Care Act. Medicaid is funded jointly by the federal and state governments and largely managed at the state level.
“When providers aren’t available, it doesn’t matter whether a state says they cover a particular benefit, such as applied behavior analysis, through their Medicaid program,” said Angelo Lello, Autism Speaks’ director of housing and community living. “The end result is Medicaid beneficiaries won’t get those benefits. Access to benefits is essentially denied when providers are not available.”
According to a new report issued by the U.S. Department of Health and Human Services’ (HHS) inspector general, over half the doctors listed as participating physicians in Medicaid managed care plans run by the states were misidentifed, do not accept new patients or couldn’t be found at their listed office address.
The HHS report was in response to a request from Congress to examine the access to care through Medicaid managed care plans offered by the states. Most states now provide some, if not all, of their Medicaid services through managed care plans which are run primarily by for-profit companies.
Surveying a random sample of 1,800 primary care providers and specialists, HHS found:
- 35% couldn’t be found at the location listed in the Medicaid plan
- 8% said they did not participate in Medicaid
- 8% said they were not accepting new Medicaid patients
While the median wait time for those physicians who do participate was two weeks, over a quarter had wait times exceding one month, and 10 percent had wait times longer than two months. While primary care providers were less likely to offer an appointment than specialists, the specialists tended to have longer wait times.
The second report, an analysis by the Urban Institute, forecasts that the average Medicaid payment to primary care providers will drop 42 percent in 2015 with the expiration of a two-year federal supplement at the end of December. The Urban Institute found 15 states that will continue the supplement with their own funds, but at least 23 others would not with the others undecided at the time of the survey in October.
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.