From Disability Scoop:
In what advocates are calling a major win, federal officials are for
the first time telling states that Medicaid coverage must include
treatments like applied behavior analysis for children with autism.
Medicaid programs nationwide must offer “medically necessary
diagnostic and treatment services” to kids with autism, the Centers for
Medicare and Medicaid Services told states in a bulletin
That includes everything from speech and occupational
therapy to personal care services and medical equipment, the agency
The services must be included in what’s known as the Early and
Periodic Screening, Diagnosis and Treatment program, or EPSDT, a package
of offerings that every state is required to provide children under age
21 who qualify for Medicaid.
Medicaid coverage for kids with autism has traditionally varied from
state to state. Establishing national requirements will have a huge
impact, advocates said.