This blog is a way of sharing the information and resources that have helped me to recover my son Roo from an Autism Spectrum Disorder. What I have learned is to view our symptoms as the results of underlying biological cause, which can be identified and healed. I say "our symptoms" because I also have a neuro-immune disorder called Myalgic Encephalomyelitis.

And, of course, I am not a doctor (although I have been known to impersonate one while doing imaginative play with my son)- this is just our story and information that has been helpful or interesting to us. I hope it is helpful and interesting to you!

Saturday, June 5, 2010

Blue Cross required by court to pay for ABA services

A mother in Michigan, Cheryl Matthews, just won a case against Blue Cross in which the insurance company is required to pay $125,000 to settle a suit because they wrongfully denied paying for ABA services for her son.  It's so exciting to see progress in the fight to get insurance companies to shoulder some of the cost of autism treatment.  Right now this progress seems to be limited to paying for ABA, but I think this is paving the way for biomedical treatments to also be paid for.  I worked as an ABA program director back in the 1990s, and at that time, ABA was as firmly opposed and ridiculed by the medical establishment as biomed is now. 

According to the article, one of the exciting things about this case is that this is the first time that the courts have recognized that the act of refusing to cover services for children with autism results in higher costs later in life for the individual because of the treatment that was missed.  While BC refused to pay for $38,000 worth of ABA services, the award was for $125,000 to reflect these costs.  Here is a quote from the article:

Gerard Mantese, counsel for Cheryl Matthews, stated: "We believe that this is the first settlement in the United States to recognize the link between the inability of children with autism spectrum disorder to access needed ABA therapy and increased life care costs in the future because of the reduced functioning of children with ASD."