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H12-069 – Information

December 11, 2012

|TO: |Home and Community Services (HCS) Division Regional Administrators |

| |Division of Developmental Disabilities (DDD) Regional Administrators |

| |Area Agency on Aging (AAA) Directors |

|FROM: |Bea Rector, Interim Director, Home and Community Services Division |

| |Linda Rolfe, Director, Division of Developmental Disabilities |

|SUBJECT: |Medicaid Benefits for Applied Behavior Analysis (ABA) |

|Purpose: |To give staff new information regarding Medicaid benefits for treatment of autism for people 20 years of age |

| |and younger, effective January 1, 2013. |

| |Medicaid will begin providing ABA services effective January 1, 2013. Families can start getting appropriate |

| |diagnosis, orders, and treatment plans in place now. |

|Background: |All children 20 years of age or younger who are enrolled in the Health Care Authority’s Apple Health for Kids|

| |Medicaid program, including children in foster care and out-of-home placement, will have a new benefit for |

| |ABA services. Apple Health for Kids includes all children, except those who are on an eligibility program |

| |that doesn’t offer full spectrum of services (e.g. family planning, Take Charge, or substance abuse treatment|

| |only). |

|What’s new, changed, or |Every day you play an important role when you interact with Medicaid families. If a family member makes an |

|Clarified |inquiry about how to access ABA services, you can assist the parent or guardian by directing them to: |

| |The HCA ABA website at: ; or |

| |Request information by emailing ABA@hca.. |

|ACTION: |Informational only. |

|Related |Information is available at the HCA website at |

|REFERENCES: |Request information by emailing ABA@hca. |

| |Attend the webinar on December 17th from 9 a.m. - 12 p.m. Please register at: |

| | |

|ATTACHMENT(S): |Provider Notice: |

| |[pic] |

|CONTACT(S): |Candace Goehring, Office Chief |

| |(360) 725-2562 |

| |goehrcs@dshs. |

| | |

| |Christie Seligman, CIBS Program Manager |

| |(360) 725-3448 |

| |seligcl@dshs. |

| | |

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