The city council agreed unanimously to make this possible, after families seeking the benefits were faced with countless hurdles to receive coverage from their city-sponsored insurance plans. Anastasia Puha says getting coverage for her autistic daughter’s ABA therapy meant multple claim appeals, third-party reviews and requesting information from other states to prove the treament was a medical necessity.
The U.S. Office of Personnel Management just recently classified ABA therapy as a medical treatment. In Portland, medical necessity must still be proven to receive the benefits.
Are you a city employee? Do you have a child with autism? What’s your experience with applied behavior analysis therapy?
- Toby Rates: Executive director of the Autism Society of Oregon
- Anastasia Puha: Wife of city employee covered under the City of Portland health insurance plan and mother of a child with autism