Service Barriers Survey for Providers
Have you ever had an insurance provider…
- Insist that you use a specific test (e.g., ADOS) before they would accept your diagnosis?
- Insist that you repeat unnecessary assessments every 6/12 months for a patient to stay eligible for a medical, psychosocial or behavioral treatment?
- Deny clinically indicated medical, psychosocial or behavioral treatment because a patient has intellectual disability, Down syndrome, CP, etc. (and not autism)?
- Deny coverage because the assessment or treatment is “psychoeducational,” for “social skills,” or “vocational” in nature?
Insurance-imposed barriers like these directly impact our care for patients with autism and other developmental disabilities... And all of this relates directly to broader mental health parity issues.
** Services Parity for Autism and Neurodevelopment (SPAN) Survey **
Please take a moment to complete this brief survey on your personal experiences as a provider, and consider sharing the survey with other providers/clinicians at your site and in your region. The goal of this survey is to pool provider experiences regarding what parity gaps are most common, and the impact of these gaps on individuals, providers, and service systems. Dissemination of results will support individual parity disputes (e.g., peer-to-peer consultations) and advocate for structural changes (e.g., payer practices, state and federal insurance laws)
Thank you for your time and sharing your experiences!
Autism/DD Mental Health Parity Resources
· Autism & Mental Health Parity Webinar Recording: https://
· CASP Appeals Guide: https://casproviders.
· Wit vs. UBH case: https://www.zuckerman.
· FAQ on NQTLs: https://www.dol.gov/
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