California
Advocacy Issues
Protecting Consumers: URGENT ACTION REQUIRED
Assembly Bill 2449 (Ta) proposes to amend the definition of “qualified autism service provider” in California’s autism insurance law by adding individuals certified as Qualified Behavior Analysts (QBA) by the Qualified Applied Behavior Analysis Credentialing Board (QABA). While we recognize that QABA, and other certifying entities, are intended to support the field of ABA, any identified organizations being considered through the legislative process must meet or exceed the criteria of the certifying entity referenced in existing regulation(s). Read more about what you can do to help here.
You can read the assembly bill analysis here.
Template opposition letters are available.
Network Adequacy
CASP is collaborating with the California Association for Behavior Analysis (CalABA) to ensure providers can continue to provide essential applied behavior analysis (ABA) services for people with autism.
Background
Unfortunately, access to ABA services in California is increasingly under threat. Extremely low reimbursement rates have remained stagnant since the passage of the autism insurance law more than ten years ago. This, in combination with dramatically increasing provider costs (including wages, mileage, and overall inflation), has proved catastrophic.
While payers continually indicate that their networks are adequate, providers are experiencing substantial barriers to hiring under the current workforce conditions. As a result, many families are languishing on wait lists or are not accessing the hours prescribed as medically necessary. Rate negotiations in California have been a non-starter, with payers frequently closing networks or declining negotiations.
Here's How You Can Help
California Lobbyist Fund
Caregiver and Community Advocacy
State legislators have the ability to address this crisis. They need to hear from constituents and understand the realities that they are facing.
Share your Story with your California Legislator Here
CASP and CalABA are working together to engage with California families to make sure they have the latest information about how to access care.
California Family Webinar Recording October 2023
California Family Webinar Slides October 2023
How Families Can Help (English)
How Families Can Help (Spanish)
Caregiver Survey
Family engagement is instrumental in effecting change with the current barriers to accessing ABA services. Please distribute the caregiver survey found below to current clients and those contacting you for services.
Caregiver Survey in English
Survey en Español
Contact your Regulators
It also is critical for regulators to hear directly from families about the difficulties they face when accessing ABA services.
To assist with this, CASP has provided information about how to contact regulators for both commercial and Medi-Cal plans. Please share the flyer with any families experiencing difficulties accessing services and ask them to take action.
Provider Advocacy: Rate and Network Capacity Surveys
Accountability and transparency are essential to address this crisis. Because of this, CASP and CalABA have created two provider surveys. It is important that providers complete both surveys.
(Please note that survey data related to rates are confidential and will only be seen and aggregated by non-provider CASP staff.)
Please contact advocacy@casproviders.org with any questions.