Governor Mike Braun of Indiana has signed an executive order to address the rising costs of Medicaid payments for Applied Behavior Analysis therapy for individuals with autism. The order establishes a task group to come up with recommendations to contain costs without compromising the quality of care. The group will focus on creating caps on therapy hours per week and the duration of therapy, as well as developing best-care models for ABA therapy. The goal is to provide better quality metrics and care coordination for children in need of therapy. Families will have access to an appeals process for exceptional circumstances, and therapy providers will have new enrollment and billing requirements. The Medicaid payments for ABA therapy in Indiana have increased significantly, with an audit revealing millions of dollars in improper payments. Braun emphasized the need for bold action to address the escalating costs while maintaining the quality of care for those dependent on these services. The executive order aims to address the cost issue and ensure that Hoosiers continue to receive the necessary treatment they need.
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