1. “Show-Me” Implementation
The Current Status of
Missouri’s Autism Law

2. DIFP Implementation Autism Working Group
Guidance to insurance industry
Web resources
Licensing update
Regulatory update
Further activities

3. Overview of Working Group
Cross section of stakeholders
Open forum
Identified areas of clarification
Procedural (billing) codes
Provider and network credentialing
Identified needs
More consumer information and education
More provider information and education

4. Regulatory Guidance Claim coding
Acknowledge and encourage usage of HCPCS H0031, H0032, H2012 and H2019
Publicize what codes if different
Improper claim denials
No administrative denials or coverage restrictions
Safe harbor for temporary modifications in guidelines to accommodate those already receiving treatment

5. Autism Resource Webpage
Parent Resource Center
Provider Resource Center
FAQs
Link to the Autism law
Links to Department bulletins

7. Parent Resource Center
Glossary of common health terminology (still under development)
Steps to ensuring insurance coverage for autism treatment
Links to complaint information
Links to other autism and health plan resources

8. Provider Resource Center
Information on health ID cards
Links to provider complaint information
Links to carrier survey responses

9. Licensing Update 99 Behavior Analysts licensed
21 Assistant Behavior Analysts licensed

10. Regulatory Update Consumer Activity since 1/1/2011
2 fully insured complaints
10 self-funded complaints
54 phone calls and inquiries
120 product filings
Follow up to 20 others
Market Conduct monitoring

11. What is next? Report to Missouri General Assembly Due February 2012
Partial data call complete
Under evaluation
Provider survey
Status of service delivery systems
Status of licensed staff

12. Outreach activities Opportunities to highlight law
Ten public events throughout state
Provider summit under development
Discuss best practices
Identify areas of concern
Provide networking opportunity

13. Questions?
Angela Nelson, Director Division of Consumer Affairs Melissa Palmer, Legislative Liaison Missouri Department of Insurance