Wasmer and Frigon Presentation Video

At the 2017 TABA Annual Conference Mr. Mike Wasmer (Director, State Govt Affairs, Autism Speaks) and Dr. Vaughn Frigon (Chief Medical Officer, TennCare) delivered a presentation on the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit of Medicaid and explained recent changes to TennCare’s ABA benefit.  This presentation was recorded and TABA would like to make this presentation available to all TABA members and nonmembers. Watch the the video here, and view a copy of the presentation and the EPSDT Toolkit (courtesy of Autism Speaks). Below is the original abstract for the 2017 presentation.

The Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit of Medicaid requires coverage for treatments that are medically necessary to correct or ameliorate defects and physical and mental illnesses or conditions.  In July of 2014, CMS clarified that the EPSDT benefit applies to Medicaid-eligible children with autism spectrum disorder (ASD).  Stakeholder concerns with coverage for applied behavior analysis (ABA) for individuals with ASD under TennCare have prompted recent changes to implementation of TennCare's ABA benefit. This talk will provide a broad overview of EPSDT as it applies to coverage for ASD, explain recent changes to TennCare's ABA benefit, and provide tips and recommendations for improving implementation of coverage of ABA for TennCare beneficiaries.  We will conclude with a Q&A period with Mr. Mike Wasmer (Director of State Government Affairs at Autism Speaks) and Dr. Vaughn Frigon (TennCare Medical Director).