Funding


Autism Scholarship Program for Ohio
 

EIC is an Approved Autism Scholarship Program (ASP) Provider. EIC is approved to provide Specially Designed Instruction, Speech and Language Pathology and Occupational Therapy.

What is The Autism Scholarship Program?

The Autism Scholarship Program (ASP) gives the parents of children with autism who qualify for a scholarship the choice to send the child to a special education program other than the one operated by the school district of residence to receive the services outlined in the child's individualized education program (IEP). Section 3310.41 of the Revised Code establishes the Autism Scholarship Program and requires the Ohio Department of Education to adopt rules prescribing procedures to implement the program.

How Does it work?

For more information on how The Autism Scholarship works, please contact an EIC Consultant and we can walk you through the application procedures, rules and regulations.

 Tricare ECHO

EIC is an In-Network Tri-North and South ECHO Provider. We currently provide services in the following states; Ohio, Maine, New Hampshire, Vermont, Massachusetts, Connecticut, Rhode Island, Delaware, Maryland, New Jersey, New York, Pennsylvania, Michigan, Wisconsin, Illinois, Indiana, Kentucky, West Virginia the District of Columbia, Virginia, North Carolina, South Carolina, Georgia, Florida, Alabama, Mississippi, Tennessee, Oklahoma, Arkansas, Louisiana and Texas.

What is TRICARE ECHO? 

TRICARE ECHO (Extended Care Health Option) provides financial assistance to active duty family members (ADFMs) with specific mental or physical disabilities. It offers an integrated set of services and supplies not available through the basic TRICARE program options (e.g., TRICARE Prime, TRICARE Standard, TRICARE Reserve Select).

How Does it Work?

1:1 ABA Services are performed by a Board Certified Behavior Analyst (BCBA/ BCaBA). ECHO Providers are responsible for conducting all Functional Behavior Assessments (FBA’s) and creating all necessary Behavior Plans (BP’s) and Individualized Treatment Plans. ECHO Providers will collect data and provide quarterly Progress Reports.

Who is Eligible?

  • TRICARE ECHO is only available to ADFMs with qualifying conditions, including Autism spectrum disorders*
  • Diagnosis of a neuromuscular developmental condition/other condition in an infant/toddler expected to precede a diagnosis of moderate/severe mental retardation or serious physical disability
  • Extraordinary physical/psychological condition rendering the beneficiary homebound
  • Moderate/severe mental retardation
  • Multiple disabilities (may qualify if there are two or more affecting separate body systems)
  • Serious physical disability

How to Use ECHO

Register with your Humana Military Healthcare Services (Humana Military): Provide documentation that you are an ADFM with a qualifying condition and enrolled in the EFMP. Once registration is completed, your DEERS record is modified to indicate TRICARE ECHO eligibility.
Obtain prior authorization by providing EIC with the following information:

  1. Child’s Name
  2. Child’s Date of Birth
  3. Sponsor's Name
  4. Sponsor's Social Security Number  

Tricare Autism Demonstration

EIC is an In-Network Tri-North Autism Demo Provider. We currently provide services in the following states; Ohio, Maine, New Hampshire, Vermont, Massachusetts, Connecticut, Rhode Island, Delaware, Maryland, New Jersey, New York, Pennsylvania, Michigan, Wisconsin, Illinois, Indiana, Kentucky, West Virginia the District of Columbia, Virginia, and North Carolina.

What is The Autism Demonstration?

ABA is the only EIA service accepted within the Military Health System (MHS) as having been shown to reduce or eliminate specific problem behaviors and teach new skills to children with ASD. ABA therapy is provided by TRICARE-authorized providers as a Special Education benefit under the Extended Care Health Option (ECHO).

Why Use The Autism Demonstration?

The Autism Demonstration is a great option for those seeking a more intensive program for their child. Tricare will reimburse services performed by para-professionals known as EIA Tutors. EIA Tutors will provide a higher quantity of intervention hours at a lower cost increasing both the intensity and effectiveness of the individualized intervention.

  • EIA Tutors are college graduates with extensive ABA training and field supervision.
  • EIA Tutors are supervised weekly or monthly by a Board Certified Behavior Analyst (BCBA/BCaBA).
  • EIA Supervisors are Board Certified and follow all the guidelines of The BACB.
  • EIA Supervisors conduct all Functional Behavior Assessments (FBA’s) and create Behavior Plans (BP’s) and Individualized Treatment Plans for the EIA Tutor to follow.
  • EIA Supervisors will train parents and care-takers on teaching and behavior strategies
  • EIA Supervisors will create progress reports and program summaries to share with the child’s team.

How Much Funding Will I Receive?

  • The maximum benefit through both the Demonstration and the ECHO program may not exceed $36,000 per beneficiary per fiscal year beginning on October 1st of each year.

How Do I Start Services?

The Demonstration is available for active duty service member’s beneficiaries in the United States. Beneficiaries who request participation in the Demonstration must:

  • Be at least 18 months of age
  • Be registered in the ECHO
  • Have a qualifying diagnosis made by a TRICARE-authorized Primary Care Manager (board certified or board-eligible in behavioral developmental pediatrics, neurodevelopment pediatrics, pediatric neurology or child psychiatry) or PhD clinical psychologist working primarily with children.
  • Provide HMHS with the beneficiary’s Individualized Family Service Plan (IFSP) or the Individualized Education Program (IEP) documenting that the beneficiary is receiving Early Intervention Services or Special Education. (If a child is home schooled or enrolled in a private school and not required by State law to have an IEP, the PCM or Specialized ASD Provider must certify that participation in the Demonstration is required.)

Qualifying diagnoses are:

  • Autistic Disorder (AD)
  • Childhood Disintegrative Disorder (CDD)
  • Asperger’s Syndrome (AS)
  • Pervasive Developmental Disorder Not Otherwise Specified (PDDNOS)

 Aetna Insurance
 
EIC is an Approved Aetna Insurance Provider. Applied Behavior Analysis (ABA) services are available to those who are diagnosed with Autism Spectrum Disorder and qualify for coverage.

How Do I Know If I Qualify?

In order to determine eligibility, please provide EIC with the following information:

• Child’s Name
• Child’s Date of Birth
• Insurance Holders Name
• Insurance holders home address

***Eligibility is determined by your employer’s current policies. Please check with your HR department first to verify whether or not Applied Behavior Analysis (ABA) is a covered service under your Behavioral Health Plan.

What Type of Services Will I Receive?
 
Treatment Packages will be tailored to your family’s needs and maximum benefit per fiscal year. Services, hours and locations will be determined at your initial consult.

Applies to:

Aetna Choice® POS, Aetna Choice POS II, Aetna Golden Choice™, Aetna Golden Medicare Plan®, Aetna HealthFund®, Aetna Open Access® Elect Choice, Aetna Open Access HMO, Aetna Open Access Managed Choice, Elect Choice® HMO, Managed Choice®, Quality Point-of-Service® (QPOS®) and US Access® benefits plans and all products associated with the Aexcel®** network.***

 Help Me Grow

Through Help Me Grow EIC is an approved Early Intervention System of Payment (EISOP) Provider. EIC services the following counties: Lorain, Cuyahoga, Medina, Summit, Geauga, Lake and Portage.

What is Early Intervention System of Payment (EISOP)?

Federal regulations mandate that a system of funding be made available in order to provide payment to service providers for children with delays and disabilities in need of therapeutic services. In the state of Ohio, these services are available through the Ohio Department of Health.

The Individuals with Disabilities Education Improvement Act (IDEA), Part C, is a federal law which provides financial assistance to states for the purpose of providing Early Intervention services to infants and toddlers (age birth through two) with disabilities. The purpose of these services is to enhance the development of infants and toddlers with disabilities and to minimize the potential for developmental delay. The services are provided through a coordinated network of providers, driven by the needs of the family and documented through an Individualized Family Service Plan (IFSP).

Do I Qualify for Services?

In order to receive payment for services, a family must meet specific criteria and utilize an approved service provider. Contact your local Help Me Grow and find out if you qualify for services.

What Services are covered under EISOP?

  • Assistive technology Services
  • Assistive technology devices
  • Audiology services
  • Applied Behavior Analysis
  • Health services (does not include surgical or purely medical services)
  • Nursing services
  • Nutrition services
  • Occupational therapy
  • Physical therapy
  • Psychological services
  • Respite Services
  • Social work services
  • Vision services

 

 

 

 

 

 

 

 

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