🧠NC moves to rein in soaring autism therapy costs amid fraud concerns - North Carolina Health News
NC moves to rein in soaring autism therapy costs amid fraud ...
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North Carolina legislators are concerned about rapidly rising Medicaid spending on autism therapies, particularly Applied Behavior Analysis (ABA). Costs are projected to exceed $1 billion, with a 425% increase by 2026. There are ongoing fraud investigations, as potential fraudulent Medicaid payments have more than doubled in the past year.
The state is working to update Medicaid coverage policies with clearer definitions of what should be covered, while still maintaining support for children with autism. The NC Department of Health and Human Services has already implemented some rate cuts, though spending will still be $400 million higher than two years ago.
Sources: North Carolina Health News, WRAL, Carolina Journal
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