Lawsuit Challenges Ohio Medicaid MCO Denials Of Autism Treatment

On August 25, 2015, a lawsuit filed in federal district court alleged that the Ohio Medicaid program and managed care organization (MCO) CareSource have refused to approve coverage of intensive applied behavioral analysis (ABA) for a child diagnosed with autism. The plaintiffs allege that the state and CareSource have violated the federal regulations for Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services. No hearing date has been set.

The lawsuit, O.H. v. McCarthy, et al., was filed by attorneys Aimee Gilman of Cleveland and Richard Ganulin of Cincinnati in the United States District Court for the Northern District . . .