South Carolina Sued Over Low Medicaid ABA Rates

On May 18, 2018, a South Carolina mother sued the state Medicaid program alleging that the state’s reimbursement rate for applied behavior analysis (ABA) was so low that her six-year-old child diagnosed with autism had been unable to find a provider organization that would accept the rate. The child has been waiting for more than two years to receive 40 hours per week of in-home, intensive therapy.

The complaint, Z.M. v. South Carolina Department Of Health And Human Services (SCDHHS), seeks class-action status on behalf of a class of child Medicaid beneficiaries diagnosed with . . .