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Baylor Scott’s Expanded Autism Therapy Coverage Blessed by Court

Sept. 27, 2022, 2:18 PM

Texas not-for-profit health system Baylor Scott & White received final approval for a class settlement requiring it to expand coverage of autism treatments under its employee health plan and to pay previously denied claims.

The deal is slated to benefit about 185 people seeking coverage for Applied Behavior Analysis services and neurodevelopmental therapies for autism spectrum disorder. It requires Baylor Scott to remove visit limits for these services through 2024 and to establish an unlimited settlement fund to pay past claims at 100% of the valid claimed amount, minus relevant co-payments and deductibles, according to the settlement motion.

Judge ...