CENTER OF EXCELLENCE (COE) certification allows eligible providers to diagnose autism spectrum disorder for pediatric patients with Washington State Medicaid insurance and, if medically necessary, write a covered prescription for
Presenters:
• Gary Stobbe, MD, Director, UW Medicine Adult Autism Clinic
• Jim Mancini, MS, CCC-SLP, University of WA, Director of WA INCLUDE Collaborative
• Jen Gerdts, PhD, Psychologist
• Karis Casagrande, PhD., Psychologist
An autism COE provider can evaluate and establish or confirm the diagnosis of an autism spectrum disorder and develop the multidisciplinary clinical treatment plan, including prescribing ABA therapy if appropriate, for Medicaid eligible children. COE required for Managed Care Organization (MCO) prescription approval.
COE status may help other insurance plans to authorize ABA services for their covered children but each insurance plan may have different diagnostic requirements.
As of October 7, 2024 all COEs can also make an autism diagnosis that will be accepted for Developmental Disabilities Community Services (DDCS, formerly known as DDA) eligibility.
COE status and training is focused on making Autism Spectrum Disorder (ASD) diagnosis.
To become an autism COE, eligible primary care providers need to:
Psychologists, developmental behavioral pediatricians, psychiatrists and neurologists should contact ABA@hca.wa.gov to be added to the official COE list to ensure there are no questions about having ABA prescriptions approved by Medicaid.
HCA contracts with the University of Washington to have experts provide COE training on evaluating and diagnosing children with autism and treatment options available, including accessing ABA therapy.
For more information, please see the COE Certification training page.
Please email Kate Orville (orville@uw.edu) you would like to be notified of future COE trainings.
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