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In recognition of Autism Acceptance Month, BHIPP has gathered resources and information about how pediatric primary care providers (PCPs) can identify, coordinate care, and support their patients with Autism Spectrum Disorder (ASD). Currently, 1 in 31 youth in the United States have an ASD diagnosis.1 Primary care providers play a critical role in recognizing symptoms and facilitating early detection, which can significantly improve access to services.2
The American Academy of Pediatrics (AAP) highlights the importance of early detection of ASD through screening at the 18- and 24-month well-child visits. In addition to screening, the AAP encourages PCPs to document and refer a patient for intervention if they present with any developmental delays instead of waiting for a formal autism evaluation.3
To promote early detection and intervention, the Maryland Healthy Kids/Early and Periodic Screening, Diagnostic and Treatment (EPSDT) program provides coverage for medically necessary services for ASD for youth under 21 years old with Medicaid insurance.4 These services also include coverage for Applied Behavioral Analysis (ABA) therapy, a recommended intervention for ASD.5,6 Early access to covered interventions and resource may contribute to improved outcomes.
To support patients with ASD and their families, PCPs can:
- Provide psychoeducation to patients and families about ASD
- Refer patients to therapies and interventions such as Applied Behavioral Analysis-based interventions (ABA), speech and language therapy, and occupational therapy
- Support families in writing a letter to their child's school to request a psycheducational evaluation that can help identify if the child may benefit from specific educational supports
Resources to learn more about ASD:
1. Autism Navigator
2. Signs of Autism
3. Modified Checklist for Autism in Toddlers, Revised (M-CHAT-RTM)
4. Guide to Providing Feedback to Families Affected by Autism
5. Caring for Children With Autism Spectrum Disorder: A Practical Resource Toolkit for Clinicians, 3rd Edition
BHIPP Resources about ASD:
1. BHIPP Webinars on ASD
2. Quick Tips for Providers: Educating Families about Autism Spectrum Disorder (ASD)
Resources about ASD Interventions:
1. Applied Behavioral Analysis (ABA)
2. Speech and Language Therapy
3. Occupational Therapy
4. Guide to Individualized Education Programs (IEP)
5. School Resources for Every Age & Stage
6. Maryland Healthy Kids/EPSDT Program
7. Maryland Department of Health Medicaid - ABA
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