#Boston #ABA Centers of America #Point32Health #Autism Treatment

ABA Centers of America Takes a Stand

In a significant development, ABA Centers of America, LLC has initiated legal proceedings against Point32Health and Harvard Pilgrim, collectively known as Point32, for purportedly employing a disturbing strategy to withhold payments for essential autism treatment services. This lawsuit, filed in the Massachusetts Trial Court, Suffolk County, underscores the deepening tension over the provision of care to children on the autism spectrum.

Background of the Lawsuit

According to the filed complaint, ABA Centers of America accuses Point32 of consistently failing to pay for authorized treatment plans for over a year. Despite this delay, the organization has remained steadfast in delivering therapy hours to their young clients as prescribed. Christopher Barnett, the Founder and Chairman of ABA Centers, expressed his utmost concern, stating, "We believe this lawsuit is necessary to attempt to halt the irresponsible and unreasonable behavior by Point32. The care we provide changes and saves lives."

Mr. Barnett further elaborated on the financial strain that ABA Centers faces, revealing that they have continued to provide vital services without receiving payment for over a year, incurring significant daily expenses in the process. He emphasized the importance of accountability from Point32, not just for the children directly under their care, but for all impacted families nationwide who might lack the resources to challenge such practices.

Allegations Against Point32

The lawsuit claims that thousands of claims submitted by ABA Centers have not been officially denied but rather placed in a suspended status – referred to as 'pend' – for an extended period. This tactic, according to the lawsuit, is part of an effort by Point32 to exert financial pressure on service providers, ultimately discouraging them from providing medically necessary care. This creates a burden on caregivers and families who may feel compelled to pay out-of-pocket rather than engaging in a protracted payment recovery process.

Key elements of the lawsuit indicate that Point32's actions are not just a contractual issue but pose a direct risk to the lives of children who rely on these services. Without timely payments, the continuity of care and progress in treatment can be severely disrupted.

The Issue with a