Support Special Needs — Access Beyond Barriers logoSupport Special Needs

Our goals

What we are asking the healthcare system to change

These goals target the system-level causes of inaccessible care rather than individual providers. Most practices want to serve these patients well; the funding, training, and staffing structures around them have not made that possible.

Our goals

What we are asking the healthcare system to change

  1. Fair and realistic reimbursement

    Review Medicaid and insurance fee schedules so reimbursement reflects extended appointment time, additional staff, pre-visit planning, caregiver coordination, specialized training, sensory accommodations, adaptive equipment, and clinically necessary sedation or hospital care.

  2. More participating providers

    Create incentives for additional medical and dental providers to accept Medicaid and serve patients with developmental disabilities and complex support needs.

  3. Training throughout healthcare

    Expand disability-responsive education in medical schools, dental schools, residency programs, continuing education, hospitals, community clinics, and private practices.

  4. Funding for accommodations

    Provide grants or reimbursement pathways for sensory equipment, communication materials, wheelchair-accessible treatment equipment, quiet spaces, desensitization visits, and other reasonable accommodations.

  5. Transparent provider directories

    Maintain accurate directories showing which practices are accepting patients, which ages they serve, which insurance plans they accept, and which accommodations they provide.

Care should be accessible before a condition becomes an emergency.

Share an experience, locate a resource, or help bring these barriers to the attention of the people who can change them.