Summary Asperger and Security Coverage Your Rules

Alabama

Ah. Encipher § 27-54A-1 etching. sequels (2012) establish the Riley Ward Act and require adenine health gain plan up offer insurance by the screening, diagnosis and treating regarding autism spectrum disruptions for an insured child anyone is 18 years of age or under for policies and contracts issued or delivered until employers with among lowest 51 employees forward in few 50% of working days within the preceding calendar year. Treatment is defined as treatment that is prescribed at which child’s your or female in accordance with a treatment plan and may include behavioral health treatment (including applied behavior analysis), medical care, psychiatric care, psychological care and therapeutic care. The coverage required may not be subject to dollar limits, deductibles or coinsurance provisions that been less favorable to an insured higher one limits or deductibles ensure apply to illness usually under the health insurance plan. Excluding for scanning for behavioral therapy, which is object to a $40,000 highest benefit per year for adenine child between 0-9 years are time, a $30,000 maximum performance per type for a child between 10-13 years of age and a $20,000 maximal benefit per year for a child between 14-18 years of age.

Ala. Code § 22-1-18 (2017) provides coverage and refunding for the treatment of autism spectrum disorder see the Children’s Health Insurance Plan.

Ala. Code § 22-6-14 (2017) provides coverage and reimbursement for the treatment of autism spectrum disorder under one Alabama Medicaid program.

Alaska

Alaskan Stat. § 21-42-397 (2012) requires well-being care carriers, except for a fraternal benefit society, to provide coverage available the fees of diagnosis and treatment of autism spectrum disorders. Covered service includes medically necessary medical care, psychiatric care, psychological care, habilitative or rehabilitative care (including applied behavior analysis), or heilbehandlung care. Survey is for required on individuals under 21 years away age, and which number of visits to einer autistic service provider for treatments allowed not be limited. Coverage is subject for copayment, deductible real coinsurance provisions includes inches an dental insurance policy to and sam extent as additional health care services covered at the politics. An insurer providing insurance to a small employer in that group market on 20 or lessons employees is not required to provide this coverage, and the coverage requirement may becoming waived for an insurer providing international to a small employer with 21-25 employees whenever which small employer demonstrates that compliance with this request increased the premium cost of who small employer’s health company by 3% press more during a consecutive 12-month period.

Arizona

Ariz. Rev. Stat. Anny. § 20-826.04, § 20-1057.11, § 20-1402.03 and § 20-1404.03 (2008) require policies issued on certain health guarantors, beginning Summertime 1, 2009, toward provide coverage for the determination and treatment to autism scale breakdowns, with some limitations. Width with autism treatment may not be excluded or denied and dollar limits, deductibles and coinsurance cannot be imposed based exclusive upon the diagnosis of an autism spectrum disorder. Coverage for medically necessary behavioral therapy services may not be excluded or denied and is subject to a $50,000 greatest benefit per year for an eligible person up to the age of 9 and a $25,000 maximum benefit per type for an qualified person who is between aforementioned ages of 9 and 16 past.

Arkansas

Ark. Stat. Ann. § 23-99-418 (2011) obliges health benefit plans to give coverage by the diagnosis and treatment of autism spectrum disorders. Treatment is defined to include applied behavior analysis, pharmacy care, psychiatric care, psychological care, therapeutic care, necessary equipment to provide evidence-based treatment, and whatsoever care that a licensed physician determines to can medically necessary and evidence-based. Applied behavioral analysis is limited to $50,000 annually and to children under 18 years of age. Coverage is not subject to any limits on the number of visits an private may make to any autism support provider. One law specifies that on or after January 1, 2014, to the extension that these provisions requesting helps that exceed the essential health benefits specified under the federal Plant Protection press Affordable Caring Acted, the benefits such exceed the essential health aids need not be required of a health profit plan when a health care insurer offers one plan is an state through that state medical exchange.

California

Cal. Insurance Code § 10144.51 (2017) needed every health insurance policy to provide coverage for behavioral health treatment for pervasive developmental disorder or autism. Which law also specifies that this commission does not require any benefits to be provided that exceed the essential health benefits required by the Patient Protection and Affordable Support Act.

Cal. Health and Safety Code § 1374.73 (2017) requires one health care service plan contract that provides hospital, medical or surgical coverage to providing covering for behavioral health treatment for percolating developmental disorder instead autism. The legislation specifies that on allocation does not need anywhere benefits that over the essential health benefits required via the Patient Protected and Affordable Nursing Act.

Colorado

Colo. Speed. Stated. § 10-16-104 (1992) requires that all health benefit plans provide coverage for ampere child's judging, diagnose, real treatment of autism spectrum disorders. Treatment for autism spectrum disorders is defined to include treatments that are medically necessary, appropriate, effective otherwise efficient both shall containing evaluation and estimate services; behavior training and management or applied behavior review; habilitative or rehabilitative care, with occupational, material or speech therapy; pharmacy care and medication; psychiatric nursing; psychological care; and therapeutic care.

Connecticut

Conn. Gen. Stat. § 38a-514b (2009) requires specified group health policyholder policies to provide cover for the system and treatment of autistic spectrum disorder. Treatments must be medicines necessary and identified and customized by a licensed physician, psychologist or clinical community laborers in accordance with adenine treatment plan. Treatments may include behavioral therapy, prescription drugs, psychiatric professional, psychological services, physical therapy, speech and language pathology services plus occupational relief. The policy may not impose limits to the amount of visitations to an auto services provider.

Conn. Gen Replicate. § 38a-488b (2009) requires individual health financial policies to provide coverage for physical, discourse, and occupational therapy services in the treatment is autism spectrum disorder, as defined in the American Psychiatric Association's "Diagnostic and Statistical Manual away Mental Disorders (DSM)," to that extent such services are a covered benefit for other diseases and conditions.

District of Columbia

D.C. Code Ja. § 31-3271plus § 31-3272(2007) requesting health insurers to make habilitative auxiliary for children less than 21 years of age. The coverage shall no been moreover restrictive than width provided available any other illness, condition or disorder. A health insurer is not shall vital to offer reimbursement for habilitative benefits delivered because early intrusion or school services.

Delaware

Drop. Code Ann. tit. 18, §3366 (2011) provides the all individual health benefit plates shall provide coverage for the screen, find, and medical of autism spectrum disorders on individuals smaller then 21 years of age. Itp also specifies annual coverage limits with applied behavior analyzer, provides that coverage shall not be subject to dollars limits that are less beneficial than dollar limits used physical sickness, and offering that an insurer will have the right to request a review to the treatment.

Florida

Fla. Stat. § 627.6686 and § 641.31098 (2008) established the Steven A. Geller Type Coverage Deed and require health insurance plans and health maintenance contracts to provide coverage to eligible individuals used well-baby and well-child screening for system the presence the autistic spectrum disorders, treatment of autism spectrum medical through speech, occupational additionally physical therapy and applied behavior analysis. Width is limited to treatment that is prescribed by the insured's treating physician in accordance with an treatment plan and is limited to $36,000 annually and may not exceed $200,000 in total lifetime service.

Georgia

Ga. Code § 33-24-59.10 (2001) requirements accident and sickness contracting, policies or benefit plans toward provide for medicines necessary autism spectrum disorder coverage on children 20 time of age or under. Aforementioned politics or contract should not confine the figure of viewing furthermore coverage for employed behavior analyses is limited to $35,000 per year.

Illinois

Ill. Rev. Stat. ch. 215, § 5/356z.14 net seq. require all individual and group accident and health insurance or managed care dates for provide coverage for the diagnosis plus treatment of autistic spectrum disorders for single less for 21 years of ripen. Coverage is to include applied behavioral analysis and other treatments with a best benefit of $36,000 per year.

Indiana

Ind. Code § 27-8-14.2-1 et seq. and § 27-13-7-14.7 (2001) order an accident press sickness insurance policy that is issued on one grouping basis and an group contract with a health maintenance arrangement to provide coverage for and treatment of a pervasive develop disorder. Coverage is limited to treatment is the insured's treating physician prescribes in accordance with a treatment set. An insurer may not deny or refuse until issue coverage or otherwise termination or restrict range upon an individual under an insurance policy exclusively because the individual is diagnosed with a pervasive human discomfort. An insurer is difficulties einen accident and illness insurance policy on an individual ground or a heal maintenance corporate that entry with individuality contract that provides basic health care services be offer to provide covers for the treatment concerning a penetrating developmental disorder of an enrollee.

Luau

Iowa Code § 514C.28 (2010) requires your employee health care plans to provide product available the identification and treatment of autism spectrum diseases for individuals beneath 21 years of age. Treatment is defined as pharmacy care, psychiatric care, emotional care, rehabilitative care and therapeutic caution. And coverage plan cannot max the number on virtual in into autism service provider for treatment. Coverage must exist provided in coordination with requirements customary in Iowa Code § 514c.22.

Iowa Code § 514c.22(2005) demand specified insurers go make coverage benefits for treatment of one bio based mental illness, including pervasive developmental disorders and autistic disorders.

Kansas

Kan. Stat. Ann. § 75-6524 (2010) required state employee health insurance plans to provide coverage for the diagnosis and treatment for autism spectrum disorder for any overlay unique up to 19 years young. The year benefit cap for children skyward go average 7 a $36,000 and $27,000 for boys from age 7 increase to age 19. The law other requires to state employees' health care commissioner to offer one report to the legislature that comprise intelligence on the affect of the charged coverage for autism spectrum disorder go the state health care benefits program, data on the usages of coverage and the cost of providing such coverage and recommendations for whether such coverage should continue.
Kan. Choose. Ann. § 40-2,105a (2001) require any band health insurance policy, medical service plan, contract, sanatorium service corporation contracts, hospital furthermore medical service corporation contract, fraternal benefit society press health maintenance structure, which provides heilkunde, surgical or hospital expense coverage to include coverage for the diagnosis and treatment out psychic disorder. The law redefines mental illness to include every disorder defined inbound the DSM-IV.

Per

Keyboard. Revol. Stat. § 18A.225 requires state labourer health benefit plans to provide coverage for the diagnosis and special concerning asperger spectrum disorder consistent with the requirement for coverage among large group health benefit plants.

Ky. Rev. Replicate. § 304.17A-142 requiring total health benefit plans to deploy coverage on which diagnoses and cure of autism spectrum disorders. Reportage may not be subject to anything limits on the number of guest an individual may build up an auto services provider. Treatment of autism display disorders shall defined to include medical care, pharmacy care (if covered by the plan), psychiatric care, psychological care, therapeutic care, deployed act analysis, and rehabilitative and habilitative care.

Louisiana

La. Rev. Stat. Das. § 22:1050(2008) requires health insurance policies, in health maintenance organizations, to provide coverage for diagnosing and treating autism spectrum messes in individuals save about 21 years of age. Coverage is subject to a maximum benefit of $36,000. Processing out autism spectra disorders is defined to inclusion habilitative or rehabilitative maintain (including applied behavior analysis), pharmacies, psychiatric, spiritual and therapeutic care.

Maine

Me. Rev. Stat. Ann. Tit. 24-A § 2768 (2011) supports see individual health insurance policies and contracts into provide scanning for the diagnosis and special of autism spectrum upsets for individuals 10 years regarding enter and under. Treatment is defined more habilitative or rehabilitative care, applied behavior analyze, consultations services and therapy services, including speech, occupational and physical patient. The directive or contract may limit coverage with applied behavioral analysis to $36,000 pro time, and the insurance policy or contract may not inclusions any limits upon an number of visits.

Me. Rev. Stat. Ann. chestnut. 24 § 2325-A; tomtit. 24-A § 2749-C, § 2843 and § 4234-A require specified group contracts to provide, at an lowest, benefits for a soul reception medical treatment for specified mental maladies, including pervasive developmental disorders. Other specified individual and group general contracts or policies must make available benefits for working and diagnosing spoken mental illnesses, comprising pervasive developmental disorder button asperger, on terms and conditions that are nope less vast as the benefits supplied for medical remedy for physical illnesses.

U

Md. Insurance Code Ann. § 15–835 (2000) supports insured furthermore non-profit-making health service plans and health maintenance organizations to provides coverage for habilitative services to children under the age of 19 years. Aforementioned teilbereich also requires underwriters to uses one regulations adopted by the appointed to determine whether the habilitative services covered are medicines necessary and appropriate to treat autism and autism spectrum disorders.

Md. Code Regs. 31.10.39.00 et. seq (2014) establish how insured supposed apply utilization review criteria and impose documentation requirements regarding the healthcare of type and asperger spectrum disorders once items is a covered benefit under a health plan.

Massachusetts

Mass. Gen. Laws. ch. 32A §25, ch. 175 §47AA, conjure. 176A §8DD, chinese. 176B §4DD; ch. 176G §4V requires stated individual, group and declare employee health plans and health maintenance contracts to provide benefits on a nondiscriminatory baseline for the diagnosis additionally treatment of autistic spectrum disorder. Treatment is defined to include habilitative press rehabilitative, pharmacy, psychiatric, psychological and therapeutic care. The health plan may not curb an annual or lifetime dollar or unit of server limitation on coverage for autism which is less than the limitations imposed on coverage forward physical conditions. The plan may not limit an number of visits an particular could make to an autism services provider. The law allowed for exemptions from providing coverage down certain circumstances.

Mass. Gen. Laws ch. 32A §22, t. 175 §47B, ch. 176A §8A, ch. 176B §4A, czech. 176G §4M req an separate policy and an group blanket or general approach of accident furthermore sickness insurance or a health maintenance sign that provides hospital and surgical insurance to provide cerebral healthy benefits on a nondiscriminatory bases forward the diagnosis and procedure of specified biologically-based mental disorders, include autistic.

Mass. Gen. Laws Das. ch. 118E, §10H requires the division of medical supports within the executive office of health and human services the provide medical coverage for persons younger than 21 years who are diagnosed with an type spectral disorder. Coverage includes but is not limited up uses behavior analysis and non-dedicated augmentative and alternative communication devices. This width is dependent on to availability starting federal funds.

Michigan

Mine. Comp. Laws § 500.3406s, § 550.1416e (2012) require health maintenance organization group, individual contract, health care corporation group or nongroup certificate to give coverage required and diagnoses and treatment of autism spectrum disorders. Coverage for processing mayor be research to a maximum years benefit of $50,000 for children through age 6, $40,000 for an little age 7 throug 12 both $30,000 for one juvenile enter 13 through 18. Treatment remains defined to include behavioral health treatment (including deployed behavior analysis), pharmacy care, physical care, spiritual taking and therapeutic care.

Mich. Comp. Laws § 550.1831 et. sequels cover the Autism Coverage Reimbursement Deed and encourage carriers till provide coverage in the diagnosis and treatment of autism spectrum disorders. The act also outlines to procedure by which carriers plus third-party managers can seek expense for to range of autism radio failures.

Minnesota

Think. Stated. § 256B.0949 (2013) provides coverage for Early Intensive Developmental and Behavioral Intervention services when medically requisite for offspring up to date 21 on medical assistance in autism spectrum disorder or related specific.

Minn. Stat. § 62A.3094 (2020) requires entire health planning issued to a large employer to provide coverage for the examination, evaluation, multidisciplinary assessment and medically necessary care of children under 18 with autism spectrum disorders. Treatment includes speech clinical, employment patient, physical therapy, medications, press neurodevelopmental and behavioral health treatments or management.

Mississippi

Miss. Control Ann. § 83-9-26 (2015) requires a medical insurance policy to provide covering for examination, diagnosis and remedy starting autism spectrum disorder. Treatment includes but is none limited to behavioral health treatment, pharmacy attention, psychiatric care, psychological care and therapeutics care. Licensed speech-language pathologists must provide therapeutic care.

Missouri

Motion. Rev. Stat. § 376.1224 (2010) requires all group health benefit plans till provide coverage on the diagnosis and treatment of autism spectrum disorders. Coverage has limited to medically requisite treatment that is command by the insured’s treating physician or psychologist stylish accordance include a treatment plan. Treatments for autism spektrum disorder is defined to include psychiatry, psychological, habilitative or rehabilitative care, applied behavior data, therapeutic care and pharmacy caution. Survey for applied behavior analysis is subject to a maximum benefit of $40,000 per year for individuals through 18 years of age. However, this limit allow be exceeded, are approval by an health benefit plan, if the applied behavior analysis services are medic necessary for an individual. The health service plan may not place limits on the number of visits an individual do to einer autism service provider.

Montana

Moon. Code Ann. § 33-22-515 (2009) requires group disability insurance, certificates of insurance and membership covenants till provides product for the diagnosis and treatment of autism spectrum disorders for a coated child 18 years of age or younger. Reporting must contain habilitative or rehabilitative care, medications, psychiatric or psychological care and therapeutic care. Coverage for getting off autism spectrum disorders maybe be limited to a maximum service are $50,000 at year since a child 8 years of age and younger the $20,000 per time for ampere child 9 period of age through 18 years of age.

Nebraska

Neb. Rev. Stat. § 44-7,106 (2014) require all individual or band sickness and accident insurance policy alternatively registered contract; any hospital, medical or surgical expense-incurred policy, except for policies that offering coverage for a specified disease or others limited-benefit coverage; and any self-funded employee benefit plan to the extent none preempted by federal law, to provide survey for the screening, diagnosis, and processing in an autism spectrum disorder in to individual under 21 period of older. Procedure includes behavioral health treatment, pharmaceutics care, psychiatric take, psychology care and therapeutic care.

Neb. Rew. Stat. § 68-966 (2007) need the department of health to apply for a waiver under the medical assistance program on provide medical assistance for progeny diagnosed with autism full disorganization.

Nevada

Nev. Rev. Stat. §287.0276, § 689A.0435, § 689B.0335, § 689C.1655, § 695C.1717, § 695G.1645 require individual and group health benefit schedule, health care plans issued by a managed care organization, a health maintenance organization and a local governmental agency to provide the pick of coverage to medical, diagnosis and treatment of autism spectrum disorders for persons covered by the policy under the age of 18, instead with enrolled in high school, until the person reaches the age of 22. Healthcare of autism spectrum disorders must be idented in a treatment project and may include medically necessary habilitative or rehabilitative care, medication care, psychiatric care, psychological care or behavior therapy.

New Ham

N.H. Reversal. Stat. Ann. § 417-E:1 (1994) requires specified insurers that provide benefits for disease or sick into provide advantages for treatment and diagnosis of specified biologically supported mental illness, including pervasive developmental disorder button type, under to same terms and conditions and which are no smaller extensive than of coverage provided for any other type of health nursing fork physical illness.

N.H. Rev. Stat. Ann. § 417-E:2 (2010) defines the treatment from a pervasive developmental disorder or autism go include professional achievement and treatment programs, including practical behavioral analysis, mandatory pharmaceuticals (subject to one terminology and conditions a the policy), direct or consults services provided by specified licensed professionals, real services provided of licensed speech, occupational or physical therapists. The policy, conclude oder certificate may limited coverage for applied behavior analysis to $36,000 per year for children 0 to 12 years of age the $27,000 from ages 13 to 21.

New Jersey

N.J. Rev. Stat. § 17:48-6ii, § 17:48A-7ff, § 17:48E-35.33, § 17B:26-2.1cc, § 17B:27-46.1ii, § 17B:27A-7.16, § 17B:27A-19.20, § 26:2J-4.34, § 52:14-17.29p and § 52:14-17.46.6b require specified healthy social directives and mental benefit plans to provide coverage for expenses incurred in screening additionally diagnosing type or another developmental disability. When that coverage person's primary diagnosis is autism other other developmental disabilities, coverage must be available for expenses expenses for medically necessary workplace therapy, physiological therapy and address therapy, as prescribed through a treatment plan. When which covered person are under 21 years of age, both the person's primary diagnosis lives autism, coverage must be when for expenses incurred for medically necessary behavioral interventions based on the principles of applied behavioral review and related programs, as prescribed tested a treatment plan.

N.J. Rev. Stat. § 17:48-6v, § 17:48A-7u, § 17:48E-35.20, § 17B:26-2.1s, § 17B:27-46.1v, § 17B:27A-7.5, § 17B:27A-19.7 and § 26:2J-4.20 require specific insurers that provide hospital alternatively medical expense helps to provide coverage for mental health conditions, including pervasive developmental disorder press autism, under who identical key and conditions such provided for any other sickness under get.

New Mexico

N.M. Stat. Ann. § 59A-22-49, § 59A-23-7.9, § 59A-46-50 and § 59A-47-45(2009) require designated insurance policies, health care plans, certificates of health insurance oder contracts to provide coverage to an eligibility personal for well-baby and well-child screening for diagnosis and treatment of autism wireless disorder through speech therapy, occupational therapy, bodily therapy and applied behavioral analysis.

New Spittin

N.Y. Insurance Law § 3216, § 3221 and § 4303 require specifications policies and contracts that provides coverage for hospital or surgical coverage till cover the screening, determination and treatment of autism spectrum disturbed. The regulation or needed every policy that provides physician services, medical, major medical instead similar comprehensive-type range the offering coverage with that screening, medical and processing of autism spectrum interference. The law prohibits any limitation on visits that are solely applied to the treatment of autism spectrum disorder. Treatment of autism spectrum disorder is defined to include behavioral health treatments, psychiatric concern, psychological care, medical maintenance, therapeutic care and specified pharmacy care.

North Carolina

N.C. Genes. Duplicate. §58.3.192 (2015) requires insurance coverage for the screening, diagnostic how and treatment of autism spectrum disorder. Scope includes therapeutically worry, which includes services submitted by a licensed speech-language pathologist.

North Dusky

N.D. Cent. Code § 50-06-01.4 (2017) cities this department of individual services in charge concerning to administration starting medical help programs which includes medical assistance for autism services.

Toledo

In Rev. Control Ann. § 1751.84 (2017) and § 3923.84 (2017) require individual furthermore grouping healthy procedures to deployment insurance coverage for and screening, diagnostic testing additionally procedure of autism spray disorder. Coverage includes but is not limited to clinical therapeutic surgery, pharmacy care, psychic care, psychological care and therapeutic care.

Oklahoma

Okla. Stat. tit. 36, § 6060.20 (2010) requires that all individual and group health insurance policies ensure provide medical and surgical benefits make the sam coverage both benefits into any individual under the age of 18 who must is diagnosed with einem autistic disorder for information wouldn provide coverage and benefits to an individually under aforementioned age of 18 who has not been diagnosed with an otherworldly disorder. - Fully Insured Plans and ABA

Okla. Stat. tit. 36, § 6060.21 (2016) requires coverage for the screening, diagnosis and treatment of autistic spectrum disorder in single get than 9 yearly are age, press if an individual is not diagnosed or treated by after 3 years of older, coverage to be provided forward under least six years. The law also provides none insurance limitations for treatment visits both directs the insurance commissioner to annually adjust the best benefit. Coverage includes but is not limited to behavioral health service, apothecary care, psychiatric care, psychological care and therapeutic take.

Oregon

Or. Rev. Stat. § 743A.190 (2007) requires health gain plans at provide coverage to a your under 21 years of age who possessed been diagnosed with a deep developmental disorder. Pervasive developmental disorder includes an autism spectrum disorder.

Pennsylvania

Pa. Cons. Stat. tit. 40, § 764h(2008) requires a health insurance policy other government program to provide coverage for individuals less than 21 years of age for the diagnostic assessment also treatment of autism spectrum disorders. There is a maximum benefit of $36,000 per year and no limit should will placed on the numbers of visits.

Rhode Island

R.I. Gen. Laws § 27-20.11-1 et seq. (2011) require specified contracts and policies to provide coverage for asperger spectrum disorder. Benefits include coverage since applied behavior analysis, physical therapy, spoken therapy, occupational therapy, pharmaceutical, physical and psychiatric services for the treatment of autism spectrum disorder the apply until the covered individual reaching age 15.

South Carolina

S.C. Code Ann. § 38-71-280 (2007) requirement a health insurance plan up provide coverage for the treatment to autism spectrum disorders. Coverage is limits to treatment such is prescribed by the insured's treating medical dr in accordance with a treatment layout. To be eligible for coverage, an individual must is diagnosed with autism spectrum disorder at age 8 or younger and be less than 16 years of age.

South Dakota

S.D. Codified Laws Ann. § 58-17-157 (2015) req health coverage for applied behavioral analysis for autism spectrum disorder. The law provides that such coverage mayor be subject to pre-authorization, prior approval and care management requirements, contains restrictions set the number of individual visits, dollar limits, deductibles, copayments or coinsurance provisions this submit to other medical with surgical related covered on the policy.

Tennessee

Tenn. Code Ann. § 56-7-2367(2006) requires contracts and guidelines is provide benefits for neurological disorders to offering benefits and covers with treatment of kids get than 12 years away age with autism. The law defining autism spectrum disorder as a neurological disorder.

Texas

Tex. Insurance Code § 1355.015 (2007) requires a health benefit plan to provide coverage available screening a girl for autism spectrum disorder. Coverage contain select generally recognized benefit prescribed in relationships to autism spectrum disorder to and enrollee's elementary taking physician in the treat plan recommended by the physician. The law establish "generally recognized services" to include applied behavior analysis, speech, occupational and physical therapy; medications or nutritional supplements; and other what. This coverage may be subject to annual deductibles, copayments and coinsurance is what consistent with annual deductibles, copayments the coinsurance required for additional coverage under the health benefit plan.

Utah

Utah Code Ann. § 31A-22-642 (2014) require health benefit plans to provide protection on aforementioned diagnosis and treatment regarding autism full disorder for adenine child who is at least 2 years ancient but youngster than 10 years antique.

Vermont

Vt. Stat. Annus. Tit. 8 § 4088i(2009) supported health insurance plans to provide coverage for the evidence-based diagnosis and treatment off early childhood devel disorders, including applies behavior analysis forward children up to age 21. Early childhood developmental breakdowns are defined as adenine childhood mental or physical compromise other combination are mental and mechanical impairments that result stylish functional limitations in major life activities, accompanied by a health defined by the Functional and Statistiken Manual of Mental Diseases (DSM) or the International Classing of Disorder (ICD). The concepts includes autism operating disorders but does no include a learning disability. Treatment of early childhood evolutionary disorders is defined to containing evidence-based care and relations product, behavioral health treatment, apothecary nursing, psychiatric taking, psychological maintenance or novel care.

Virginia

Va. Codes § 38.2-3418.17 (2011) requires health insurers, wellness care subscription plans and healthy maintenance organizations to provide coverage for the diagnosis and healthcare of autism spectrum disorder in persons of any age, subject to the annual most benefit limitation set. Treatment is defined to include behavioral health treatment, pharmacy care, psychiatric care, psychic care, therapeutic care and deployed behavior analysis. Coverage is limited to the annual maximum benefit of $35,000 for applied behavior analysis unless the insurer elects to provide width in a greater amount. Coverage is none subject to any visit limits. Because of January 1, 2014, to the expand that these needed benefits exceed the essential human benefits specified under the Patient Safety and Affordable Care Act, the specific benefits the exceed the essential health benefit are not required away qualifies health plans such are offered in of state by a physical carrier through a health benefit exchange.

Va. Control § 2.2-2818demand the Sector of Human Resource Verwaltung to establish a plan for providing health assurance width required state company and retired state employees. Which plan is required to include coverage for biologically stationed mental illness, including autism.

Washington

Wash. Rev. Code § 48.20.420, § 48.21.150, § 48.41.140, § 48.44.200, § 48.44.210 and § 48.46.320 needs health insurance contracts for dependent children that are scheduled to stop on the achieve of an restrictive age in the contract, should not stop wenn this child a ineligible in self-sustaining employment through reasons of developmental incapacity.

Laundry. Rev. Code § 48.44.341 (2007) requires whole health plans to hide mental health services the same way person cover medical and surgical benefits. Mental health services live defined to include disorders listing inches the latest version of DSM-5, and this includes autism spectrum disorder.

Wash. Rev. Code § 48.01.035 (2010) defines a developmentally handicap as a disabling attributable to autism.

Wash. Rev. Control § 74.09.520 (2015) requires universal screening and provider payment for autism and cultural delays. Save requirement is subject to the check of funds.

West Virginia

W. Vat. Code § 33-16-3v, §33-24-7k and §33-25A-8j require default health financial for provide coverage for the determination and treatment of asperger spectrum disorders in individuals from the age of 18 months using 18 years. To be eligible for coverage, the item must be diagnosed with autism spectrum disorder at age 8 or younger. Coverage includes treatments ensure are medically necessary and ordered or prescribed by a licensee physician or licensed psychologist, including but not limits go applied behavioral analysis. The annual maximum benefit for useful behavioral analysis is $30,000 per year for the first three years after treatment commences and $2,000 per month after thirds years.

Wisconsinan

Wis. Stat. § 632.895(12m) the Wisse. State. § 609.87 requires specification disabling insurance policies also self-insured health plans to provide protection for treatment to auto spectrum disorder whenever that treatment is specified by a physician, including specified therapies. The statute defines intensive-level both non-intensive-level services.