Insurance Commissioner Dave Jones has issued an emergency regulation requiring health insurance companies to cover the therapy as “medically necessary treatment” for children with autism.
Most individual and family PPO plans don’t consider applied behavioral treatment (ABT) for autism to be similar to an office visit at a doctor’s office.
The PCIP would not let me navigate the bureaucracy on his behalf to resolve the billing issue. They insisted they could only talk to the policy holder.
SB946: This bill requires that all health plans and policies provide coverage for behavioral health treatment for pervasive developmental disorder, applied behavioral analysis (ABA) or autism.