On March 29th, the Michigan House of Representatives successfully passed Senate Bills 414, 415 and 981 that imposes a new coverage mandate, requiring non-profit health care corporations, expense-incurred insurers and health maintenance organizations to cover the diagnosis and treatment of autism spectrum disorders.
Certificates and cost for these riders is not yet available, but we expect those details in the near future. We will continue to keep you updated as additional information on compliance with this law is released from the insurance carriers.
- Senate Bills 414 and 415 are essentially the same, requiring insurers to cover the diagnosis and treatment.
- Senate Bill 981 creates an autism coverage reimbursement program through which carriers and third party administrators can apply for reimbursement for claims paid for services requires in Bill 414 and 415.
- The law requiring insurance companies to cover services for children with autism applies to policies, certificates, and contracts delivered, executed, issued, amended or renewed on or after October 15, 2012.
- Coverage subject to max annual benefits:
- $50,000 through 6 years old
- $40,000 through 7-12 years old
- $30,000 through 13-18 years old
- Coverage required by law:
- Behavioral Health Treatment (i.e., evidence-based counseling and treatment programs, including Applied Behavior Analysis)
- Pharmacy Care
- Psychiatric Care
- Psychological Care
- Therapeutic Care (i.e., evidence-based services provided by a licensed or certified speech therapist, occupational therapist, physical therapist, or social worker)
- Find out more about this bill here.
___________________________________________________________________________________________
All content provided on this blog is for informational purposes only. The owner of this blog makes no representations as to the accuracy or completeness of any information on this site or found by following any link on this site. The owner of this blog does not endorse any of the information in this blog and it does not reflect the opinions of Austin Financial Group. The owner will not be liable for any errors or omissions in this information nor for the availability of this information. The owner will not be liable for any losses, injuries, or damages from the display or use of this information.
