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Insurance Autism Coverage Approved

April 27, 2017 11:00 am by: Category: 2017 Session Information, Featured, Health Care, Recent News Leave a comment A+ / A-

There are limited resources for coverage of autism services for minors provided by the State of Iowa. The Autism Support Program provides payments for applied behavioral analysis treatment for autism spectrum disorder. However, the Program has strict age, income, duration, and maximum amount of coverage limitations.

After years of work, the Iowa Legislature finally approved legislation requiring any state regulated insurance plans for large employers, which employ more than 50 employees, and non-state public employers to cover applied behavioral analysis treatment for autism services. However, the new law does not apply to individual health insurance plans, or small employer group plans.

The coverage does have limitations based upon the age of the child, but there are no income limitations like the current Autism Support Program. Periodically, a child may have their treatment plan reviewed to ensure they are receiving the appropriate services.

The new coverage requirement will take effect January 1, 2018.
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