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What’s Covered?
What is covered under insurance?
- It applies to Autism PDD, NOS, and Asperger Syndrome
- No age limit
- Autism does not need to be primary diagnosis
Who does not have to fund?
- Medi-cal
- Private insurance without mental health coverage
- Employers that are “Self-Insured”
Intervention must include:
- Must be evidence-based, measurable goals, individual and reviewed at least every 6 months.
- Service type
- Number of hours
- Parent participation
- Frequency of evaluations and reporting Denials
If you need additional assistance due to delays or denials from your insurance contact:
HMO
Department of Managed Health Care California Help Center
980 – 9th Street, Suite 500
Sacramento, CA
1-888-466-2219
www.dmhc.ca.gov
PPO
California Department of Insurance Consumer Communication Bureau
300 South Spring Street, South Tower
Los Angeles, CA 90013
1-800-927-HELP (4357)
www.insurance.ca.gov