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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

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