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Colorado Insurance Requirements for Autism Spectrum Disorder

The information below is collected from state statutes and regulations. The information is reviewed on an annual basis. Please be advised that laws, regulations, and policies may change at any time, so always check with your state for the most up-to-date information.

Note: Certain insurance plans are exempt from state mandates. Please contact your plan administrator to see if your plan includes state mandated autism spectrum disorder benefits.

Specific Insurance Mandate

The state of Colorado has a specific autism mandate, which requires certain insurers to provide coverage for autism spectrum disorder. 

The mandate requires all health benefit plans issued or renewed after July 1, 2010 to provide coverage for the assessment, diagnosis, and treatment of autism spectrum disorders for a child. Treatments include: evaluation and assessment services; Behavior training and behavior management and applied behavior analysis; habilitative or rehabilitative care, including, but not limited to, occupational therapy, physical therapy, or speech therapy, or any combination of those therapies; pharmacy care and medication; psychiatric care; psychological care; and therapeutic care, including, but is not limited to, speech, occupational, and applied behavior analytic and physical therapies.

Resources

For further information on insurance mandates for autism spectrum disorder, please visit this website: 

Colo. Rev. Stat. §10-16-104

Questions regarding state affairs issues? Call ASHA at 800-498-2071 and ask for the State Affairs Team.

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