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Florida 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 Florida has a specific autism mandate, which requires certain insurers to provide coverage for autism spectrum disorder. 

The mandate requires health insurance plans to provide coverage to an eligible individual for:

  1. Well-baby and well-child screening for diagnosing the presence of autism spectrum disorder.
  2. Treatment of autism spectrum disorder through speech therapy, occupational therapy, physical therapy, and applied behavior analysis.

Coverage for the services shall be limited to $36,000 annually and may not exceed $200,000 in total lifetime benefits for an individual under 18 years of age or an individual 18 years of age or older who is in high school who has been diagnosed as having a developmental disability at 8 years of age or younger.

Resources

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

Fla. Stat. Ann. §627.6686

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

ASHA Corporate Partners