Louisiana 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 Louisiana has a specific autism mandate, which requires any health coverage plan to provide coverage for the diagnosis and treatment of autism spectrum disorders in individuals less than 21 years of age. 

Treatment includes: 

  • habilitative or rehabilitative care
  • pharmacy care
  • psychiatric care
  • psychological care
  • therapeutic care (including services provided by licensed or certified speech therapists, occupational therapists, or physical therapists licensed or certified in this state)

Provided the care prescribed, provided, or ordered for an individual diagnosed with one of the autism spectrum disorders by a physician or psychologist who shall be licensed in this state and who shall supervise provision of such care. 

Coverage shall be subject to a maximum benefit of $36,000 per year and a lifetime maximum benefit of $144,000. There shall not be any limits on the number of visits an individual may make to an autism services provider.

Resources

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

La. Rev. Stat. Ann. §22-1050

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

ASHA Corporate Partners