Maine 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 Maine has a specific autism mandate, which requires all individual and group health insurance policies and contracts must provide coverage for autism spectrum disorders for an individual covered under a policy or contract who is 5 years of age or under in accordance with the following.
- habilitative or rehabilitative services, including applied behavior analysis or other professional or counseling services
- counseling services provided by a licensed psychiatrist, psychologist, clinical professional counselor or clinical social worker
- therapy services provided by a licensed or certified speech therapist, occupational therapist or physical therapist.
For further information on insurance mandates for autism spectrum disorder, please visit these websites:
Questions regarding state affairs issues? Call ASHA at 800-498-2071 and ask for the State Affairs Team.