Oklahoma Insurance Requirements for Autism
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 Oklahoma has a specific autism mandate.
The mandate requires all plans issued or renewed on or after November 1, 2016, a health benefit plan and the Oklahoma Employees Health Insurance Plan to provide coverage for the screening, diagnosis and treatment of autism spectrum disorder in individuals less than nine (9) years of age, or if an individual is
not diagnosed or treated until after three (3) years of age, coverage shall be provided for at least six (6) years, provided that the individual continually and consistently shows sufficient progress and improvement as determined by the health care provider. Treatment covers "therapeutic care" provided by
licensed or certified speech therapists, occupational therapists or physical therapists.
For further information on insurance mandates for autism spectrum disorder, please visit this website:
Okla. Stat. tit. 36 §6060.21 [PDF]
Questions regarding state affairs
issues? Call ASHA at 800-498-2071 and ask for the State Affairs Team.