Rhode Island 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 Rhode Island has a specific autism mandate.
The mandate requires every group health insurance contract, or every group hospital or medical expense insurance policy, plan, or group policy delivered, issued for delivery, or renewed in this state, by any health insurance carrier, on or after January 1, 2012, to provide coverage for autism spectrum disorders.
These provisions are not subject to the Small Employer Health Insurance Availability Act, or the Individual Health Insurance Coverage Act. Benefits include coverage for applied behavior analysis, physical therapy, speech therapy and occupational therapy services for the treatment of Autism spectrum
disorders. The benefits will continue until the covered individual reaches the age of fifteen.
For further information on insurance mandates for autism spectrum disorder, please visit this website:
R.I. Gen. Laws §20.11
Questions regarding state affairs
issues? Call ASHA at 800-498-2071 and ask for the State Affairs Team.