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

The mandate requires each group health insurance policy to provide coverage for the diagnosis and treatment of autism spectrum disorders. Treatments include: behavioral therapy; prescription drugs; direct psychiatric or consultative services provided by a licensed psychiatrist; direct psychological or consultative services provided by a licensed psychologist; physical therapy provided by a licensed physical therapist; speech and language pathology services provided by a licensed speech and language pathologist; and occupational therapy provided by a licensed occupational therapist, provided such treatments are (1) medically necessary, and (2) identified and ordered by a licensed physician, licensed psychologist or licensed clinical social worker for an insured who is diagnosed with an autism spectrum disorder.

Resources

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

Conn. Gen. Stat. §38a-514b (as amended by S.B. 301 (2009)

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

ASHA Corporate Partners