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

The mandate requires the essential health benefits benchmark plan to include habilitative services, including applied behavioral analysis for the treatment of autism spectrum disorder.

Resources

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

D.C. Code Ann. §31-3171.01 [PDF] (as amended by Act 20-336 [2013])

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

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