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

The mandate requires all group health benefit plans that are delivered, issued for delivery, continued, or renewed on or after January 1, 2011, to provide coverage for the diagnosis and treatment of autism spectrum disorders to the extent that such diagnosis and treatment is not already covered by the health benefit plan.

Treatment for autism spectrum disorders, care prescribed or ordered for an individual diagnosed with an autism spectrum disorder by a licensed physician or licensed psychologist, include:

  • psychiatric care
  • psychological care
  • habilitative or rehabilitative care, including applied behavior analysis therapy
  • therapeutic care (including services provided by licensed speech therapists, occupational therapists, or physical therapists)
  • pharmacy care.

Resources

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

Mo. Rev. Stat. §376.1224

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

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