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North Carolina 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 North Carolina has a specific autism mandate.

The mandate requires health benefit plans to provide coverage for the screening, diagnosis, and treatment of autism spectrum disorder. Coverage includes therapeutic care, which includes services provided by a licensed speech-language pathologist.

Resources

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

N.C. Gen. Stat. §58-3-192, as added by SB 676 (2015) [PDF]

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

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