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Oregon 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 Oregon has a specific autism mandate.

The mandate requires health benefit plans to cover for a child enrolled in the plan who is under 18 years of age and who has been diagnosed with a pervasive developmental disorder (including autism) all medical services, including rehabilitation services, that are medically necessary and are otherwise covered under the plan. Rehabilitation services is defined as physical therapy, occupational therapy or speech therapy services to restore or improve function.

Resources

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

Or. Rev. Stat. §743A.190

Note: 743A.190 was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 743A or any series therein.

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

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