Autism Insurance Mandate

Autism Insurance Mandate - as of July 1, 2012, Senate Bill 946 became effective, requiring private health insurance companies to include behavioral intervention treatment, including Applied Behavioral Analysis (ABA), for persons with autism or pervasive developmental disorder.

What does SB 946 require of TCRC and People with Health Insurance? This flow chart shows the path to getting ABA services and determining how reimbursements are decided.

Use this guide and sample questions to learn about your benefits. Using Insurance Coverage for Health Services (new Fill-In Form)Click here for Fill-In Form in Word).

Click here for the new income levels and steps families need to take to receive TCRC assistance with co-pays, co-insurance and deductibles. 

Click here for the revised Behavior Intervention Services policy. It covers co-pays and deductibles affected by SB 946.