June 30, 2015
On June 17, 2015, Insurance and Safety Fire Commissioner Hudgens issued Bulletin 15-EX-2 related to the new autism spectrum disorder coverage requirement under HB 429, as previously reported in the May 19, 2015 edition of Compliance Corner. In the Bulletin, Commissioner Hudgens clarifies that insurers may impose a cap of $30,000 on claims paid for applied behavior analysis for the purpose of treating a person with autism spectrum disorder. This cap only applies to applied behavior analysis and does not apply to other treatments which may be required by HB 429 (such as therapy services or counseling).
The autism spectrum disorder requirements are effective for fully insured plans issued or renewed on or after July 1, 2015.
Bulletin 15-EX-2 »