Autism Services. This plan covers the following services for the treatment of autism spectrum disorders. • Applied behavior analysis when provided and/or supervised by an individual licensed by the state in which the service is rendered. See the Summary of Medical Benefits for the amount that you pay. • Physical therapy, occupational therapy, and speech therapy services when rendered as part of the treatment of autism spectrum disorder. A benefit limit will not apply to these services. • Psychological and psychiatric services, and prescription drugs are also covered. See Behavioral Health Services and Prescription Drugs and Diabetic Equipment or Supplies for additional information. Coverage for autism spectrum disorders does not affect any obligation of a school district, a state or other governmental entity to provide services to an individual under an individualized family service plan, an individualized education program, or similar services required under state or federal law. Services related to autism that are furnished by school personnel are not covered under this plan.
Autism Services. Applied behavioral analysis Preauthorization may be required for services received from a non-network provider. 0% - After deductible 40% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital 0% - After deductible 40% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office 0% - After deductible 40% - After deductible
Autism Services. Applied behavioral analysis Notification of services may be required. 0% - After deductible Not Covered Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital 0% - After deductible Not Covered Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office 0% - After deductible Not Covered
Autism Services. This agreement provides coverage for the following services for the treatment of autism spectrum disorders as stated in the Summary of Medical Benefits and Summary of Pharmacy Benefits:
Autism Services. To meet the mission and objectives of grant funds awarded under this Contract, Grantee must meet the following requirements:
Autism Services. Applied behavioral analysis* 0% - After deductible 20% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital 0% - After deductible 20% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office 0% - After deductible 20% - After deductible
Autism Services. Applied behavioral analysis* 0% - After Deductible 20% - After Deductible
Autism Services. This plan covers the following services for the treatment of autism spectrum disorders in accordance with R.I. General Law § 27-20-11. • Applied behavior analysis when provided and/or supervised by an individual licensed by the state in which the service is rendered. See the Summary of Medical Benefits for the amount that you pay. • Physical therapy, occupational therapy, and speech therapy services when rendered as part of the treatment of autism spectrum disorder. A benefit limit will not apply to these services. • Psychological and psychiatric services, and prescription drugs are also covered. See Behavioral Health Services and Prescription Drug and Diabetic Equipment or Supplies in Section 3 for additional information. Coverage for autism spectrum disorders does not affect any obligation of a school district, a state or other governmental entity to provide services to an individual under an individualized family service plan, an individualized education program, or similar services required under state or federal law. Services related to autism that are furnished by school personnel are not covered under this plan.
Autism Services. Applied behavioral analysis Preauthorization may be required for services received from a non-network provider. $15 Not Covered Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital $15 Not Covered Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office $15 Not Covered
Autism Services. This plan covers the following services for the treatment of autism spectrum disorders in accordance with R.I. General Law § 27-20-11. • Applied behavior analysis when provided and/or supervised by an individual licensed by the state in which the service is rendered. See the Summary of Medical Benefits for the amount that you pay. • Physical therapy, occupational therapy, and speech therapy services when rendered as part of the treatment of autism spectrum disorder. A benefit limit will not apply to these services. • Psychological and psychiatric services, and prescription drugs are also covered. See Behavioral Health Services and Prescription Drug and Diabetic Equipment or Supplies for additional information. Coverage for autism spectrum disorders does not affect any obligation of a school district, a state or other governmental entity to provide services to an individual under an individualized family service plan, an individualized education program, or similar services required under state or federal law. Services related to autism that are furnished by school personnel are not covered under this plan. Behavioral health services include the evaluation, management, and treatment of a patient with a mental health or substance use disorder. For the purpose of this plan, substance use disorder does not include addiction to or abuse of tobacco and/or caffeine. Mental health or substance use disorders are those that are listed in the most updated volume of either: • the Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American Psychiatric Association; or • the International Classification of Disease Manual (ICD) published by the World Health Organization. This plan provides parity in benefits for behavioral healthcare services. Please see Section 10 for additional information regarding behavioral healthcare parity. We review behavioral health programs to determine whether the services provided are clinically appropriate in the setting in which they are rendered. The following behavioral health services are covered when medically necessary and when rendered by a provider licensed by the State of Rhode Island or by the state in which the provider is located. This plan provides parity in benefits for behavioral healthcare services. Please see Section 10 for additional information regarding behavioral healthcare parity. Inpatient This plan covers behavioral health services if you are inpatient at a general or specialty hospital. See I...
