The Alaska Division of Insurance issued a bulletin(pdf | Get Adobe® Reader®) to plans about the section of the state insurance law about autism coverage. It clarified that plans cannot deny payment for services provided by a professional who is not licensed in Alaska if that professional is “licensed, certified, or registered by…a nationally recognized certifying organization.” The bulletin lists the Behavior Analyst Certification Board as an example of that type of organization.
The Alaska Division of Insurance updated its Affordable Care Act compliance form. On page 6(pdf | Get Adobe® Reader®) it explains that because the section of the state insurance law about autism coverage requires medically necessary pharmacy care, psychiatric care, psychological care, habilitative or rehabilitative care, and therapeutic care, autism coverage counts as an essential health benefit. It also reminds plans that there cannot be any visit limits for outpatient care for autism coverage (the section of the state insurance law about autism coverage is summarized at the bottom of this page under “Alaska Parity Law,” “Autism Coverage”).
Alaska Parity Law
There are several sections of the state insurance law relevant to parity. There are two sections about behavioral health coverage, a very brief section about mental health coverage, and a section about autism coverage.
Financial requirements for autism services must be the same as those in place for other medical services.
Plans cannot have any limits for outpatient visits.
Autism spectrum disorder is defined as “pervasive developmental disorders, or a group of conditions having substantially the same characteristics as pervasive developmental disorders, as defined in the DSM-IV-TR, as amended or reissued from time to time.”
Treatment for autism is listed as (these are all defined in the law):
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