Primary Focus: Mandated Benefit; Provider Title/Description: Coverage of Autism Spectrum Disorders Citation:Okla. Stat. 36 § 6060.21 Summary: A health benefit plan and the Oklahoma Employees Health Insurance Plan must provide coverage for the screening, diagnosis and treatment of autism spectrum disorder in individuals less than nine (9) years of age, or if an individual is not diagnosed or treated until after three (3) years of age, coverage shall be provided for at least six (6) years, provided that the individual continually and consistently shows sufficient progress and improvement as determined by the health care provider. Additionally, no insurer can terminate coverage, or refuse to deliver, execute, issue, amend, adjust or renew coverage to an individual solely because the individual is diagnosed with or has received treatment for an autism spectrum disorder. Effective Date: November 1, 2016 Notes: Enacted by OK. HB 2962.
Primary Focus: Mandated Benefit; Provider & Parity Title/Description: Insurance Plans to Include Treatment of Severe Mental Illness Citation:Okla. Stat. 36 § 6060.11 Summary: Any health benefit plan that is offered, issued, or renewed on or after the effective date of this act shall provide benefits for treatment of severe mental illness. Treatment limitations applicable to mental health or substance abuse disorder benefits shall be no more restrictive than the predominant treatment limitations applied to substantially all medical and surgical benefits covered by the plan. There shall be no separate treatment limitations that are applicable only with respect to mental health or substance abuse disorder benefits. Effective Date: May 10, 2010 Notes: Amended by OK. SB 2054.
Oklahoma Parity Law
There are several sections of the state insurance law about parity.This section contains relevant definitions for the subsequent sections.
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