Definition


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Legislation Signed into Law

2017-2018

Primary Focus Mandated Benefit: Provider
Title/Description Health Insurance Coverage for Autism Spectrum Disorders
Citation Ohio Rev. Code Ann. § 3923.84
Summary

Individual and group sickness and accident insurance policies shall provide coverage for the screening, diagnosis, and treatment of autism spectrum disorder. Benefits include:

(1) For speech and language therapy or occupational therapy for an insured under the age of fourteen;
(2) For clinical therapeutic intervention for an insured under the age of fourteen; and
(3) For mental or behavioral health outpatient services for an insured under the age of fourteen.

Ohio Rev. Code Ann. § 3923.84 states that such benefits may be limited to those that are preauthorized and ordered by a developmental pediatrician or a psychologist trained in autism.

Effective Date 4/6/2017
Notes

Enacted through HB 463 (131st General Assembly)

Primary Focus Mandated Benefit: Provider
Title/Description Health Insurance Coverage for Autism Spectrum Disorders
Citation Ohio Rev. Code Ann. § 1751.84
Summary

Individual and group health insuring corporation policy, contract, or agreement providing basic health care services shall provide coverage for the screening, diagnosis, and treatment of autism spectrum disorder. Benefits include:

(1) For speech and language therapy or occupational therapy for an insured under the age of fourteen;
(2) For clinical therapeutic intervention for an insured under the age of fourteen; and
(3) For mental or behavioral health outpatient services for an insured under the age of fourteen.

Ohio Rev. Code Ann. § 1751.84 states that such benefits may be limited to those that are preauthorized and ordered by a developmental pediatrician or a psychologist trained in autism.

Effective Date 4/6/2017
Notes

Enacted through HB 463 (131st General Assembly)

2015-2016

Primary Focus Mandated Benefit: Provider
Title/Description Home Visits and Cognitive Behavioral Therapy
Citation Ohio Rev. Code Ann. § 5167.16
Summary

A Medicaid managed care organization shall provide cognitive behavioral therapy, provided by a community mental health services provider, to a Medicaid recipient who meets certain qualifications. Medicaid recipients who qualify may receive other related services, as well.
Ohio Rev. Code Ann. § 5167.16 continues on to discuss the qualification requirements.

Effective Date 9/29/2015
Notes

Enacted through HB 64 (131st General Assembly)

2013-2014

HB 232
Introduced 7/2013
Sponsor Reps. Sears and Milkovich
Status Signed into Law 4/2014
Summary

Among many other things, this bill changed the sections of the state insurance law about parity so that nurse practitioners and marriage and family therapists are accepted providers for reimbursement of behavioral health services.

2011-2012

HB 153
Introduced 3/2011
Sponsor Rep. Amstutz
Status Signed into Law 6/2011
Summary Among many other things, this bill prohibits the use of prior authorization for antidepressants and antipsychotics by Medicaid.

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