Written by Paul Smith Paul Smith

Published: 03 July 2017 03 July 2017

Requires each group disability policy, certificate of insurance, or membership contract that is delivered, issued for delivery, renewed, extended, or modified in this state must provide coverage for diagnosis and treatment of autism spectrum disorders for a covered child 18 years of age or younger. Treatment includes: habilitative or rehabilitative care that is prescribed, provided, or ordered by a licensed physician or licensed psychologist, including but not limited to professional, counseling, and guidance services and treatment programs that are medically necessary to develop and restore, to the maximum extent practicable, the functioning of the covered child; medications prescribed by a physician; psychiatric or psychological care; and therapeutic care that is provided by a speech-language pathologist, audiologist, occupational therapist, or physical therapist licensed in this state. Coverage for treatment of autism spectrum disorders under this section may be limited to a maximum benefit of:

• $50,000 a year for a child 8 years of age or younger; and
• $20,000 a year for a child 9 years of age through 18 years of age

Source: Mont. Code Ann. §33-22-515