Written by Paul Smith Paul Smith

Published: 03 July 2017 03 July 2017

Health Insurance Plans issued or renewed after January 1, 2012, must include coverage for the diagnosis, evaluation and treatment of an autism spectrum disorder in individuals aged eighteen months to eighteen years. The individual must be diagnosed with autism spectrum disorder at age 8 or younger. Treatment shall be determined to be medically necessary by a licensed physician or licensed psychologist.

Note: Speech language services are not clearly addressed. However, applied behavioral analysis is specifically included and so are the coverage limitations.

Source: W.Va. Code § 5-16B-6e, 33-16-3v, 33-24-7k, 33-25A-8j (as created by HB 2693 [2011])