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Analyzing State Autism Private Insurance Mandates for Allied Health Services

Title: Analyzing State Autism Private Insurance Mandates for Allied Health Services: A Pilot Study.
Name(s): Douglas, Megan D, author
Benevides, Teal W, author
Carretta, Henry, author
Type of Resource: text
Genre: Journal Article
Date Issued: 2017-10-01
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: Due to the prevalence, severity, and costs associated with autism spectrum disorders (ASDs), it has become a public health issue. In response, state governments have adopted ASD-specific private insurance mandates requiring coverage of ASD screening, diagnosis, and treatment. Despite rapid uptake of these laws, differences exist in the type and levels of coverage, especially for allied health services including occupational therapy. We piloted a structured legal research methodology to code ASD insurance mandates that impact allied health service provisions. State private insurance mandates were obtained from WestlawNext. A coding methodology was piloted on 14 states and included variables for age and service limits, treatments covered, and medical necessity. Coding methods were feasible and highly reliable among raters. Ten of 12 states had a coverage mandate, many with specific provisions for allied health providers. A full analysis of all 50 states is warranted to identify provisions affecting allied health providers serving individuals with ASD.
Identifier: FSU_pmch_28874097 (IID), 10.1177/1539449217730355 (DOI), PMC5772933 (PMCID), 28874097 (RID), 28874097 (EID)
Keywords: Access, Autism, Insurance, Occupational therapy, Policy
Grant Number: U54 MD008173
Publication Note: This NIH-funded author manuscript originally appeared in PubMed Central at
Subject(s): Adolescent
Allied Health Occupations
Allied Health Personnel
Autism Spectrum Disorder/economics
Autism Spectrum Disorder/therapy
Autistic Disorder/economics
Autistic Disorder/therapy
Child Development Disorders, Pervasive
Clinical Coding
Health Services/economics
Health Services Accessibility/economics
Insurance Coverage/legislation & jurisprudence
Insurance, Health/legislation & jurisprudence
Mandatory Programs
Pilot Projects
State Government
United States
Young Adult
Persistent Link to This Record:
Host Institution: FSU
Is Part Of: OTJR : occupation, participation and health.
Issue: iss. 4, vol. 37

Choose the citation style.
Douglas, M. D., Benevides, T. W., & Carretta, H. (2017). Analyzing State Autism Private Insurance Mandates for Allied Health Services: A Pilot Study. Otjr : Occupation, Participation And Health. Retrieved from