Common use of Autism Services Clause in Contracts

Autism Services. This agreement provides coverage for the following services for the treatment of autism spectrum disorders as stated in the Summary of Medical Benefits and Summary of Pharmacy Benefits: a. a licensed applied behavior analyst; or b. a licensed applied behavior assistant analyst under the supervision of a licensed applied behavior analyst; or c. a psychologist with equivalent experience as an applied behavior analyst or a psychologist practicing within their scope of practice. Preauthorization is recommended for applied behavior analysis. See the Summary of Medical Benefits and Summary of Pharmacy Benefits for the amount that you pay.  Physical therapy, occupational therapy, speech therapy, psychological and psychiatric services, and prescription drugs. When physical therapy, occupational therapy and speech therapy services are rendered as part of the treatment of autism spectrum disorder, a benefit limit will not apply to these services and preauthorization is not required. For services not rendered as part of the treatment of autism spectrum disorder, please refer to the relevant sections of this agreement for any benefit limits or preauthorization recommendations. We may require submission of medical records or a treatment plan, including the frequency and duration of treatment.

Autism Services. This agreement provides coverage for the following services for the treatment of autism spectrum disorders as stated in the Summary of Medical Benefits and Summary of Pharmacy Benefits: a. a licensed applied behavior analyst; or b. a licensed applied behavior assistant analyst under the supervision of a licensed applied behavior analyst; or c. a psychologist with equivalent experience as an applied behavior analyst or a psychologist practicing within their scope of practice. Preauthorization is recommended for applied behavior analysis. See the Summary of Medical Benefits and Summary of Pharmacy Benefits for the amount that you pay.  • Physical therapy, occupational therapy, speech therapy, psychological and psychiatric services, and prescription drugs. When physical therapy, occupational therapy and speech therapy services are rendered as part of the treatment of autism spectrum disorder, a benefit limit will not apply to these services and preauthorization is not required. For services not rendered as part of the treatment of autism spectrum disorder, please refer to the relevant sections of this agreement for any benefit limits or preauthorization recommendations. We may require submission of medical records or a treatment plan, including the frequency and duration of treatment.