Autism Services. This plan covers the following services for the treatment of autism spectrum disorders. • Applied behavior analysis when provided and/or supervised by an individual licensed by the state in which the service is rendered. See the Summary of Medical Benefits for the amount that you pay. • Physical therapy, occupational therapy, and speech therapy services when rendered as part of the treatment of autism spectrum disorder. A benefit limit will not apply to these services. • Psychological and psychiatric services, and prescription drugs are also covered. See Behavioral Health Services and Prescription Drugs and Diabetic Equipment or Supplies for additional information. Coverage for autism spectrum disorders does not affect any obligation of a school district, a state or other governmental entity to provide services to an individual under an individualized family service plan, an individualized education program, or similar services required under state or federal law. Services related to autism that are furnished by school personnel are not covered under this plan.
Autism Services. Applied behavioral analysis Preauthorization may be required for services received from a non-network provider. 0% - After deductible 40% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital 0% - After deductible 40% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office 0% - After deductible 40% - After deductible
Autism Services. Applied behavioral analysis Notification of services may be required. 0% - After deductible Not Covered Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital 0% - After deductible Not Covered Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office 0% - After deductible Not Covered
Autism Services. Applied behavioral analysis* 0% - After deductible 20% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital 0% - After deductible 20% - After deductible Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office 0% - After deductible 20% - After deductible
Autism Services. To meet the mission and objectives of grant funds awarded under this Contract, Grantee must meet the following requirements:
3.1 Grantee will provide Focused Autism services to eligible clients in HHSC approved counties in accordance with applicable laws, rules, policies, and the Policy Manual. Autism services may include, but are not limited to, screening and eligibility determination, Applied Behavior Analysis services, autism case management and appropriate referrals, as necessary.
3.2 Grantee will provide services meeting the service parameters described in accordance with the Program rules and the requirements established in the Program Policy Manual.
3.3 Grantee will maintain documentation of all services provided in accordance with the Program rules and the requirements established in the Program Policy Manual.
3.4 Grantee will administer treatment protocols in accordance with the Program rules and the requirements established in the Program Policy Manual.
3.5 Grantee will must be maintained client and family participation requirements in accordance with the Program rules and the requirements established in the Program Policy Manual.
3.6 Grantee will assist HHSC in performing a client satisfaction survey in accordance with the requirements established in the Program Policy Manual.
3.7 Grantee will not provide services to children in institutional placements.
3.8 Grantee will comply with Texas Family Code §261.101, which requires reporting of all suspected cases of child abuse to local law enforcement authorities and to the Texas Department of Family and Protective Services. Grantee will ensure that all program personnel and sub-contractors are properly trained and adhere to this Contract requirement and compliance with Texas Family Code §261.101.
3.9 Grantee will cooperate fully with HHSC investigations of any complaint received from families or other parties regarding Xxxxxxx’s Autism services, and when applicable as determined by HHSC and any other entity on behalf of HHSC, develop a corrective action plan to address identified issues in accordance with Program Policy Manual.
3.10 Grantee shall maintain an emergency evacuation plan that complies with all applicable local, state, and federal laws, rules and regulations governing provision of services under this Contract.
Autism Services. This plan covers the following services for the treatment of autism spectrum disorders in accordance with R.I. General Law § 27-20-11. Applied behavior analysis when provided and/or supervised by an individual licensed by the state in which the service is rendered. See the Summary of Medical Benefits for the amount that you pay. Physical therapy, occupational therapy, and speech therapy services when rendered as part of the treatment of autism spectrum disorder. A benefit limit will not apply to these services. Psychological and psychiatric services, and prescription drugs are also covered. See Behavioral Health Services and Prescription Drug and Diabetic Equipment or Supplies in Section 3 for additional information. Coverage for autism spectrum disorders does not affect any obligation of a school district, a state or other governmental entity to provide services to an individual under an individualized family service plan, an individualized education program, or similar services required under state or federal law. Services related to autism that are furnished by school personnel are not covered under this plan.
Autism Services. Applied behavioral analysis* 0% - After Deductible 20% - After Deductible
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:
1. Applied behavior analysis when: • provided and/or supervised by an individual licensed by the state in which the service is rendered including:
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.
2. 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. Applied behavioral analysis Preauthorization may be required for services received from a non-network provider. $15 Not Covered Physical/Occupational/Speech Therapy Services - Autism Diagnosis - Outpatient Hospital $15 Not Covered Physical/Occupational/Speech Therapy Services - Autism Diagnosis - In a provider's office $15 Not Covered
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.
