Insurance

Private Insurance

On July 1st, 2009 Steven’s Law went into effect which requires many private insurers to begin covering the costs of diagnostic assessments for autism and services for individuals with autism who are under the age of 16. Insurance providers can limit the coverage for behavioral therapy in the following manner:

  • Benefits up to $50,000 per year for a child under 9
  • Benefits up to $25,000 per year for a child ages 9-15

For a step by step guide for how to determine if your child is eligible please visit the Arizona Autism Coalition’s website.

Public Insurance

Arizona Health Care Cost Containment System (AHCCCS)

The Arizona Health Care Cost Containment System (written as AHCCCS and pronounced ‘access’) is Arizona’s Medicaid program. AHCCCS oversees contracted health plans in the delivery of health care to individuals and families who qualify for Medicaid and other medical assistance programs. Many children with an autism spectrum disorder are also eligible for the Arizona Long Term Care (ALTCS) system.

The website below can help you navigate the AHCCCS application process. http://www.azahcccs.gov/applicants/contacts.aspx#AHCCCS_Health_Insurance

The website below can help you navigate the ALTCS application process.

http://www.azahcccs.gov/applicants/application/ALTCS.aspx

If this does not answer your question, please see the documents below. They may also be of particular relevance in other circumstances.

Health Care Appeals Process in AZ

How Private Health Coverage Works-Primer 2008

How to make your insurance work for you–AZ Center for Disability Law

How to get the services you need when AHCCCS tells you no

Managing Dual Insurance Coverage