Arkansas State-Regulated Insurance Coverage

Arkansas requires meaningful coverage for autism under state-regulated plans.

Arkansas’ autism insurance bill, HB 1315, was enacted in 2011. The law became effective on October 1, 2011.

To which plan does the STATE autism insurance law apply?

  • Individual Grandfathered Plans - NO
  • Individual Non-Grandfathered Plans - YES
  • Fully Insured Large Group Plans - YES
  • Fully Insured Small Group Plans - YES

What services are covered by the law?

  • Diagnosis
  • Applied Behavior Analysis
  • Pharmacy Care
  • Psychiatric Care
  • Psychological Care
  • Therapeutic Care (Speech therapy, occupational therapy and physical therapy)
  • Equipment determined necessary to provide evidence-based treatment
  • Any medically necessary and evidence-based care (as determined by a licensed physician)

Does Arkansas have caps on ABA coverage?  

Yes. Coverage for ABA is limited to individuals with autism under 18 years of age and is subject to a $50,000 annual cap.

The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) is a federal law that generally prevents group health plans and health insurance issuers that provide mental health or substance use disorder (MH/SUD) benefits from imposing less favorable benefit limitations on those benefits than on medical/surgical benefits.  This includes quantitative treatment limits like age and dollar caps.  Learn more here.

Where can I find more details about the Arkansas autism insurance law?

 A copy of HB 1315 as enrolled can be found here.

If you have additional questions, please email advocacy@autismspeaks.org.

 

Last Updated: December 2019

We're Here to Help Chat with Us
Autism Response Team Chat
There are no available agents at the moment.

You can also reach the Autism Response Team by phone or email: 888-288-4762, en Espanol 888-772-7050, or help@autismspeaks.org.