Posted on October 28, 2022
In the June 2022 Provider Update, we informed our network of some changes to the language within the Commercial Fully Funded Explanation of Coverage (EOC) documents as it relates to what is not covered with Autism Spectrum Disorder. However, without the full description from the EOC, the update may have caused some questions and concerns. […]
Posted on May 28, 2022
Effective July 1, 2022, for our Commercial Members,* Health New England will not cover services related to Autism Spectrum Disorder (ASD) provided under an individualized education program, whether provided by school personnel or by third-party contractor or vendors at the direction of the school personnel. *May be applicable to some Self-Funded plans. Please refer to […]
Posted on November 23, 2015
Effective October 1, 2015, HNE began covering Applied Behavioral Analysis (ABA) services through Early Periodic Screening, Diagnosis and Treatment (EPSDT) for children and youth with a diagnosis of Autism Spectrum Disorder (ASD) in the following categories: under the age of 21 years, those enrolled in MassHealth Standard or CommonHealth, and under the age of 19 […]