A Summary of the Texas State Mandate
•Texas Autism Insurance Reform Law:
•In 2007 HB1919 was passed which requires insurance companies to cover medically
necessary interventions for children with autism between 3-5 years old.
On January 1, 2010, HB 451 went into effect which expanded the age cap to
10 years old or less. In addition, HB 451 provides unlimited
coverage from time the learner is diagnosed until his or hers 10th birthday.
•More recently SB 1484 was passed into law which extends benefits for learners after
they turn 10, which includes $36,000 per year for ABA services. SB 1484 goes
into effect in September 2013. The unlimited coverage specified for
children under the age of 10 remains the same.
We are currently in-network with:
Cigna -ABA in network
Humana/LifeSync- ABA in network PPO
Blue Cross Blue Shield Texas - ABA in network
Aetna- ABA in network
We are currently pursuing in-network credentialing with:
United Health Care/United Behavioral Health/Optum-ABA
*ABA services are not currently covered by Medicaid.
Services that are covered by Medicaid are:
Speech Therapy, Occupational Therapy and Physical Therapy
•If you are interested in submitting insurance claims to help cover ABA services at LC
please complete the Insurance Coverage Form upon enrollment into our