Benefit Limits on Coverage for Autism Spectrum Disorders; Issued 4/25/11

[LOGO] COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation DIVISION OF INSURANCE 1000 Washington Street, Suite 810 • Boston, MA 02118-6200 (617) 521-7794 • FAX (617) 521-7758 http://www.mass.gov/doi DEVAL L. PATRICK GOVERNOR TIMOTHY P. MURRAY LIEUTENANT GOVERNOR GREGORY BIALECKI SECRETARY OF HOUSING AND ECONOMIC DEVELOPMENT BARBARA ANTHONY UNDERSECRETARY OF CONSUMER AFFAIRS AND BUSINESS REGULATION JOSEPH G. MURPHY COMMISSIONER OF INSURANCE ### BULLETIN 2011-08 TO: Commercial Health Insurers, Blue Cross and Blue Shield of Massachusetts, Inc. and Health Maintenance Organizations Offering or Renewing Insured Health Products in the Merged Market in Massachusetts FROM: Joseph G. Murphy, Commissioner of Insurance DATE: April 25, 2011 RE: Benefit Limits on Coverage for Autism Spectrum Disorders The Division of Insurance issues this Bulletin regarding mandated coverage for the treatment of Autism Spectrum Disorders ("ASD") pursuant to Chapter 207 of the Acts of 2010, which applies to fully insured health benefit plans issued or renewed by health insurance carriers on and after January 1, 2011. Health insurance carriers may not limit coverage for the diagnosis and treatment of ASD to a fixed number of visits or days or require that visits be completed within a fixed number of days. If you have any questions regarding this Bulletin, please call Nancy Schwartz, Director of the Bureau of Managed Care at the Division of Insurance at (617) 521-7347.