Autism Spectrum Disorders (ASD)

Covers diagnostic testing, evaluations (audiology, SLP, PT/OT), therapies, and equipment intended to improve quality of life for children clinically or genetically diagnosed with autism spectrum disorder or any condition with low‑tone neuromuscular, neurological, or cognitive impairment, and lists developmental red flags (e.g., no babbling by 12 months, no single words by 16 months, loss of skills) and indicated genetic/metabolic testing. Coverage applies only in Illinois under Public Act 103‑0458 for fully insured group/individual plans amended/issued/renewed on or after 2025‑01‑01, is governed by each member’s benefit plan (therapies generally limited to documented comorbid impairments), and the policy is inactive for current claims adjudication.

"Illinois-only (per 215 ILCS 5/356z."

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