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CA SB1034
Bill
AI Summary
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Extends autism behavioral health treatment coverage requirements for health care service plans and health insurers through January 1, 2022 (previously set to expire January 1, 2017).
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Modifies "qualified autism service professional" definition to allow clinical management and case supervision under direction of a qualified autism service provider, and permits supervision by qualified service professionals in addition to providers.
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Changes utilization review requirement from annually (no less than every 6 months) to no more than every 6 months unless a treatment plan is modified by a qualified autism service provider.
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Makes all behavioral health treatment coverage dependent on medical necessity, subject to utilization review, and requires compliance with federal mental health parity requirements; prohibits denials based on treatment setting, location, or time or lack of parent/caregiver participation alone.
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Clarifies that Medi-Cal behavioral health treatment for autism must comply with approved Medicaid state plan; allows department to provide health insurance enrollment assistance through March 31, 2017 for individuals transitioning from waiver programs.
Legislative Description
Health care coverage: autism.
Last Action
From Assembly without further action.
11/30/2016