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In Pennsylvania, your child’s autism-related services may be covered by private health insurance, Medical Assistance (MA) or the Children’s Health Insurance Program (CHIP) under Pennsylvania’s Autism Insurance Act (ACT 62). ACT 62 is a statewide insurance mandate specific to services provided to children and adolescents with Autism Spectrum Disorder (ASD).
The Department of Human Services (DHS), Pennsylvania Insurance Department (PID), and Department of State (DOS) are working together to fully implement Act 62. A number of new resources have been developed to provide guidance to families about ACT 62. Visit https://www.dhs.pa.gov/providers/Providers/Pages/PA-Autism-Insurance-Act.aspx for Act 62 information including fact sheets, answers to Frequently Asked Questions, updated guidance on how to appeal if your insurance company denies a claim, and contact information for DHS and the PID.
Please see the attached letter from DHS and PID as well as an infographic with guidance for families for more information.
Act 62 Gen Information For Families Infographic.pdf
DHS Insurance Act 62 letterDated.pdf