205.989 Third Party Payment for Evaluation and Management of Developmental Disorders
The Medical Society of the State of New York will work with the New York Chapters of the American Academy of Pediatrics to:
1) advocate to ensure that health insurers comply with the law that requires them to provide coverage for autism screening and treatment including for pervasive developmental disorders not otherwise specified; and
2) advocate to ensure health insurers and Medicaid take the steps necessary to include a sufficient number of physicians and other appropriate providers in their networks to provide such necessary screening and treatment; and
3) work with the AMA and other medical societies to advocate for federal legislation to require self-insured plans to provide such coverage; and
4) work with similarly interested organizations to identify gaps in services and treatment for children believed to have autism or other developmental and/or learning disabilities that may not specifically meet the statutory definition of “autism spectrum disorder” and to advocate for identified solutions including but not limited to insurance coverage for these children. (HOD 2015-60; referred to Council; amended and adopted 11/5/2015; Reaffirmed HOD 2025)
