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Baller JB, Barry CL, Shea K, et al. Assessing early implementation of state autism insurance mandates. Autism. 2015;20(7):796-807doi: 10.1177/1362361315605972.
Baller, J. B., Barry, C. L., Shea, K., Walker, M. M., Ouellette, R., & Mandell, D. S. (2016). Assessing early implementation of state autism insurance mandates. Autism : the international journal of research and practice, 20(7), 796-807. https://doi.org/10.1177/1362361315605972
Baller, Julia Berlin, et al. "Assessing early implementation of state autism insurance mandates." Autism : the international journal of research and practice vol. 20,7 (2016): 796-807. doi: https://doi.org/10.1177/1362361315605972
Baller JB, Barry CL, Shea K, Walker MM, Ouellette R, Mandell DS. Assessing early implementation of state autism insurance mandates. Autism. 2016 Oct;20(7):796-807. doi: 10.1177/1362361315605972. Epub 2015 Nov 27. PMID: 26614401; PMCID: PMC4884164.
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Autism. 2016 Oct;20(7):796-807. doi: 10.1177/1362361315605972. Epub 2015 Nov 27.

Assessing early implementation of state autism insurance mandates.

Autism : the international journal of research and practice

Julia Berlin Baller, Colleen L Barry, Kathleen Shea, Megan M Walker, Rachel Ouellette, David S Mandell

Affiliations

  1. Mathematica Policy Research, USA [email protected].
  2. Johns Hopkins Bloomberg School of Public Health, USA University of Pennsylvania, USA.
  3. University of Pennsylvania, USA.
  4. Spring International, USA.

PMID: 26614401 PMCID: PMC4884164 DOI: 10.1177/1362361315605972

Abstract

In the United States, health insurance coverage for autism spectrum disorder treatments has been historically limited. In response, as of 2015, 40 states and Washington, DC, have passed state autism insurance mandates requiring many health plans in the private insurance market to cover autism diagnostic and treatment services. This study examined five states' experiences implementing autism insurance mandates. Semi-structured, key-informant interviews were conducted with 17 participants representing consumer advocacy organizations, provider organizations, and health insurance companies. Overall, participants thought that the mandates substantially affected the delivery of autism services. While access to autism treatment services has increased as a result of implementation of state mandates, states have struggled to keep up with the demand for services. Participants provided specific information about barriers and facilitators to meeting this demand. Understanding of key informants' perceptions about states' experiences implementing autism insurance mandates is useful for other states considering adopting or expanding mandates or other policies to expand access to autism treatment services.

© The Author(s) 2015.

Keywords: autism spectrum disorders; health services; policy; qualitative research

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