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Welcome to the Autism Coverage Reimbursement Program, the system
responsible for managing and administering the Autism Coverage
Fund. This fund was established by Public Act 101 of 2012 for
the purpose of assisting health insurance carriers offset the costs
of offering autism benefits for the diagnosis and treatment of
autism spectrum disorders (ASD).
In addition, self-insured
plans that self-adopt an autism benefit may also, directly or
through their third party administrator (TPA), file claims for
employees who reside in Michigan and receive a diagnosis and
treatment for ASD by Michigan providers.
Filing a claim
for reimbursement from the Autism Coverage Fund can be easily
accomplished. To participate, a carrier or TPA must first request a
username and password through an online form. Once approved,
the carrier or TPA can complete and submit the required
Certification and Claims Data documents online.
It is important to note that only a carrier or
TPA as defined under PA 101 of 2012 are
eligible to submit claims for reimbursement from the Autism
Coverage Fund.
To begin the process of submitting
a claim for reimbursement, click the link below:
If you would like
to learn more about whether your health insurance plan provides an
autism benefit, please contact your current insurance carrier to
determine if and/or when you may be eligible for coverage. For
additional information and resources, please visit:
Thank you for visiting the Autism Coverage Reimbursement site.
If you have any additional questions or comments, please contact us.
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