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Court Says Health Plan Document May Not Exclude Specified Autism Treatments
The Wagner Law GroupLink to more items from this source
Mar. 24, 2021

"[The claims administrator] argued that the plan is not required to provide specific mental health benefits relating to autism.... [The court] ruled that 'In this case, the ABA and IBT exclusions only apply to mental health disorders. Therefore, the exclusions create a separate treatment limitation applicable only to services for a mental health condition. By doing so, the exclusion violates the plain terms of the MHPAEA.' " [Doe v. United Behavioral Health, No. 19-7316 (N.D. Cal. Mar. 5, 2021)]

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