Improving Systems, Practices and Outcomes

Use of Private Insurance for Early Intervention Services

Under 34 CFR §303.520(3)(b), a state may use the private insurance of a parent to pay for services under this part only if the parent provides consent to do so in accordance with 34 CFR § 303.7 (parental consent), 303.420(a)(3) (consent prior to provision of services) and 303.420(a)(4) (use of private insurance).

It is important to remember that under 34 CFR §303.521(c) if a State has in effect a State law requiring the provision of a free appropriate public education (FAPE) to children with disabilities from birth, the State may not charge parents for any services (e.g., physical or occupational therapy) that are part of FAPE for that infant or toddler and family.

State Policies

Health Insurance Legislation for Autism Spectrum Disorders (ASD)

Several states have enacted insurance legislation specific to autism spectrum disorders or have modified existing legislation to further define neurological disorders to include ASD for the purpose of covering needed services for eligible children. The following resources describe state health insurance legislation for ASD:

PDF: State Health Insurance for Autism Spectrum Disorders (ASD)(February 2009). Also available in Excel format. Information compiled by Anne Taylor Karasek formerly of NECTAC.

WWW: Easter Seals State Autism Profiles include: state insurance coverage for autism if available; the number of children with autism who have received the state's special education services; Medicaid services specific for individuals with autism; educational programs provided to students with autism or training that focused on autism; special education criteria; other state-led resources; and, sponsors of autism legislation.

WWW NCSL searchable database of state legislation tracks autism legislation from the 2008 session to present. You may search by state, topic, status, primary sponsor, bill number or keyword. In addition, the site WWW summarizes current state insurance legislative approaches to meet the needs of children and adults with autism.

  • IDEAs that Work: Office of Special Education Programs, U.S. Department of Education

The ECTA Center is a program of the FPG Child Development Institute of the University of North Carolina at Chapel Hill, funded through cooperative agreement number H326P170001 from the Office of Special Education Programs, U.S. Department of Education. Opinions expressed herein do not necessarily represent the Department of Education's position or policy.

Project Officer: Julia Martin Eile     © 2012-2018 ECTA Center

  • UNC Frank Porter Graham Child Development Institute