Announcements for Clients and Families

Important Information for Families on Health Insurance Coverage of Behavioral Health Treatment for People with Autism or PDD/NOS announcements intended for Clients and Families.


Behavioral Health Treatment Copayment Checklist

Documents needed:

  • Most recent complete Federal 1040 Tax Form for family/individual (for clients age 3 and up only)
  • Treatment plan from Behavioral Health Treatment provider.
  • Information on the frequency of treatment (e.g. 5 days per week). Usually part of the treatment plan.
  • Summary of Benefits for your health insurance that includes information on the plan year, copayments or coinsurance amounts, and out of pocket maximums for the individual.
  • For plans with deductibles and coinsurance: copy of the billing statements/explanation of benefits from the health plan that indicate the deductible and /or copayments/coinsurance that is charged for Behavioral Health Treatment services

Overview of Insurance plans, accessing services, and copays

Information for RCEB families on what types of insurance provide this treatment, how to access services and how to obtain help with copayments


Insurance Funding for Behavioral Health Treatment for Autism and PDD  

Please note that this document provides information about a situation that continues to evolve. As such, ARCA anticipates that changes will be made to it as updated information becomes available.


Health Insurance Coverage of Behavioral Health Treatment for Persons with Autism


This bill requires private health insurance regulated by the State of California to provide coverage for behavioral health treatment for persons with pervasive developmental disorder or autism. It goes into effect on July 1, 2012.


Optional Adult Dental Services for Regional Center Consumers Restored

Effective January 13, 2012, the Medi-Cal Dental Program (Denti-Cal) will begin processing dental claims for regional center consumers (also known as DDS beneficiaries or consumers of DDS) age 21 and over, who have Medi-Cal and do not reside in a licensed health facility (Intermediate Care Facility or Skilled Nursing Facility). Services may be provided effective January 1, 2012; however providers should not submit claims for regional center consumers to Denti-Cal until January 13, 2012.