Announcements

Overview

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.

Announcement

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

Announcement

Behavioral Health Treatment Copayment Checklist

Documents needed:

  • Health Insurance Card.
  • Treatment plan developed by your provider. Usually in your provider’s home binder.
  • Information on the frequency of treatment (e.g. 2 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.
  • Copy of a bill/billing statement from the provider that indicates the copayments/coinsurance that you are being charged for behavioral health treatment.
  • For reauthorization during plan year- information on the dollar amount applied to the copayment maximum to date
Announcement

Insurance Funding for Behavioral Health Treatment for Autism and PDD  
FAQs

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.

Announcement

Health Insurance Coverage of Behavioral Health Treatment for Persons with Autism

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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.

Announcement

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.