| Medical Policy | Revision |
|---|---|
| Adaptive Behavioral Treatment for Autism Spectrum Disorders | Updated coverage criteria for clarity and replaced “member” and “recipient” with “individual” for consistency. Added the following statement to When Not Covered: “Medical tourism or care received outside the United States when a member chooses to have planned, elective/non-emergency services in another country where the member is not temporarily or permanently residing outside of the United States is not covered.” Specialty Matched Consultant Advisory Panel Review 6/2026. References added. No change to policy statement. Medical Director review 6/2026. Notification given 7/15/2026 for effective date 9/9/2026. |
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