Autism Coverage Reimbursement Program
NOTICE - The Autism Coverage Reimbursement Program funding has been depleted and there will be no additional future funding. Claims can no longer be submitted for reimbursement.
Welcome to the Autism Coverage Reimbursement Program, the system responsible for managing and administering the Autism Coverage Fund. This fund was established by Public Act 101 of 2012 for the purpose of assisting health insurance carriers offset the costs of offering autism benefits for the diagnosis and treatment of autism spectrum disorders (ASD).
In addition, employers with a self-insured plan that self-adopt an autism benefit may also, directly or through their third party administrator (TPA), may file claims for eligible employees or covered eligible dependents who reside in Michigan and receive a diagnosis and treatment for ASD by Michigan providers.
Filing a claim for reimbursement from the Autism Coverage Fund can be easily accomplished. To participate, an employer, carrier or TPA must first request a username and password through an online form. Once approved, the employer, carrier or TPA can complete and submit the required Certification and Claims Data documents online.
It is important to note that only an employer with a self-insured plan, a carrier or TPA as defined under PA 101 of 2012 are eligible to submit claims for reimbursement from the Autism Coverage Fund.
If you would like to learn more about whether your health insurance plan provides an autism benefit, please contact your current insurance carrier to determine if and/or when you may be eligible for coverage. For additional information and resources, please visit:
Thank you for visiting the Autism Coverage Reimbursement site. If you have any additional questions or comments, please contact us.