Rhode Island Autism Mandate
The Rhode Island Autism Mandate requires that every group health insurance contract, or every group hospital or medical expense insurance policy, plan, or group policy delivered, issued for delivery, or renewed in the state on or after January 1, 2012, will provide coverage for autism spectrum disorders.
Benefits include coverage for applied behavior analysis, physical therapy, speech therapy and occupational therapy services for the treatment of autism spectrum disorders. These benefits continue until the covered individual reaches the age of fifteen.
CEDAR Centers in Rhode Island
CEDAR Family Centers are a part of the Executive Office of Health and Human Services, which provide information about and referral to the services and support options available for all children enrolled in Medicaid, and who have disabilities or special needs.
Once you have obtained your child's official diagnosis of autism in a written evaluation, you may contact a Family CEDAR Centers to schedule an appointment to develop a Family Care Plan for accessing services within Rhode Island.
RI Parent Information Network
1210 Pontiac Ave
Cranston, RI 02920
Three CEDAR Family Center
335 R Prairie Ave, Suite 1A
Providence, RI 02905
Solutions CEDAR at Family Service RI
134 Thurbers Ave
Providence, RI 02905
Eligibility & Payment Options
The cost of center-based or home-based autism services may be funded by medical insurance, private pay, and/or through the Katie Beckett provision.
To qualify for medical insurance coverage, a child must be under age 15, and have an active medical expense insurance policy, plan, or group policy in the state of Rhode Island. You should contact your medical insurance provider for more information.
Katie Beckett is an eligibility category that allows children who have long term disabilities or complex medical needs to qualify for Medicaid coverage.
To be eligible for Medicaid coverage through Katie Beckett, a child must be under age 19, and:
- Be a resident of Rhode Island
- Meet the income and resource requirements for Medicaid for persons with a disability
- Qualify under the U.S. Social Security Administration's (SSA) definition of disability
- Live at home
- Require a level of care at home that is typically provided in a hospital, nursing facility or an Intermediate Care Facility for Persons with Mental Retardation (ICF-MR)