Insurance Information

Ryan’s Law

Ryan's Law is legislation which requires insurance companies in South Carolina to cover specified services for children formally diagnosed with autism spectrum disorder. The law states that insurance companies must provide up to $50,000 annually to assist with behavioral therapy for children diagnosed with ASD before the age of eight. These services apply to individuals up to the age of sixteen. The law provides coverage for various services prescribed by a physician, including Applied Behavior Analysis. Ryan's Law also prohibits insurers from refusing other medical care to children based on their diagnosis of ASD. The law does not apply to people who (or companies which) are self-insured or those who received their plan through the individual market.

Instructions on how to apply found here.

TEFRA

A TEFRA Medicaid application should be completed for children who have private insurance. TEFRA covers some copays and deductibles for families who may not be able to afford the sum amount but do not meet the financial requirements for full coverage Medicaid. Please contact your case manager to inquire about the application process. For TEFRA assistance you can also call Family Connections of SC at: 1-800-578-8750.

Medicaid

Medicaid now provides funding for ABA therapy for children who qualify for these services. Please call the Department of Human and Health Services at 1-(888)-549-0820 for assistance with the application process. You can also contact Family Connections for application assistance at: 1-800-578-8750.