ACT 62 Resources

ACT 62 (Pennsylvania’s Autism Insurance Act) came into effect July 1, 2009. It is a statewide insurance mandate specific to services provided to children and adolescents who have an autism spectrum disorder.

For more information on ACT 62 for providers, families, and members, please visit the Pennsylvania Department of Human Services website.

HealthChoices Provider Information

For all members who are covered under ACT 62 (Autism Insurance Act), providers must be aware of benefit coverage and billing via commercial insurer.

Commercial Provider Information

Community Care provides care management for the behavioral health services of UPMC Health Plan members under the age of 21 who have autism spectrum disorders. This is done under the coordination of UPMC Health Plan’s staff who manage the physical health care needs of this population. Please be aware that the documentation required for authorization has changed, and submission requirements will no longer include a treatment plan or best practice evaluation. Care management will work collaboratively with providers, UPMC Health Plan’s Quality Department, the Department of Fraud, Waste, and Abuse, and other oversight to assure members are provided quality treatment within best practice and industry standards. Learn more.