Wisconsin law requires health insurers to cover certain treatments for individuals with autism spectrum disorders. Specifically, coverage of at least $50,000 is required for intensive-level services per year for up to four years and at least $25,000 for nonintensive-level services, adjusted annually by the Consumer Price Index. (s 632.895(12m)(c)1, Wis. Stat.)
For 2023, insurers must provide coverage of at least $70,270 for intensive-level services and $35,134 for nonintensive-level services. Each December, the Office of the Commissioner of Insurance (OCI) publishes the adjusted coverage amounts effective for the following year.