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 2021, insurers must provide coverage of at least $66,065 for intensive-level services and $33,032 for nonintensive-level services. Each December, the Office of the Commissioner of Insurance (OCI) publishes the adjusted coverage amounts effective for the following year.