The ANS says health plans should cover all treatments for autism.

The ANS (National Supplementary Health Agency) this Thursday (23) approved an extension of care coverage rules for consumers of health plans with global developmental disorders, including autism spectrum disorder.

Thus, by July 1, 2022, coverage of any method or technique prescribed by the attending physician for the treatment of a patient who is one of the patients classified in ICD F84, According to international rankings, becomes mandatory.

The regulation also adjusted the list of covered procedures so that unlimited sessions with speech therapists, psychologists, occupational therapists and physical therapists would cover all broad developmental disorders.

“Considering the principle of equality, we have decided to establish mandatory coverage of different methods or treatments not only for ASD patients but also for health plan users who are diagnosed as a global developmental disorder. Has been done “, explains the CEO of ASD. , Paolo Rebello.

What are the broader developmental disorders?

Extensive developmental disorders are characterized by a set of conditions that impair communication and behavior, affect patients’ interactions with other people, and conflict with everyday situations.

According to the International Classification of Diseases (ICD-10), broad developmental disorders are considered:

Childhood Autism (ICD 10 – F84.0)
Atypical Autism (ICD 10 – F84.1)
Rate syndrome (ICD 10 – F84.2)
• Other Childhood Disorders (ICD 10 – F84.3)
خراب Disorders with hyperkinesia associated with mental retardation and stereotypes (ICD 10 – F84.4)
• Asperger’s Syndrome (ICD 10 – F84.5)
• Other wide developmental disorders (ICD 10 – F84.8)
• Undefined developmental disorders (ICD 10 – F84.9)

There are many ways to approach a wide range of developmental disorders, ranging from individuals performed by professionals trained in a specific area to people with multidisciplinary care.

These include: Applied Behavior Analysis Model (ABA), Denver Early Intervention Model (DENVER or ESDM), Sensory Integration, Alternative and Supplemental Communication or Picture Exchange Communication System (PECS), among others. The most appropriate method should be chosen by the team of assistant health professionals with the patient’s family.


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