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Pervasive Developmental Disorder and Autism Spectrum …

Pervasive Developmental Disorder and Autism Spectrum Disorder : Benefit Interpretation Policy (Effective 01/01/2020) Proprietary Information of UnitedHealthcare. Copyright 2020 United HealthCare Services, Inc. 1 UnitedHealthcare of California (HMO) UnitedHealthcare Benefits Plan of California (EPO/POS) UnitedHealthcare West BENEFIT INTERPRETATION POLICY Pervasive Developmental Disorder AND Autism Spectrum Disorder Covered benefits are listed in three (3) Sections - A, B and C. All services must be medically necessary. Each benefit plan contains its own specific provisions for coverage, limitations and exclusions as stated in the member s Evidence of Coverage (EOC)/Schedule of Benefits (SOB).

Pervasive Developmental Disorder and Autism Spectrum Disorder: Benefit Interpretation Policy (Effective 01/01/2018) 3 Proprietary Information of UnitedHealthcare.

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  Spectrum, Developmental, Disorders, Autism, Pervasive, Pervasive developmental disorder and autism spectrum

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