Supporting neurodiversity-affirming care
AI Summary
Cigna/Evernorth is updating their autism coverage policies to incorporate neurodiversity-affirming care principles. Two coverage policies for Intensive Behavioral Interventions (EN0499) and Autism Spectrum Disorders Assessment and Treatment (0447) will be updated in May 2026 to be more inclusive and respectful of individual patient needs.
Action Required
Before May 2026: Clinical and billing teams should review updated coverage policies EN0499 (Intensive Behavioral Interventions) and 0447 (Autism Spectrum Disorders Assessment and Treatment) when released. Providers treating autism patients should prepare to document neurodiversity-affirming care approaches that focus on patient strengths and individualized treatment plans to align with new coverage criteria.
Plan Types
All Plans
Specialties
psychiatry, pediatrics, family-medicine, neurology