Autism Testing in Utah: 2025 Complete Guide
Autism Testing in Utah: 2025 Complete Guide
Need the short answer? Utah families can schedule an autism diagnostic evaluation through leading clinics such as the Autism Spectrum Disorder Clinic at the University of Utah ((801) 587‑8020) or in‑home providers like 360 Autism Evaluations. Most state‑regulated health plans and Utah Medicaid cover the full cost of testing under SB 95.
1 | Overview of Autism Services in Utah
- Early intervention (Birth–3): Baby Watch Early Intervention Program offers free developmental screening and referrals.
- School‑age evaluations: Local school districts perform IDEA Part B assessments; parents may still seek a medical diagnosis for insurance.
- Medical & behavioral care: The Autism Spectrum Disorder Clinic (ASDC) at Huntsman Mental Health Institute provides multidisciplinary testing, therapy, and social‑skills groups.
- Tele‑evaluation options: Providers such as As You Are and UCEBT offer HIPAA‑secure virtual assessments for rural families.
2 | Utah Autism Testing Centers
Tip: Always verify wait‑times and insurance acceptance when you call.
| Region | Provider | Ages | Phone | Insurance* |
|---|---|---|---|---|
| Salt Lake City | Autism Spectrum Disorder Clinic – Univ. of Utah | All | (801) 587‑8020 | Medicaid, UUHP |
| Statewide (in‑home) | 360 Autism Evaluations | All | (801) 436‑7881 | Private pay; in‑network pending |
| Salt Lake City | Autism Assessment & Treatment Center | All | (801) 386‑8069 | Most major plans |
| Logan | Sorenson Legacy Center for Clinical Excellence | All | (435) 797‑0576 | Medicaid, Cigna, Aetna |
| Provo / Orem | Utah Excel Psychology | 3 + | (801) 658‑9845 | SelectHealth, DMBA |
| St. George | Autism Therapy Services | 18 mo–18 yr | (435) 313‑4571 | Medicaid, TRICARE |
| Telehealth | Utah Center for Evidence‑Based Treatment (UCEBT) | Children & Adults | (801) 419‑0139 | Private pay; superbill |
*Networks change—confirm when booking.
3 | Insurance & Medicaid Coverage
3.1 Private Insurance Highlights
- SB 95 (2019): Removed all age and hour caps for autism diagnosis & ABA on state‑regulated plans.
- SB 214 (2025): Broadens who can diagnose ASD and streamlines prior‑authorizations (effective 2027).
- Utah Code § 31A‑22‑642 mandates parity—deductibles & co‑pays for ASD testing must match other medical benefits.
3.2 Utah Medicaid & CHIP
- Diagnostic assessments, speech/OT/PT, and ABA are covered under EPSDT for members < 21 years.
- Adults may qualify for the Adult Autism Treatment Account (AATA) for intensive services when Medicaid doesn’t apply.
- TRICARE covers diagnostic testing for military families with a referral.
3.3 Financial Tips
- Request a good‑faith estimate and a single‑case agreement if a clinic is out of network.
- Use an HSA/FSA for private‑pay portions; many providers offer payment plans.
- Ask about telehealth to reduce travel costs if you live in rural Utah.
4 | How to Schedule an Evaluation
- Gather developmental history, previous evaluations, IEP/504 plans, and medical records.
- Call at least two clinics to compare wait‑lists and insurance acceptance.
- Ask whether the evaluation includes ADOS‑2, cognitive testing, and feedback sessions.
- Verify prior‑authorization requirements with your insurance case manager.
- After diagnosis, request a written report and ICD‑10 code (F84.0) for claims.
6 | Frequently Asked Questions
How long is the wait‑list for autism testing in Utah?
University clinics often quote 6–12 months, but private practices such as 360 Autism Evaluations report no wait‑list as of May 2025.
Does Utah Medicaid cover adult autism evaluations?
Standard Medicaid covers diagnostic testing up to age 21 under EPSDT. Adults may access AATA grants or private insurance without age caps after SB 95.
What tests are included in a full evaluation?
Most clinics administer the Autism Diagnostic Observation Schedule‑2 (ADOS‑2), cognitive assessments (e.g., WISC‑V), adaptive behavior scales, and parent interviews.
Will insurance pay for re‑evaluation?
Yes—Utah parity law (§ 31A‑22‑642) requires plans to cover medically necessary reassessments just like other medical services.
Are telehealth assessments reliable?
Research supports tele‑ADOS modules for many children; Utah providers like UCEBT and As You Are offer validated remote protocols.
Information is current as of May 16 2025. Listings are for informational purposes only; 101Autism.com does not endorse specific providers.
