Does Medicaid cover ABA therapy?

March 28, 2022

Yes, Medicaid does cover ABA services 

Medicaid covers millions of individuals in the United States, including low-income individuals, children, pregnant women, the elderly, and people with disabilities, including autism. ABA programs can be applied to improve skills and behaviors necessary to children and adults diagnosed with autism.  States are in charge of administering Medicaid funding, mandated by the federal government. 

In response to the growing interest and effort around insurance for children with autism, Medicaid has released a set of resources and recommendations aimed at raising consciousness and awareness of the condition and the responsibility that Medicaid holds in assisting individuals with this diagnosis.

Benefits of Medicaid's behavioral therapy coverage plans

  • Medicaid covers all medically required behavioral health care services for its enrollees, including ABA therapy for children.
  • Your child does not need an autism diagnosis to receive ABA therapy.
  • The income of families is not usually a determining factor, however, if your family's income is too high to qualify for Medicaid, the Children's Health Insurance Program (CHIP) may be able to help.
  • Individual and practical treatment plans for families
  • Application of the Mental Health Parity and Addiction Equity Act (MHPAEA) to Medicaid programs.

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