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Insurance & Coverage Guide

Connecticut Medicaid Autism Coverage

Connecticut is one of the few states with a dedicated Autism Waiver (DSS) for individuals without co-occurring intellectual disability. HUSKY Health covers ABA under EPSDT with no dollar cap, and the Katie Beckett option qualifies disabled children for Medicaid regardless of income.

Quick Answer

Connecticut is one of the few states with a dedicated Autism Waiver (DSS) for individuals without co-occurring intellectual disability. HUSKY Health covers ABA under EPSDT with no dollar cap, and the Katie Beckett option qualifies disabled children for Medicaid regardless of income.

  • ABA benefit: covered under EPSDT for under 21 (via epsdt).
  • HCBS waivers: 3 relevant waiver options listed on this page.
  • Commercial insurance: Connecticut has a state autism insurance mandate.

Medicaid ABA Coverage

Yes — EPSDT

Under 21 (via EPSDT)

Insurance Mandate

Yes

Varies by plan and statute provisions

HCBS Waivers

3 available

Waitlist: Waitlist — limited slots

Editorial Review

This page summarizes public Medicaid, waiver, and insurance-mandate information reviewed by the Autism Hearts editorial team.

Medicaid benefits, managed-care rules, and waiver waitlists can change quickly, so families should verify eligibility, prior authorization, and enrollment steps with the administering agency before relying on this page.

Last reviewed 2026-04-21 by Autism Hearts Editorial Team

Connecticut Commercial Insurance Mandate

Year enacted
2009
Age limit
Coverage required for autism diagnosis and treatment; age and cap terms vary by plan generation
Annual cap
Varies by plan and statute provisions

Covered services

Applied Behavior AnalysisSpeech therapyOccupational therapyPsychiatric/psychological servicesDiagnostic evaluations

Self-funded employer plans (often from large employers) are regulated by federal ERISA law, not state mandates, and may be exempt. Always confirm your plan type on your Summary of Benefits and Coverage.

Medicaid ABA Therapy Benefit

Covers ABA
Yes
Age limit
Under 21 (via EPSDT)
Prior auth required
Yes

HUSKY Health covers Applied Behavior Analysis under the federal EPSDT mandate with no dollar cap for medically-necessary services.

Connecticut HCBS Waivers

Connecticut Autism Waiver

Covers autism

Individuals 3+ with autism diagnosis and NO co-occurring intellectual disability

Waitlist:Waitlist — limited slots
Apply via:Department of Social Services

DDS Comprehensive Supports Waiver

Covers autism

Individuals with intellectual disability (including co-occurring autism)

Apply via:Department of Developmental Services

DDS Individual and Family Support Waiver

Covers autism

Individuals with intellectual disability needing in-home/community supports

Apply via:Department of Developmental Services

Katie Beckett / TEFRA Option

AvailableHUSKY Katie Beckett

Connecticut operates a Katie Beckett Medicaid option under HUSKY that qualifies disabled children based on the child's needs rather than family income.

Early Intervention (Birth–3)

Connecticut Birth to Three SystemConnecticut's IDEA Part C program. Children under 3 with developmental delays can access services without a formal autism diagnosis.

Official Sources

Use these primary sources when you need to confirm current Medicaid rules, waiver access, or state-agency guidance in Connecticut.