Indiana Medicaid Autism Coverage

Quick Answer

Indiana Medicaid covers ABA for children under 21 through EPSDT. The state offers two HCBS waivers (Family Supports and Community Integration and Habilitation) administered through the Bureau of Disabilities Services using a centralized waitlist. Indiana's autism insurance mandate (2001) is one of the earliest in the country.

• ABA benefit: covered under EPSDT for under 21 (via epsdt).
• HCBS waivers: 2 relevant waiver options listed on this page.
• Commercial insurance: Indiana has a state autism insurance mandate.

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

Indiana Commercial Insurance Mandate

Year enacted

2001

Age limit

Varies by plan

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

Indiana Medicaid covers ABA as a medically-necessary service under EPSDT. Available through Hoosier Healthwise, HIP, and Hoosier Care Connect.

Indiana HCBS Waivers

Katie Beckett / TEFRA Option

Not available

Indiana does not operate a traditional Katie Beckett / TEFRA program. Middle-income families typically rely on the autism insurance mandate, commercial insurance, and the FSW/CIH waiver waitlist.

Early Intervention (Birth–3)

Indiana First Steps — Indiana'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 Indiana.

• https://www.in.gov/fssa/ddrs/
• https://www.in.gov/medicaid/members/
• https://www.in.gov/fssa/ddrs/disability-services/individual-disability-services/