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Washington Medicaid Autism Coverage

Apple Health (WA Medicaid) covers ABA for children under 21 through the Applied Behavior Analysis Program under EPSDT. The Developmental Disabilities Administration (DDA) administers four HCBS waivers — Basic Plus, Core, CIIBS, and Community Protection — with DDA eligibility as the key gateway.

Quick Answer

Apple Health (WA Medicaid) covers ABA for children under 21 through the Applied Behavior Analysis Program under EPSDT. The Developmental Disabilities Administration (DDA) administers four HCBS waivers — Basic Plus, Core, CIIBS, and Community Protection — with DDA eligibility as the key gateway.

  • ABA benefit: covered under EPSDT for under 21 (via epsdt).
  • HCBS waivers: 4 relevant waiver options listed on this page.
  • Commercial insurance: Washington has a state autism insurance mandate.

Medicaid ABA Coverage

Yes — EPSDT

Under 21 (via EPSDT)

Insurance Mandate

Yes

No dollar cap on medically necessary services

HCBS Waivers

4 available

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

Washington Commercial Insurance Mandate

Age limit
No age limit on medically necessary services
Annual cap
No dollar cap on medically necessary services

Covered services

Diagnosis of autismApplied Behavior AnalysisSpeech therapyOccupational therapy

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

Apple Health covers ABA through the Applied Behavior Analysis Program, delivered through Apple Health managed care plans. No annual dollar cap on medically-necessary services.

Washington HCBS Waivers

Basic Plus Waiver

Covers autism

Children and adults with IDD living at home — entry-level supports

Apply via:DDA Case Management

Core Waiver

Covers autism

Individuals with IDD needing more intensive supports

Apply via:DDA Case Management

Children's Intensive In-Home Behavioral Support (CIIBS) Waiver

Covers autism

Children with complex behavioral needs at risk of out-of-home placement

Apply via:DDA Case Management

Community Protection Waiver

Covers autism

Adults needing intensive community-safety supports

Apply via:DDA Case Management

Katie Beckett / TEFRA Option

Not available

WA does not operate a formal Katie Beckett/TEFRA program. DDA eligibility combined with HCBS waivers provides the functional equivalent for qualifying families.

Early Intervention (Birth–3)

Early Support for Infants and Toddlers (ESIT)Washington'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 Washington.