Medicaid Autism Coverage
by State
Does your state's Medicaid cover ABA therapy? What about adults? Which states have HCBS waivers? Compare all 50 states in one table.
All 50 states must cover ABA for children under 21
Federal EPSDT law requires every state Medicaid program to cover any medically necessary service for enrolled individuals under age 21 — including ABA therapy, speech therapy, occupational therapy, and diagnostic evaluations. Marked as "Yes (EPSDT)" in the table below.
Showing 50 of 50 states · Click any row to expand details
| State | ABA (Children) | ABA (Adults) | |
|---|---|---|---|
ALAlabama | Yes (EPSDT) | Limited | |
AKAlaska | Yes (EPSDT) | Limited | |
AZArizona | Yes (EPSDT) | Yes | |
ARArkansas | Yes (EPSDT) | Limited | |
| Yes (EPSDT) | Yes | ||
COColorado | Yes (EPSDT) | Limited | |
| Yes (EPSDT) | Limited | ||
DEDelaware | Yes (EPSDT) | Limited | |
FLFlorida | Yes (EPSDT) | Limited | |
GAGeorgia | Yes (EPSDT) | Limited | |
HIHawaii | Yes (EPSDT) | Limited | |
IDIdaho | Yes (EPSDT) | Limited | |
ILIllinois | Yes (EPSDT) | Limited | |
INIndiana | Yes (EPSDT) | Limited | |
IAIowa | Yes (EPSDT) | Limited | |
KSKansas | Yes (EPSDT) | Limited | |
KYKentucky | Yes (EPSDT) | Limited | |
| Yes (EPSDT) | Limited | ||
MEMaine | Yes (EPSDT) | Limited | |
MDMaryland | Yes (EPSDT) | Limited | |
| Yes (EPSDT) | Yes | ||
MIMichigan | Yes (EPSDT) | Limited | |
| Yes (EPSDT) | Limited | ||
| Yes (EPSDT) | Limited | ||
MOMissouri | Yes (EPSDT) | Limited | |
MTMontana | Yes (EPSDT) | Limited | |
NENebraska | Yes (EPSDT) | Limited | |
NVNevada | Yes (EPSDT) | Limited | |
| Yes (EPSDT) | Limited | ||
| Yes (EPSDT) | Limited | ||
| Yes (EPSDT) | Limited | ||
NYNew York | Yes (EPSDT) | Limited | |
| Yes (EPSDT) | Limited | ||
| Yes (EPSDT) | Limited | ||
OHOhio | Yes (EPSDT) | Limited | |
OKOklahoma | Yes (EPSDT) | Limited | |
OROregon | Yes (EPSDT) | Limited | |
| Yes (EPSDT) | Yes | ||
| Yes (EPSDT) | Limited | ||
| Yes (EPSDT) | Limited | ||
| Yes (EPSDT) | Limited | ||
| Yes (EPSDT) | Limited | ||
TXTexas | Yes (EPSDT) | Limited | |
UTUtah | Yes (EPSDT) | Limited | |
VTVermont | Yes (EPSDT) | Limited | |
VAVirginia | Yes (EPSDT) | Limited | |
| Yes (EPSDT) | Limited | ||
| Yes (EPSDT) | Limited | ||
| Yes (EPSDT) | Limited | ||
WYWyoming | Yes (EPSDT) | Limited |
Strongest Adult Coverage
These states have explicit Medicaid ABA coverage for adults (not just via DD waiver):
No Private Mandate
Private insurance is not required to cover ABA in these states:
ABA Benefit Caps
These states cap annual ABA benefits under private insurance mandates:
Self-funded employer plans are not covered by state mandates
If your health insurance comes through a large employer, your plan is likely "self-funded" and regulated federally under ERISA — not by your state's insurance mandate. This means even families in states with strong mandates may not have ABA coverage under their employer plan. Check your plan's Summary of Benefits or call your insurer's member services line to confirm.
Use our Insurance Calculator to check your specific plan →Frequently Asked Questions
Find Medicaid-Accepted Providers
Search our directory to find autism providers in your state that accept Medicaid.