Alabama caps ABA coverage at $36,000 per year under the Act 2017-317 (2017). Here's what families and operators need to know.
$36,000 per year · Act 2017-317 (2017)Updated April 2026Act 2017-317 (2017)
2017
Alabama Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
Alabama enacted its autism insurance mandate in 2017. The law caps annual coverage at $36,000 and applies to children through age 18. Self-funded employer plans are exempt under federal ERISA law.
Yes. Alabama's Act 2017-317 requires fully-insured commercial plans to cover ABA therapy for individuals with autism through age 18, with an annual cap of $36,000.
Yes. Alabama Medicaid covers ABA therapy for children under 21 with an autism spectrum disorder diagnosis through the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit.
No. Self-funded (ERISA) employer plans are regulated by federal law and are exempt from Alabama's state insurance mandate. However, many large employers voluntarily include ABA coverage.
Higglo works with ABA providers across Alabama on marketing, intake, and growth. Talk to our team about your program.
