Insurance Guide · Arizona (AZ)
ABA Therapy Insurance in Arizona
Annual Cap
$50,000 (under 9), $25,000 (ages 9-16)
Age Limit
Through age 16
Plan Types
Individual and group fully-insured plans
Arizona Mandate Details
Mandate Law
S.B. 1007 (2008)
Year Enacted
2008
Medicaid Coverage in Arizona
Arizona's AHCCCS (Medicaid) covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in Arizona
Arizona was an early adopter of autism insurance mandates. The law features a tiered cap structure: $50,000 annually for children under 9 and $25,000 for ages 9 through 16. Coverage ends at age 16.
Frequently Asked Questions
What is Arizona's annual cap for ABA therapy insurance?
Arizona has a tiered cap: $50,000 per year for children under age 9, and $25,000 per year for children ages 9 through 16. Coverage under the mandate ends at age 16.
Does AHCCCS (Arizona Medicaid) cover ABA therapy?
Yes. Arizona's AHCCCS program covers ABA therapy for children under 21 with an autism diagnosis through the EPSDT benefit. AHCCCS contracts with behavioral health providers statewide.
Can families in Arizona get ABA coverage after age 16?
The state mandate covers through age 16 only. However, AHCCCS (Medicaid) covers through age 21 under EPSDT, and some commercial plans voluntarily extend coverage beyond the mandate's age limit.
Higglo
Need help navigating ABA insurance?
Our team works with ABA providers across Arizona.