Arizona caps ABA coverage at $50,000 (under 9), $25,000 (ages 9-16) under the S.B. 1007 (2008). Here's what families and operators need to know.
$50,000 (under 9), $25,000 (ages 9-16) · S.B. 1007 (2008)Updated April 2026S.B. 1007 (2008)
2008
Arizona's AHCCCS (Medicaid) covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
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.
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.
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.
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 works with ABA providers across Arizona on marketing, intake, and growth. Talk to our team about your program.
