Higglo digital

Insurance Guide · Colorado (CO)

ABA Therapy Insurance in Colorado

No Annual Cap · S.B. 14-212 (2014)

Annual Cap

No annual cap

Age Limit

No age limit

Plan Types

Individual and group fully-insured plans

Colorado Mandate Details

Mandate Law

S.B. 14-212 (2014)

Year Enacted

2014

Medicaid Coverage in Colorado

Colorado Medicaid (Health First Colorado) covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.

What to Know About ABA Coverage in Colorado

Colorado's mandate has no annual dollar cap and no age limit. The law requires coverage for the diagnosis and treatment of autism spectrum disorder, including ABA, across all fully-insured plans.

Frequently Asked Questions

Does Colorado require insurance to cover ABA therapy?

Yes. Colorado's S.B. 14-212 (2014) mandates that fully-insured commercial plans cover ABA therapy for autism with no annual dollar cap and no age limit.

Does Health First Colorado (Medicaid) cover ABA?

Yes. Health First Colorado covers ABA therapy for children under 21 with an autism diagnosis through EPSDT. Families should contact their regional organization for provider information.

Are there enough ABA providers in Colorado?

Colorado's Front Range (Denver, Colorado Springs, Boulder) has strong provider availability. Rural areas and the Western Slope have fewer providers, though telehealth has expanded access significantly.

Higglo

Need help navigating ABA insurance?

Our team works with ABA providers across Colorado.