Insurance Guide · Delaware (DE)
ABA Therapy Insurance in Delaware
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
Delaware Mandate Details
Mandate Law
H.B. 55 (2012)
Year Enacted
2012
Medicaid Coverage in Delaware
Delaware Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in Delaware
Delaware's mandate has no annual dollar cap and no age limit. The law covers diagnosis and treatment of autism spectrum disorder including ABA for all fully-insured plans.
Frequently Asked Questions
Does Delaware require insurance to cover ABA therapy?
Yes. Delaware's H.B. 55 (2012) requires fully-insured commercial plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Does Delaware Medicaid cover ABA therapy?
Yes. Delaware Medicaid covers ABA therapy for children under 21 through EPSDT. The state contracts with managed care organizations that coordinate ABA provider networks.
Is ABA therapy widely available in Delaware?
Delaware has a growing network of ABA providers concentrated around Wilmington and Dover. The state's small size means most families are within reasonable driving distance of multiple ABA clinics.
Higglo
Need help navigating ABA insurance?
Our team works with ABA providers across Delaware.