Delaware has no annual cap under the H.B. 55 (2012). Here's what families and operators need to know.
No annual cap · H.B. 55 (2012)Updated April 2026H.B. 55 (2012)
2012
Delaware Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
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.
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.
Yes. Delaware Medicaid covers ABA therapy for children under 21 through EPSDT. The state contracts with managed care organizations that coordinate ABA provider networks.
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 works with ABA providers across Delaware on marketing, intake, and growth. Talk to our team about your program.
