District of Columbia has no annual cap under the Autism Insurance Amendment Act (2014). Here's what families and operators need to know.
No annual cap · Autism Insurance Amendment Act (2014)Updated April 2026Autism Insurance Amendment Act (2014)
2014
DC Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
The District of Columbia's mandate has no annual dollar cap and no age limit. As a jurisdiction that regulates its own insurance market, DC provides strong ABA coverage protections.
Yes. The Autism Insurance Amendment Act (2014) requires fully-insured plans in DC to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Yes. DC Medicaid covers ABA therapy for children under 21 through EPSDT. Families enrolled in DC Medicaid managed care plans should verify ABA provider networks with their plan.
The DC metro area (including northern Virginia and suburban Maryland) has a robust ABA provider market with numerous clinics and in-home therapy options available across the region.
Higglo works with ABA providers across District of Columbia on marketing, intake, and growth. Talk to our team about your program.
