Insurance Guide · District of Columbia (DC)
ABA Therapy Insurance in District of Columbia
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
District of Columbia Mandate Details
Mandate Law
Autism Insurance Amendment Act (2014)
Year Enacted
2014
Medicaid Coverage in District of Columbia
DC Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in District of Columbia
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.
Frequently Asked Questions
Does DC require insurance to cover ABA therapy?
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.
Does DC Medicaid cover ABA therapy?
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.
Are there many ABA providers in DC?
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
Need help navigating ABA insurance?
Our team works with ABA providers across District of Columbia.