Florida caps ABA coverage at $36,000 per year ($200,000 lifetime) under the S. 627.6686 (2008). Here's what families and operators need to know.
$36,000 per year ($200,000 lifetime) · S. 627.6686 (2008)Updated April 2026S. 627.6686 (2008)
2008
Florida Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
Florida's mandate includes both an annual cap of $36,000 and a $200,000 lifetime cap. Coverage applies through age 18. Florida was one of the earlier states to pass an autism insurance mandate.
Florida caps ABA insurance coverage at $36,000 per year with a $200,000 lifetime maximum. Coverage applies through age 18 for individuals with autism on fully-insured plans.
Yes. Florida Medicaid covers ABA therapy for children under 21 through EPSDT. The state's Medicaid managed care plans coordinate ABA provider networks and prior authorizations.
Once the $36,000 annual cap is reached, families must pay out-of-pocket or seek coverage through other programs. Florida Medicaid (for eligible families) and state-funded programs like the CDC+ waiver may help bridge the gap.
Higglo works with ABA providers across Florida on marketing, intake, and growth. Talk to our team about your program.
