Insurance Guide · Idaho (ID)
ABA Therapy Insurance in Idaho
Annual Cap
$40,000 per year
Age Limit
Through age 18
Plan Types
Individual and group fully-insured plans
Idaho Mandate Details
Mandate Law
H.B. 225 (2014)
Year Enacted
2014
Medicaid Coverage in Idaho
Idaho Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in Idaho
Idaho's mandate caps annual coverage at $40,000 through age 18. The cap supports most part-time ABA programs given Idaho's lower cost of living compared to coastal states.
Frequently Asked Questions
What is Idaho's annual cap for ABA insurance coverage?
Idaho caps ABA insurance coverage at $40,000 per year through age 18 for individuals with autism on fully-insured plans.
Does Idaho Medicaid cover ABA therapy?
Yes. Idaho Medicaid covers ABA therapy for children under 21 through EPSDT. Families should check with their managed care plan for provider availability, especially in rural areas.
Is $40,000 enough for ABA therapy in Idaho?
Given Idaho's lower cost of living and ABA rates, $40,000 typically covers 15-25 hours per week of ABA therapy. Intensive 40-hour programs may exceed the cap, but most families find the coverage adequate.
Higglo
Need help navigating ABA insurance?
Our team works with ABA providers across Idaho.