Idaho caps ABA coverage at $40,000 per year under the H.B. 225 (2014). Here's what families and operators need to know.
$40,000 per year · H.B. 225 (2014)Updated April 2026H.B. 225 (2014)
2014
Idaho Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
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.
Idaho caps ABA insurance coverage at $40,000 per year through age 18 for individuals with autism on fully-insured plans.
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.
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 works with ABA providers across Idaho on marketing, intake, and growth. Talk to our team about your program.
