Insurance Guide · Illinois (IL)
ABA Therapy Insurance in Illinois
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
Illinois Mandate Details
Mandate Law
P.A. 095-1005 (2008)
Year Enacted
2008
Medicaid Coverage in Illinois
Illinois Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in Illinois
Illinois was an early adopter of autism insurance mandates. The law has no annual dollar cap and no age limit, providing comprehensive coverage for ABA therapy across all fully-insured plans.
Frequently Asked Questions
Does Illinois require insurance to cover ABA therapy?
Yes. Illinois P.A. 095-1005 (2008) requires fully-insured plans to cover ABA therapy for individuals with autism. There is no annual dollar cap and no age limit.
Does Illinois Medicaid cover ABA therapy?
Yes. Illinois Medicaid covers ABA therapy for children under 21 through EPSDT. The state's managed care plans coordinate ABA provider networks, particularly in the Chicago metro area.
How is ABA provider availability in Illinois?
The Chicago metro area has extensive ABA provider options. Downstate and rural Illinois have fewer providers, but telehealth services and regional ABA clinics have been expanding access.
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Need help navigating ABA insurance?
Our team works with ABA providers across Illinois.