Illinois has no annual cap under the P.A. 095-1005 (2008). Here's what families and operators need to know.
No annual cap · P.A. 095-1005 (2008)Updated April 2026P.A. 095-1005 (2008)
2008
Illinois Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
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.
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.
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.
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.
Higglo works with ABA providers across Illinois on marketing, intake, and growth. Talk to our team about your program.
