Insurance Guide · Indiana (IN)
ABA Therapy Insurance in Indiana
Annual Cap
$36,000 per year
Age Limit
Through age 21
Plan Types
Individual and group fully-insured plans
Indiana Mandate Details
Mandate Law
S.E.A. 78 (2001)
Year Enacted
2001
Medicaid Coverage in Indiana
Indiana Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in Indiana
Indiana was one of the first states to pass an autism insurance mandate. The $36,000 annual cap covers through age 21. Indiana's relatively lower ABA rates mean the cap stretches further than in higher-cost states.
Frequently Asked Questions
What is Indiana's annual cap for ABA insurance coverage?
Indiana caps ABA insurance coverage at $36,000 per year through age 21 for individuals with autism on fully-insured plans.
Does Indiana Medicaid cover ABA therapy?
Yes. Indiana Medicaid covers ABA therapy for children under 21 through EPSDT. Indiana's Medicaid managed care plans (Hoosier Healthwise, Healthy Indiana Plan) coordinate ABA services.
Is $36,000 enough for ABA therapy in Indiana?
At Indiana's lower-than-average ABA rates, $36,000 typically covers 15-20 hours per week. Families needing intensive programs (30+ hours/week) may exhaust the cap mid-year.
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Need help navigating ABA insurance?
Our team works with ABA providers across Indiana.