Indiana caps ABA coverage at $36,000 per year under the S.E.A. 78 (2001). Here's what families and operators need to know.
$36,000 per year · S.E.A. 78 (2001)Updated April 2026S.E.A. 78 (2001)
2001
Indiana Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
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.
Indiana caps ABA insurance coverage at $36,000 per year through age 21 for individuals with autism on fully-insured plans.
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.
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.
Higglo works with ABA providers across Indiana on marketing, intake, and growth. Talk to our team about your program.
