Insurance Guide · Maine (ME)
ABA Therapy Insurance in Maine
Annual Cap
$36,000 per year (under age 10)
Age Limit
Through age 10
Plan Types
Individual and group fully-insured plans
Maine Mandate Details
Mandate Law
L.D. 1198 (2010)
Year Enacted
2010
Medicaid Coverage in Maine
Maine Medicaid (MaineCare) covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in Maine
Maine's mandate caps ABA coverage at $36,000 per year and applies through age 10, one of the most restrictive age limits. MaineCare provides additional coverage for eligible children through age 21.
Frequently Asked Questions
What is Maine's annual cap for ABA insurance coverage?
Maine caps ABA insurance coverage at $36,000 per year under the commercial mandate, with coverage applying through age 10.
Why does Maine's mandate only cover through age 10?
Maine's original mandate focused on early intervention. While the commercial mandate covers through age 10, MaineCare (Medicaid) covers ABA through age 21 under EPSDT, and many commercial plans voluntarily extend coverage beyond the mandate.
Does MaineCare cover ABA therapy?
Yes. MaineCare covers ABA therapy for children under 21 with an autism diagnosis through EPSDT. This provides an important coverage pathway beyond the commercial mandate's age 10 limit.
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Need help navigating ABA insurance?
Our team works with ABA providers across Maine.