Maine caps ABA coverage at $36,000 per year (under age 10) under the L.D. 1198 (2010). Here's what families and operators need to know.
$36,000 per year (under age 10) · L.D. 1198 (2010)Updated April 2026L.D. 1198 (2010)
2010
Maine Medicaid (MaineCare) covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
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.
Maine caps ABA insurance coverage at $36,000 per year under the commercial mandate, with coverage applying 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.
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.
Higglo works with ABA providers across Maine on marketing, intake, and growth. Talk to our team about your program.
