Insurance Guide · Maryland (MD)
ABA Therapy Insurance in Maryland
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
Maryland Mandate Details
Mandate Law
S.B. 171 (2012)
Year Enacted
2012
Medicaid Coverage in Maryland
Maryland Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in Maryland
Maryland's mandate has no annual dollar cap and no age limit. The state's proximity to DC and strong provider network makes ABA services widely accessible in the Baltimore-Washington corridor.
Frequently Asked Questions
Does Maryland require insurance to cover ABA therapy?
Yes. Maryland's S.B. 171 (2012) requires fully-insured plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Does Maryland Medicaid cover ABA therapy?
Yes. Maryland Medicaid covers ABA therapy for children under 21 through EPSDT. The state's HealthChoice managed care program coordinates ABA services.
How is ABA provider availability in Maryland?
The Baltimore-Washington corridor has excellent ABA provider availability. Western Maryland and the Eastern Shore have fewer options, but the state's uncapped mandate and Medicaid coverage help ensure access.
Higglo
Need help navigating ABA insurance?
Our team works with ABA providers across Maryland.