Insurance Guide · Massachusetts (MA)
ABA Therapy Insurance in Massachusetts
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
Massachusetts Mandate Details
Mandate Law
ARICA, Chapter 207 (2010)
Year Enacted
2010
Medicaid Coverage in Massachusetts
MassHealth (Massachusetts Medicaid) covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in Massachusetts
Massachusetts has one of the most comprehensive mandates in the country with no dollar cap and no age limit. The state's strong healthcare infrastructure supports extensive ABA provider networks.
Frequently Asked Questions
Does Massachusetts require insurance to cover ABA therapy?
Yes. Massachusetts' ARICA law (Chapter 207, 2010) requires fully-insured plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Does MassHealth cover ABA therapy?
Yes. MassHealth covers ABA therapy for children under 21 through EPSDT. Massachusetts has one of the most developed Medicaid ABA frameworks in the country with established provider networks.
Are ABA rates higher in Massachusetts?
Yes. Massachusetts ABA rates are above the national average due to the high cost of living, particularly in the Boston metro area. However, the uncapped mandate means insurance covers the full cost of medically necessary ABA.
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Need help navigating ABA insurance?
Our team works with ABA providers across Massachusetts.