Michigan has no annual cap under the P.A. 101 (2012). Here's what families and operators need to know.
No annual cap · P.A. 101 (2012)Updated April 2026P.A. 101 (2012)
2012
Michigan Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
Michigan's mandate has no annual dollar cap and no age limit. The state has a strong ABA provider presence, especially in the Detroit metro, Grand Rapids, and Ann Arbor areas.
Yes. Michigan's P.A. 101 (2012) requires fully-insured plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Yes. Michigan Medicaid covers ABA therapy for children under 21 through EPSDT. Michigan's Medicaid Health Plans coordinate ABA provider networks and authorizations.
ABA providers are concentrated in Southeast Michigan (Detroit, Ann Arbor), West Michigan (Grand Rapids), and the Lansing area. Northern Michigan and the Upper Peninsula have fewer providers but telehealth has expanded access.
Higglo works with ABA providers across Michigan on marketing, intake, and growth. Talk to our team about your program.
