Insurance Guide · Michigan (MI)
ABA Therapy Insurance in Michigan
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
Michigan Mandate Details
Mandate Law
P.A. 101 (2012)
Year Enacted
2012
Medicaid Coverage in Michigan
Michigan Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in Michigan
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.
Frequently Asked Questions
Does Michigan require insurance to cover ABA therapy?
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.
Does Michigan Medicaid cover ABA therapy?
Yes. Michigan Medicaid covers ABA therapy for children under 21 through EPSDT. Michigan's Medicaid Health Plans coordinate ABA provider networks and authorizations.
Where are ABA providers concentrated in Michigan?
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
Need help navigating ABA insurance?
Our team works with ABA providers across Michigan.