Insurance Guide · Missouri (MO)
ABA Therapy Insurance in Missouri
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
Missouri Mandate Details
Mandate Law
S.B. 53 (2010)
Year Enacted
2010
Medicaid Coverage in Missouri
Missouri Medicaid (MO HealthNet) covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in Missouri
Missouri's mandate has no annual dollar cap and no age limit. The state's diverse provider landscape spans the Kansas City and St. Louis metro areas with growing telehealth options in rural regions.
Frequently Asked Questions
Does Missouri require insurance to cover ABA therapy?
Yes. Missouri's S.B. 53 (2010) requires fully-insured plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Does MO HealthNet (Missouri Medicaid) cover ABA?
Yes. MO HealthNet covers ABA therapy for children under 21 through EPSDT. Families should contact their managed care plan for provider networks and authorization requirements.
Where are ABA providers located in Missouri?
ABA providers are concentrated in the Kansas City and St. Louis metro areas. Springfield and Columbia also have growing provider networks. Rural Missouri relies more heavily on telehealth ABA services.
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Need help navigating ABA insurance?
Our team works with ABA providers across Missouri.