Higglo digital

Insurance Guide · Montana (MT)

ABA Therapy Insurance in Montana

No Annual Cap · S.B. 234 (2009)

Annual Cap

No annual cap

Age Limit

No age limit

Plan Types

Individual and group fully-insured plans

Montana Mandate Details

Mandate Law

S.B. 234 (2009)

Year Enacted

2009

Medicaid Coverage in Montana

Montana Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.

What to Know About ABA Coverage in Montana

Montana's mandate has no annual dollar cap and no age limit. Provider access can be challenging in rural areas, but the uncapped mandate ensures strong financial coverage.

Frequently Asked Questions

Does Montana require insurance to cover ABA therapy?

Yes. Montana's S.B. 234 (2009) requires fully-insured plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.

Does Montana Medicaid cover ABA therapy?

Yes. Montana Medicaid covers ABA therapy for children under 21 through EPSDT. Montana expanded Medicaid in 2016, increasing access for many families.

Is ABA therapy accessible in rural Montana?

Rural Montana faces provider shortages, but telehealth ABA services have significantly expanded access. Billings, Missoula, and Great Falls have the strongest in-person provider availability.

Higglo

Need help navigating ABA insurance?

Our team works with ABA providers across Montana.