Montana has no annual cap under the S.B. 234 (2009). Here's what families and operators need to know.
No annual cap · S.B. 234 (2009)Updated April 2026S.B. 234 (2009)
2009
Montana Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
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.
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.
Yes. Montana Medicaid covers ABA therapy for children under 21 through EPSDT. Montana expanded Medicaid in 2016, increasing access for many families.
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 works with ABA providers across Montana on marketing, intake, and growth. Talk to our team about your program.
