Insurance Guide · New Jersey (NJ)
ABA Therapy Insurance in New Jersey
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
New Jersey Mandate Details
Mandate Law
S. 1651 (2009)
Year Enacted
2009
Medicaid Coverage in New Jersey
NJ FamilyCare (Medicaid) covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in New Jersey
New Jersey has no annual dollar cap and no age limit. The state has one of the highest rates of autism diagnosis in the country and a correspondingly robust ABA provider network.
Frequently Asked Questions
Does New Jersey require insurance to cover ABA therapy?
Yes. New Jersey's S. 1651 (2009) requires fully-insured plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Does NJ FamilyCare cover ABA therapy?
Yes. NJ FamilyCare (Medicaid) covers ABA therapy for children under 21 through EPSDT. New Jersey has established ABA provider networks through its Medicaid managed care organizations.
Why does New Jersey have so many ABA providers?
New Jersey has one of the highest rates of autism diagnosis in the nation, driving strong demand for ABA services. Combined with the uncapped mandate and proximity to the NYC metro, the state supports a large and competitive ABA provider market.
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Need help navigating ABA insurance?
Our team works with ABA providers across New Jersey.