Insurance Guide · New Mexico (NM)
ABA Therapy Insurance in New Mexico
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
New Mexico Mandate Details
Mandate Law
H.B. 82 (2013)
Year Enacted
2013
Medicaid Coverage in New Mexico
New Mexico Medicaid (Centennial Care) covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in New Mexico
New Mexico's mandate has no annual dollar cap and no age limit. Centennial Care (Medicaid) provides additional coverage, which is particularly important given the state's high Medicaid enrollment.
Frequently Asked Questions
Does New Mexico require insurance to cover ABA therapy?
Yes. New Mexico's H.B. 82 (2013) requires fully-insured plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Does Centennial Care (New Mexico Medicaid) cover ABA?
Yes. Centennial Care covers ABA therapy for children under 21 through EPSDT. Given New Mexico's high Medicaid enrollment, many families access ABA through this program.
Is ABA therapy accessible in rural New Mexico?
Rural New Mexico faces provider shortages, but Albuquerque, Santa Fe, and Las Cruces have growing ABA provider networks. Telehealth ABA services have been critical for expanding access to underserved areas.
Higglo
Need help navigating ABA insurance?
Our team works with ABA providers across New Mexico.