New York has no annual cap under the Insurance Law § 3221(l)(6) (2011). Here's what families and operators need to know.
No annual cap · Insurance Law § 3221(l)(6) (2011)Updated April 2026Insurance Law § 3221(l)(6) (2011)
2011
New York Medicaid covers ABA therapy for children under 21 with an autism diagnosis through managed care plans.
New York has one of the strongest mandates in the country with no dollar cap and no age limit. The state's large and competitive ABA market spans New York City, Long Island, Westchester, and upstate metro areas.
Yes. New York Insurance Law § 3221(l)(6) requires fully-insured plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Yes. New York Medicaid covers ABA therapy for children under 21 with autism. Coverage is provided through Medicaid managed care plans. Families should contact their managed care plan for provider information.
Waitlists vary by region. New York City waitlists can run 3-12 months at established clinics. Upstate New York generally has shorter wait times. In-home ABA may have faster availability than center-based programs.
Higglo works with ABA providers across New York on marketing, intake, and growth. Talk to our team about your program.
