Insurance Guide · New York (NY)
ABA Therapy Insurance in New York
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
New York Mandate Details
Mandate Law
Insurance Law § 3221(l)(6) (2011)
Year Enacted
2011
Medicaid Coverage in New York
New York Medicaid covers ABA therapy for children under 21 with an autism diagnosis through managed care plans.
What to Know About ABA Coverage in New York
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.
Frequently Asked Questions
Does New York require insurance to cover ABA therapy?
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.
Does New York Medicaid cover ABA therapy?
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.
How long are ABA waitlists in New York?
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.
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Our team works with ABA providers across New York.