Insurance Guide · Ohio (OH)
ABA Therapy Insurance in Ohio
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
Ohio Mandate Details
Mandate Law
S.B. 7 (2016)
Year Enacted
2016
Medicaid Coverage in Ohio
Ohio Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in Ohio
Ohio's mandate has no annual dollar cap and no age limit. The state's diverse metro areas (Columbus, Cleveland, Cincinnati) support extensive ABA provider networks with competitive rates.
Frequently Asked Questions
Does Ohio require insurance to cover ABA therapy?
Yes. Ohio's S.B. 7 (2016) requires fully-insured plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Does Ohio Medicaid cover ABA therapy?
Yes. Ohio Medicaid covers ABA therapy for children under 21 through EPSDT. Ohio's Medicaid managed care plans coordinate ABA services and provider networks statewide.
How are ABA rates in Ohio compared to the national average?
Ohio ABA rates are generally near or slightly below the national average. Columbus, Cleveland, and Cincinnati offer competitive rates, while smaller cities and rural areas tend to be lower. The uncapped mandate ensures full coverage regardless of rate.
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Need help navigating ABA insurance?
Our team works with ABA providers across Ohio.