Ohio has no annual cap under the S.B. 7 (2016). Here's what families and operators need to know.
No annual cap · S.B. 7 (2016)Updated April 2026S.B. 7 (2016)
2016
Ohio Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
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.
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.
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.
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.
Higglo works with ABA providers across Ohio on marketing, intake, and growth. Talk to our team about your program.
