Oklahoma caps ABA coverage at $25,000 per year under the H.B. 2962 (2010). Here's what families and operators need to know.
$25,000 per year · H.B. 2962 (2010)Updated April 2026H.B. 2962 (2010)
2010
Oklahoma Medicaid (SoonerCare) covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
Oklahoma's $25,000 annual cap is among the lowest in the nation. The cap can be exhausted quickly for intensive programs, making SoonerCare (Medicaid) critical for eligible families.
Oklahoma caps ABA insurance coverage at $25,000 per year through age 18 for individuals with autism on fully-insured plans. This is among the lowest caps nationally.
Yes. SoonerCare covers ABA therapy for children under 21 through EPSDT. Given the low commercial cap, SoonerCare is a critical resource for families needing intensive ABA programs.
At Oklahoma's typical ABA rates, $25,000 covers approximately 10-15 hours per week. Families needing intensive programs (25+ hours/week) will likely exhaust the cap by mid-year and should explore Medicaid or other funding.
Higglo works with ABA providers across Oklahoma on marketing, intake, and growth. Talk to our team about your program.
