Insurance Guide · Oregon (OR)
ABA Therapy Insurance in Oregon
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
Oregon Mandate Details
Mandate Law
S.B. 365 (2013)
Year Enacted
2013
Medicaid Coverage in Oregon
Oregon Health Plan (Medicaid) covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in Oregon
Oregon's mandate has no annual dollar cap and no age limit. The Oregon Health Plan (Medicaid) also provides comprehensive ABA coverage through coordinated care organizations.
Frequently Asked Questions
Does Oregon require insurance to cover ABA therapy?
Yes. Oregon's S.B. 365 (2013) requires fully-insured plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Does the Oregon Health Plan cover ABA therapy?
Yes. The Oregon Health Plan covers ABA therapy for children under 21 through EPSDT. Coverage is coordinated through regional Coordinated Care Organizations (CCOs).
How is ABA provider availability in Oregon?
The Portland metro area has extensive ABA provider options. Eugene, Salem, and Bend have growing networks. Rural Oregon relies more on telehealth ABA, though in-person options are expanding.
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Need help navigating ABA insurance?
Our team works with ABA providers across Oregon.