Pennsylvania caps ABA coverage at $36,000 per year under the Act 62 (2008). Here's what families and operators need to know.
$36,000 per year · Act 62 (2008)Updated April 2026Act 62 (2008)
2008
Pennsylvania Medicaid covers ABA through the Intensive Behavioral Health Services (IBHS) program for children under 21.
Pennsylvania's Act 62 caps commercial ABA coverage at $36,000 per year through age 21. The state's IBHS Medicaid program is one of the most developed ABA Medicaid frameworks in the country.
Pennsylvania caps ABA insurance coverage at $36,000 per year through age 21 for individuals with autism on fully-insured plans under Act 62.
Intensive Behavioral Health Services (IBHS) is Pennsylvania Medicaid's framework for ABA coverage. It provides comprehensive ABA services for children under 21 and is one of the most developed Medicaid ABA programs nationally.
At Pennsylvania's rates, $36,000 covers approximately 12-18 hours per week. Families needing intensive programs often combine commercial insurance with IBHS (Medicaid) coverage to access more hours.
Higglo works with ABA providers across Pennsylvania on marketing, intake, and growth. Talk to our team about your program.
