Insurance Guide · Rhode Island (RI)
ABA Therapy Insurance in Rhode Island
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
Rhode Island Mandate Details
Mandate Law
H. 5765 (2012)
Year Enacted
2012
Medicaid Coverage in Rhode Island
Rhode Island Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in Rhode Island
Rhode Island's mandate has no annual dollar cap and no age limit. The state's small size and proximity to Boston mean families have access to ABA providers in both Rhode Island and nearby Massachusetts.
Frequently Asked Questions
Does Rhode Island require insurance to cover ABA therapy?
Yes. Rhode Island's H. 5765 (2012) requires fully-insured plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Does Rhode Island Medicaid cover ABA therapy?
Yes. Rhode Island Medicaid covers ABA therapy for children under 21 through EPSDT. The state's managed care plans coordinate ABA provider networks.
Can Rhode Island families access ABA providers in Massachusetts?
Many Rhode Island families, especially in the Providence area, access ABA providers in nearby Massachusetts. Cross-state coverage depends on the specific insurance plan's provider network.
Higglo
Need help navigating ABA insurance?
Our team works with ABA providers across Rhode Island.