Insurance Guide · South Carolina (SC)
ABA Therapy Insurance in South Carolina
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
South Carolina Mandate Details
Mandate Law
S. 43 (2007)
Year Enacted
2007
Medicaid Coverage in South Carolina
South Carolina Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in South Carolina
South Carolina was an early adopter with no dollar cap and no age limit. The state's growing ABA provider network is centered around Charleston, Columbia, and Greenville.
Frequently Asked Questions
Does South Carolina require insurance to cover ABA therapy?
Yes. South Carolina's S. 43 (2007) requires fully-insured plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Does South Carolina Medicaid cover ABA therapy?
Yes. South Carolina Medicaid covers ABA therapy for children under 21 through EPSDT. The state's managed care organizations coordinate ABA services.
Where are ABA providers in South Carolina?
ABA providers are concentrated in Charleston, Columbia, and the Greenville-Spartanburg area. Rural areas of the state have fewer providers, but telehealth services are expanding access.
Higglo
Need help navigating ABA insurance?
Our team works with ABA providers across South Carolina.