Insurance Guide · South Dakota (SD)
ABA Therapy Insurance in South Dakota
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
South Dakota Mandate Details
Mandate Law
S.B. 172 (2014)
Year Enacted
2014
Medicaid Coverage in South Dakota
South Dakota Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in South Dakota
South Dakota's mandate has no annual dollar cap and no age limit. Provider access is limited outside Sioux Falls and Rapid City, but the uncapped mandate provides strong financial coverage.
Frequently Asked Questions
Does South Dakota require insurance to cover ABA therapy?
Yes. South Dakota's S.B. 172 (2014) requires fully-insured plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Does South Dakota Medicaid cover ABA therapy?
Yes. South Dakota Medicaid covers ABA therapy for children under 21 through EPSDT. Families should contact the Department of Social Services for provider information.
Is ABA therapy accessible in rural South Dakota?
Sioux Falls and Rapid City have the strongest ABA provider availability. Rural areas face provider shortages, though telehealth ABA services have expanded access across the state.
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Need help navigating ABA insurance?
Our team works with ABA providers across South Dakota.