South Dakota has no annual cap under the S.B. 172 (2014). Here's what families and operators need to know.
No annual cap · S.B. 172 (2014)Updated April 2026S.B. 172 (2014)
2014
South Dakota Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
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.
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.
Yes. South Dakota Medicaid covers ABA therapy for children under 21 through EPSDT. Families should contact the Department of Social Services for provider information.
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.
Higglo works with ABA providers across South Dakota on marketing, intake, and growth. Talk to our team about your program.
