Insurance Guide · Tennessee (TN)
ABA Therapy Insurance in Tennessee
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
Tennessee Mandate Details
Mandate Law
P.C. 834 (2016)
Year Enacted
2016
Medicaid Coverage in Tennessee
TennCare (Tennessee Medicaid) covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in Tennessee
Tennessee's mandate has no annual dollar cap and no age limit. Nashville, Memphis, and Knoxville have the largest ABA provider markets, with the state's affordable rates making therapy accessible.
Frequently Asked Questions
Does Tennessee require insurance to cover ABA therapy?
Yes. Tennessee's P.C. 834 (2016) requires fully-insured plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Does TennCare cover ABA therapy?
Yes. TennCare covers ABA therapy for children under 21 through EPSDT. Families should contact their TennCare managed care organization for provider availability and authorization.
How affordable is ABA therapy in Tennessee?
Tennessee's ABA rates are below the national average. Combined with the uncapped insurance mandate, ABA therapy is relatively affordable. Nashville, Memphis, and Knoxville have competitive provider markets.
Higglo
Need help navigating ABA insurance?
Our team works with ABA providers across Tennessee.