Tennessee has no annual cap under the P.C. 834 (2016). Here's what families and operators need to know.
No annual cap · P.C. 834 (2016)Updated April 2026P.C. 834 (2016)
2016
TennCare (Tennessee Medicaid) covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
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.
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.
Yes. TennCare covers ABA therapy for children under 21 through EPSDT. Families should contact their TennCare managed care organization for provider availability and authorization.
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 works with ABA providers across Tennessee on marketing, intake, and growth. Talk to our team about your program.
