Insurance Guide · Vermont (VT)
ABA Therapy Insurance in Vermont
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
Vermont Mandate Details
Mandate Law
Act 158 (2010)
Year Enacted
2010
Medicaid Coverage in Vermont
Vermont Medicaid (Green Mountain Care) covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in Vermont
Vermont's mandate has no annual dollar cap and no age limit. The state's small size can limit provider options, but the uncapped mandate ensures strong financial coverage.
Frequently Asked Questions
Does Vermont require insurance to cover ABA therapy?
Yes. Vermont's Act 158 (2010) requires fully-insured plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Does Green Mountain Care (Vermont Medicaid) cover ABA?
Yes. Green Mountain Care covers ABA therapy for children under 21 through EPSDT. Vermont's unique healthcare system provides broad coverage for ABA services.
How is ABA provider availability in Vermont?
Vermont has a limited but growing ABA provider network, concentrated around Burlington and Montpelier. Telehealth ABA services help bridge gaps in rural areas of the state.
Higglo
Need help navigating ABA insurance?
Our team works with ABA providers across Vermont.