Virginia has no annual cap under the S.B. 1062 (2011). Here's what families and operators need to know.
No annual cap · S.B. 1062 (2011)Updated April 2026S.B. 1062 (2011)
2011
Virginia Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
Virginia's mandate has no annual dollar cap and no age limit. Northern Virginia (near DC), Richmond, and Virginia Beach have the strongest ABA provider networks.
Yes. Virginia's S.B. 1062 (2011) requires fully-insured plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Yes. Virginia Medicaid covers ABA therapy for children under 21 through EPSDT. Virginia expanded Medicaid in 2019, increasing access for many families.
Northern Virginia (Arlington, Fairfax, Loudoun) has extensive options due to its proximity to DC. Richmond, Virginia Beach, and Charlottesville also have strong provider networks. Southwest Virginia has fewer options.
Higglo works with ABA providers across Virginia on marketing, intake, and growth. Talk to our team about your program.
