Insurance Guide · Virginia (VA)
ABA Therapy Insurance in Virginia
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
Virginia Mandate Details
Mandate Law
S.B. 1062 (2011)
Year Enacted
2011
Medicaid Coverage in Virginia
Virginia Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in Virginia
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.
Frequently Asked Questions
Does Virginia require insurance to cover ABA therapy?
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.
Does Virginia Medicaid cover ABA therapy?
Yes. Virginia Medicaid covers ABA therapy for children under 21 through EPSDT. Virginia expanded Medicaid in 2019, increasing access for many families.
Where are ABA providers in Virginia?
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
Need help navigating ABA insurance?
Our team works with ABA providers across Virginia.