Insurance Guide · Washington (WA)
ABA Therapy Insurance in Washington
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
Washington Mandate Details
Mandate Law
S.B. 5946 (2011)
Year Enacted
2011
Medicaid Coverage in Washington
Washington Apple Health (Medicaid) covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in Washington
Washington's mandate has no annual dollar cap and no age limit. The Seattle metro area has one of the most competitive ABA provider markets in the country.
Frequently Asked Questions
Does Washington require insurance to cover ABA therapy?
Yes. Washington's S.B. 5946 (2011) requires fully-insured plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Does Apple Health (Washington Medicaid) cover ABA?
Yes. Apple Health covers ABA therapy for children under 21 through EPSDT. Washington's managed care organizations coordinate ABA provider networks statewide.
How is ABA provider availability in Washington?
The Seattle-Tacoma metro area has extensive ABA provider options. Spokane, Olympia, and Bellingham also have providers. Eastern Washington and rural areas rely more on telehealth services.
Higglo
Need help navigating ABA insurance?
Our team works with ABA providers across Washington.