Insurance Guide · West Virginia (WV)
ABA Therapy Insurance in West Virginia
Annual Cap
$30,000 per year
Age Limit
Through age 18
Plan Types
Individual and group fully-insured plans
West Virginia Mandate Details
Mandate Law
H.B. 2935 (2013)
Year Enacted
2013
Medicaid Coverage in West Virginia
West Virginia Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in West Virginia
West Virginia's mandate caps annual coverage at $30,000 through age 18. Given the state's lower ABA rates, the cap provides reasonable coverage for many part-time programs.
Frequently Asked Questions
What is West Virginia's annual cap for ABA insurance coverage?
West Virginia caps ABA insurance coverage at $30,000 per year through age 18 for individuals with autism on fully-insured plans.
Does West Virginia Medicaid cover ABA therapy?
Yes. West Virginia Medicaid covers ABA therapy for children under 21 through EPSDT. West Virginia expanded Medicaid in 2014, increasing access for many families.
Is $30,000 enough for ABA therapy in West Virginia?
At West Virginia's lower-than-average ABA rates, $30,000 covers approximately 15-20 hours per week. Families needing more intensive programs should explore Medicaid coverage as a supplement.
Higglo
Need help navigating ABA insurance?
Our team works with ABA providers across West Virginia.