West Virginia caps ABA coverage at $30,000 per year under the H.B. 2935 (2013). Here's what families and operators need to know.
$30,000 per year · H.B. 2935 (2013)Updated April 2026H.B. 2935 (2013)
2013
West Virginia Medicaid covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
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.
West Virginia caps ABA insurance coverage at $30,000 per year through age 18 for individuals with autism on fully-insured plans.
Yes. West Virginia Medicaid covers ABA therapy for children under 21 through EPSDT. West Virginia expanded Medicaid in 2014, increasing access for many families.
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 works with ABA providers across West Virginia on marketing, intake, and growth. Talk to our team about your program.
