Wisconsin has no annual cap under the Act 338 (2009). Here's what families and operators need to know.
No annual cap · Act 338 (2009)Updated April 2026Act 338 (2009)
2009
Wisconsin Medicaid (BadgerCare Plus) covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
Wisconsin's mandate has no annual dollar cap and no age limit. Milwaukee, Madison, and Green Bay have strong ABA provider networks.
Yes. Wisconsin's Act 338 (2009) requires fully-insured plans to cover ABA therapy for individuals with autism with no annual dollar cap and no age limit.
Yes. BadgerCare Plus covers ABA therapy for children under 21 through EPSDT. Wisconsin's managed care organizations coordinate ABA services and provider networks.
Milwaukee, Madison, Green Bay, and Appleton have strong ABA provider markets. Northern Wisconsin and rural areas have fewer providers but telehealth has expanded access significantly.
Higglo works with ABA providers across Wisconsin on marketing, intake, and growth. Talk to our team about your program.
