Insurance Guide · Wisconsin (WI)
ABA Therapy Insurance in Wisconsin
Annual Cap
No annual cap
Age Limit
No age limit
Plan Types
Individual and group fully-insured plans
Wisconsin Mandate Details
Mandate Law
Act 338 (2009)
Year Enacted
2009
Medicaid Coverage in Wisconsin
Wisconsin Medicaid (BadgerCare Plus) covers ABA therapy for children under 21 with an autism diagnosis through EPSDT.
What to Know About ABA Coverage in Wisconsin
Wisconsin's mandate has no annual dollar cap and no age limit. Milwaukee, Madison, and Green Bay have strong ABA provider networks.
Frequently Asked Questions
Does Wisconsin require insurance to cover ABA therapy?
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.
Does BadgerCare Plus (Wisconsin Medicaid) cover ABA?
Yes. BadgerCare Plus covers ABA therapy for children under 21 through EPSDT. Wisconsin's managed care organizations coordinate ABA services and provider networks.
How is ABA provider availability in Wisconsin?
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
Need help navigating ABA insurance?
Our team works with ABA providers across Wisconsin.