Health Insurance Coverage of ABA Services

Below are links to websites with information about U.S. laws, regulations, and policies on health insurance coverage of ABA services.

  • Click here for information about laws in U.S. states governing coverage of ABA services for people with autism by certain private health insurance companies
  • Click here for information about coverage of ABA services for people with autism by TRICARE, the U.S. military's health plan
  • Click here for information about coverage of ABA and other services for beneficiaries of state Medicaid Early Periodic Screening, Diagnosis, and Treatment programs

The ABA Coding Coalition (Association of Professional Behavior Analysts, Autism Speaks, Behavior Analyst Certification Board, Council of Autism Service Providers, and Consultant Jenna Minton) provides information and resources to support implementation of the 2019 CPT codes for adaptive behavior (ABA) services.

Click here to access its website.

For information about U.S. rules on protecting the privacy of patient health information (HIPAA), click here.