Which Medicaid Health Plans must cover autism treatment, including ABA?
ALL Medicaid Health Plans must cover autism treatment, including ABA. Medicaid Health Plans include: Traditional Medicaid (fee-for-service); Hoosier Care Connect; Hoosier Health Wise; and MED Works. For adults, autism treatment is through the mental health benefits.
Medicaid carriers include Anthem, MHS and MDWise (insurance companies that are contracted by the State of Indiana to manage some Medicaid Health Plans). You do not have to “switch Medicaid types” to access ABA coverage.
To learn more about these Medicaid options, please visit:
A new fact sheet, FAQ About Medicaid Coverage for Autism Treatment explains the Medicaid policy for Autism treatment for children ages 0-21 under Early, Periodic, Screening, Diagnosis and Treatment (EPSDT) program:
Additional information on funding sources for ABA treatment is available in this fact sheet: