Does Medicaid Cover ABA Therapy for Autism? For most children with autism under age 21, yes. Medicaid covers ABA therapy. The rule that makes this work is called the EPSDT benefit. It requires every state Medicaid program to pay for medically necessary care for children under 21. That holds even when ABA is not on the state's standard benefit list. The short answer is yes. The fuller answer is yes, with conditions. How it plays out depends on your state, your plan type, the prior authorization r
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