In most cases, yes. Virginia law requires state-regulated health plans to cover ABA therapy for autism, performed or supervised by a BCBA licensed by the Virginia Board of Medicine. Cigna covers ABA therapy when medically necessary, usually with prior authorization. Confirm your specific plan with a Verification of Benefits before starting.
Virginia's autism insurance law (HB 2467, enacted 2011, effective January 1, 2012) requires coverage for autism spectrum disorder treatment, including ABA therapy, when the ABA is provided or supervised by a board-certified behavior analyst licensed by the Virginia Board of Medicine, with the diagnosing practitioner independent of the ABA provider. The law has been amended multiple times — HB 2577 (2019) and SB 1031 (2020) both changed its scope. Age limits and benefit caps have changed across these amendments; verify current figures directly with Cigna or the Virginia Bureau of Insurance. Self-funded employer plans governed by federal ERISA are generally exempt from this state mandate. Cigna covers ABA therapy for autism spectrum disorder when the plan includes the benefit and treatment is medically necessary. Cigna's Autism Care Coordinator team can help families navigate the authorization process.
Cigna's process for ABA authorization in Virginia:
A formal ASD diagnosis from a licensed psychologist or developmental pediatrician, independent of the ABA provider per Virginia law.
Prior authorization is not required for the initial ABA assessment (CPT 97151, 97152, or 0362T) if performed by an independently licensed clinician or BCBA.
After the assessment, the provider submits an ABA Prior Authorization Form. All ABA services are billed under CPT codes 97151-97158. Contact Cigna's Autism Care Coordinator team at 877.279.7603 with plan questions.
Virginia's largest ABA therapy markets include the Northern Virginia/DC metro area (Fairfax, Arlington, Alexandria), the Richmond metro, Hampton Roads (Virginia Beach, Norfolk, Chesapeake), and the Charlottesville area. Harmony Care Finder can match you with Cigna-accepting ABA providers across all of these regions.
Call the member services number on your Cigna card and request a Verification of Benefits. Confirm: ABA coverage, current age/benefit limits under Virginia's most recent amendment, prior authorization requirements, deductible, copay, out-of-pocket maximum.
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This content is for informational purposes only and does not constitute medical, clinical, or therapeutic advice. Consult a licensed healthcare provider or Board Certified Behavior Analyst (BCBA) before making therapy decisions for your child.
Data current as of August 2026. Coverage terms and provider availability change frequently — verify directly with your insurance carrier and the provider before scheduling.