ABA insurance and Medicaid coverage in Minnesota

Autism insurance mandate

State mandate for autism coverage

Yes, the research found a state autism coverage law.

Statute

Minn. Stat. 62A.3094 (Coverage for autism spectrum disorders; 2025 Minnesota Statutes; added 2013 c. 108, art. 12, s. 3; amended 2021 c 30 art 17 s 2)

Age limits

Children under 18 with autism spectrum disorders.

Annual cap

We could not verify this yet - check with your state insurance department.

Excludes self-funded employer plans

We could not verify this yet - check with your state insurance department.

Notes

As of 2026-10-21, the statute applies to a health plan issued to a large employer (as defined in section 62Q.18, subd. 1) and requires coverage of diagnosis, evaluation, multidisciplinary assessment and medically necessary care, including early intensive behavioral and developmental therapy such as all types of applied behavior analysis, per an individualized treatment plan prescribed by the treating physician or mental health professional. A carrier may generally request an updated treatment plan only once every six months, but subd. 2(e) permits more frequent review when the carrier and the treating physician or mental health professional agree it is necessary because of emerging circumstances. An independent progress evaluation by a qualified mental health professional is required. The reviewed text specifies no dollar cap; this does not establish that benefits are unlimited. The 2021 amendment to the definitions in subd. 1 is shown on the Revisor site as effective upon federal approval; whether approval has occurred was not verified. The statute text reviewed does not expressly address self-funded plans, and this section does not resolve whether ERISA applies to any particular plan.

Medicaid ABA coverage

Medicaid covers ABA

Yes, per the sources below.

Program

Early Intensive Developmental and Behavioral Intervention (EIDBI) benefit, Minn. Stat. 256B.0949 (ABA is one approved modality)

Agency

Minnesota Department of Human Services (DHS)

Provider enrollment

We could not verify this yet - check with Minnesota Department of Human Services (DHS).

Payers named in our research

Names come from the research behind this page. Appearing here does not mean a payer is accepting new providers or that networks are open. Always confirm directly with the payer.