Is there a copay for ABA under Medicaid?

No. Texas Medicaid covers ABA for eligible children under 21 with no copay.

Do private plans cover ABA in Texas?

Yes. Texas requires commercial plans to cover autism services from the diagnosis date, generally through at least age 9.

2026-06-07 · All Aboard ABA · Local Resources

Does Texas Medicaid Cover ABA Therapy? What Sugar Land Families Need to Know

Q: Does Texas Medicaid cover ABA therapy?

Yes — medically necessary ABA is covered for eligible children under 21 with an autism diagnosis, with no copay.

Quick answer: Yes. Since February 2022, Texas Medicaid covers medically necessary ABA evaluation and treatment for eligible children under 21 with an autism diagnosis — with no copay. Commercial insurance plans in Texas are also required to cover autism services from the date of diagnosis.

What Texas Medicaid covers

Medicaid covers ABA assessment and ongoing treatment when it's medically necessary and prescribed for a child with an autism spectrum disorder diagnosis. Coverage runs for eligible children and youth under 21.

What about private insurance?

Texas has an autism insurance mandate. Commercial plans must cover autism spectrum disorder services from your child's diagnosis date through age 9, and many plans extend coverage further.

The one thing you need first

For either Medicaid or commercial insurance, your child needs a medical autism diagnosis before ABA can be authorized. If you don't have one yet, see our guide on getting an autism diagnosis in Sugar Land.

How to confirm your coverage

Plans and eligibility vary. The fastest way to know what your family qualifies for is to let us verify it for you. We'll check your specific plan and explain what's covered before anything starts.

Want us to verify your coverage? Book an Intake Call and we'll check your plan.