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Does Medicaid Cover ABA Therapy in Vermont?

Published April 8, 2026

Yes — Vermont Green Mountain Care (Medicaid) covers ABA therapy for children and teens under 21 with an autism diagnosis. Vermont has a unique all-payer model and strong autism insurance mandate. Burlington has the largest ABA provider concentration. Here's how to access coverage.

Key takeaways

  • Green Mountain Care covers ABA for all children under 21 with autism
  • Vermont Medicaid primarily uses a fee-for-service model through Vermont Medicaid-enrolled providers
  • Vermont's commercial insurance mandate covers children through age 21
  • Burlington and Chittenden County have the largest ABA provider network
  • Adults may access services through Vermont's Developmental Services program

How Vermont Medicaid covers ABA

Vermont's Green Mountain Care (Medicaid) uses a primarily fee-for-service model, though some services are managed through Vermont's Blueprint for Health and ACO structures. To receive ABA therapy, you need to work with a Medicaid-enrolled provider in Vermont who is qualified to deliver ABA services for autism.

Vermont's autism insurance mandate

Vermont law (8 V.S.A. § 4089h) requires fully-insured commercial health plans to cover ABA therapy for individuals with autism through age 21. Coverage must include assessment and treatment services. Vermont's strong insurance regulations extend meaningful protections to young adults aging out of typical pediatric coverage.

How to access ABA through Vermont Medicaid

  1. Confirm your Green Mountain Care enrollment at dvha.vermont.gov or call 1-800-250-8427.
  2. Get an autism diagnosis from a licensed professional.
  3. Find a Vermont Medicaid-enrolled ABA provider using FindABA or the DVHA provider portal.
  4. Prior authorization may be required — your provider will submit documentation on your behalf.
  5. Services begin at no cost to you.

Vermont resources

Find Vermont ABA providers that accept Medicaid

FindABA lists ABA providers in Vermont showing accepted insurance plans including Vermont Medicaid and commercial plans.

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