ABA therapy insurance South Dakota
Let us worry about coverage,
so you can focus on your child
Sorting out ABA therapy insurance in South Dakota can feel like a second job. Here's what you should know, and how much of it we take off your plate.
Plans we accept
Epic Minds accepts South Dakota Medicaid and CHIP, Wellmark Blue Cross and Blue Shield, Sanford Health Plan, Avera Health Plans, Aetna, Cigna and UnitedHealthcare.
South Dakota Medicaid ABA therapy
South Dakota Medicaid and CHIP cover ABA for eligible children with an autism diagnosis, based on medical necessity and prior authorization. Medicaid here is fee-for-service with the PRIME primary care program, so you won't have to choose a managed care plan.
What state law requires
South Dakota requires commercial health plans to cover autism treatment, including ABA. Large-group plans have had to cover it since 2015, and individual and small-group plans were added in 2021. That means Wellmark ABA therapy, Sanford Health Plan ABA therapy and Avera Health Plans ABA therapy coverage are open to many South Dakota families through work or the marketplace.
Self-funded employer plans
Some employers pay claims themselves instead of buying a state-regulated policy. Those plans follow federal rules instead of South Dakota's mandate, so coverage can look different from one employer to the next. Plans administered by DAKOTACARE, UMR, Meritain and similar companies often fall into this group, and we'll look at yours carefully.
ABA therapy prior authorization in South Dakota
We verify your benefits, request the authorization and keep track of every renewal, including the six-month reauthorizations South Dakota Medicaid requires. You'll know what's covered before your child's first session.




