ACA Essential Health Benefits and ABA in Michigan
42 U.S.C. 18022 sets the essential health benefit categories.
How the benefit category connects
Ten categories
The statute lists ten essential health benefit categories, including rehabilitative and habilitative services.
Michigan’s classification
DIFS says ABA is categorized in Michigan’s essential health benefits as a habilitative service.
Exchange plans
A qualified health plan on the exchange need not cover the autism section’s benefits beyond the essential health benefits.
Link to limits
Because annual limits are barred on essential health benefits, classification matters.
Back to the ABA guide.
ACA Essential Health Benefits and ABA in Michigan: short answers
Does this apply to employer plans?
Essential health benefit requirements apply to individual and small-group market plans.
What is a habilitative service?
Care that helps a person keep, learn or improve skills for daily living.
Where is Michigan’s list?
On the DIFS essential health benefits page.
ACA Essential Health Benefits and ABA in Michigan: not legal advice. Send us your renewal.
Where these details come from
The laws and rules named on this page link to the official text. This is general information, not legal advice, and rules change, so check the current text.
42 U.S.C. 18022 (essential health benefits)
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