Magnolia Behavior Therapy works closely with the following insurance companies and works every day to add new insurance providers. We are in ‘in-network provider for most insurance companies and facilitate contracted provider with the others.

At Magnolia Behavior Therapy we want the focus to always be on your child, as well as your efforts to support your child’s progress. The last thing we want is for unexpected medical bills, co-pays, and coverage concerns to interrupt the journey toward meeting your child’s goals.

That’s why our meticulous intake process includes a thorough review of your insurance coverage to assess all levels of insurance eligibility. Not only does this help later in developing a holistic treatment strategy, but it can also catch any potential holes in your existing insurance coverage

Participating ABA Therapy Insurance Programs

Does Insurance Cover ABA Therapy For Children On The Autism Spectrum

Most insurance programs offer coverage for the treatment of Autism Spectrum Disorder through ABA therapy. In fact, ABA therapy is considered by most experts to be one of the most effective ways for helping children on the autism spectrum to make progressive breakthroughs.

To that point, the United States Surgeon General and the American Psychological Association both consider ABA therapy to be a highly successful evidence-based data-driven practice for treating autism spectrum disorder. This is based on more than four decades of extensive research literature documentation of ABA therapy’s effectiveness.

ABA Insurance Coverage

ABA therapy insurance coverage is typically funded by most insurance companies based on medical necessity. This often requires a referral from a pediatrician or primary care physician. Though the prevailing criteria recognized for medical necessity may vary between insurance companies.

Fortunately, Magnolia Behavior Therapy is an industry leader in ABA therapy for children and adults on the autism spectrum. Our decades of combined experience help us deftly navigate the insurance industry’s requirements to make sure that all necessary requirements are met and any potential holes in your coverage are addressed to prevent any surprise expenses during your child’s breakthrough journey.

Does Medicaid Insurance Cover ABA Therapy?

For qualifying families, behavioral health treatment services such as ABA therapy are often covered for beneficiaries with children diagnosed with ASD. As a data-driven and evidence-based treatment method Applied Behavior Analysis offered by qualified professionals that are identified as a medical necessity, ABA therapy is more likely to receive full coverage than other treatment methodologies.

Common ABA Health Insurance Criteria For Autism

  • Autism Spectrum Disorder (ASD) is recognized as a developmental disability that typically causes significant social, communication, and behavioral challenges. Many children with autism spectrum disorder also experience academic and educational challenges.

  • An ASD diagnosis typically includes other possible conditions that present at the same time. In the past, many of these conditions like Asperger’s Syndrome were diagnosed separately. Though they are now recognized as being part of the autism spectrum.

  • This also means that many states are mandated to provide some degree of coverage for autism treatment through state-administered Medicaid programs. This also means that each state determines which services are considered “Medically Necessary.”

  • For families with one or more children with autism spectrum disorder, it ultimately means that each state decides whether a service like ABA therapy can be funded via Medicaid or other public health programs. This might also include things like services and supplies that are necessary to diagnose and treat a condition.

  • Thankfully, Magnolia Behavior Therapy has insurance and Medicaid specialists who are intimately familiar with the regulations and fine-point details. We make every possible effort to find your family the coverage you need and prevent any unnecessary surprise costs passed on to you.