Florida families say Medicaid stopped covering their children ABA therapy with no explanation. Here is what federal law says about notice, appeal rights, and keeping services going while you fight back.
Massachusetts just became the first state in nearly two decades to require ABA therapy coverage for a standalone Down syndrome diagnosis, no autism diagnosis required. Heres what it means and how to check your own coverage.
Does insurance cover ABA therapy? Here is a complete breakdown of state autism mandates, self-funded plan exceptions, Medicaid EPSDT coverage, typical costs, and how to find a provider who takes your insurance.
AmeriHealth Caritas is one of the largest Medicaid managed care organizations in the United States, covering millions of low-income children and famil...
Magellan Healthcare manages behavioral health benefits, including ABA therapy, for many insurers and state Medicaid plans. Heres how coverage works and how to get started.
WellCare and its parent company Centene cover ABA therapy across more than 30 states. This guide explains your coverage, how to get authorized, and what to do if your child's ABA services are denied.
A May 2026 CMS update to the EPSDT playbook says states cannot use flat hour caps or plateau in progress to cut off medically necessary ABA therapy for Medicaid-eligible children. Heres what it means and how to use it in an appeal.
Anthem covers ABA therapy as medically necessary for autism across all 14 states where it operates Blue Cross Blue Shield plans. Here is what families need to know about prior authorization, what is covered, and how to appeal a denial.
Is ABA Therapy Right for High-Functioning Autism?
When most people picture ABA therapy, they imagine young children working intensively with a therap...
What Happened With MassHealth and ABA Therapy?
In early 2026, families across Massachusetts received unsettling news: the state's Medicaid program, M...
What actually happens during an ABA therapy session? This guide walks parents through the structure of a typical session, who is in the room, what good therapy looks like, and red flags to watch for.
Parent training is one of the most important parts of a quality ABA program. Learn what it involves, what you will learn from your BCBA, and how insurance covers caregiver training sessions.
