ABA Therapy and Medicaid Resources

Our goal at Positive Reinforcement has always been to provide high-quality care to children diagnosed with autism. To make this a reality, our team of professionals are here to assist you and your family with your eligibility for Medicaid coverage. 

What is Medicaid?

Medicaid provides health coverage to millions of Americans. It is a federal program that helps people who need health care but can’t afford it. There are 2 ways to qualify for Medicaid. Your family needs to meet the financial benchmark, or you have a family member that has a disability. Autism is considered a disability via Medicaid rules. The Medicaid program covers services to treat autism. Autism Spectrum Disorder is a developmental disability caused by differences in the brain. In July 2014, the Centers for Medicare and Medicaid Services requires that states provide services to treat ASD for children who are eligible for Medicaid under the age of 21 years of age. 

Treatments plans covered by Medicaid:

Medicaid treatment plans covered by the Department of Health and Human Services include treatments such as Personal Care Services, Occupational Therapy, Speech Therapy, Physical Therapy, Private Duty Nursing, Vision Care, Dental Care, Medical Equipment, and Home Health.

The Department of Health and Human Services states that ABA is just one type of autism treatment. Due to this gray area, confirm that a particular type of therapy is covered in your state by Medicaid. States can set limits on types of care and what items are covered. Before you commit to getting a particular type of treatment, confirm that it is covered by Medicaid. 

Our team at Positive Reinforcement PLLC will work with you and your family to determine whether ABA therapy is covered by your insurance. Call or text us today at 703-576-5700 to get started. 

Contact Positive Reinforcement today for in home ABA therapy, servicing North Virginia, West Virginia. Now providing ABA Therapy Services in Richmond Virginia.