
Insurance and Costs
Autism Behavioral Solutions currently accepts United, BlueCross BlueShield, Medicaid (Anthem, United and BlueCross BlueShield) as well as private pay. Most insurance covers ABA therapy however ABA services must be deemed medically necessary by your physician and insurance provider in order to be eligible for coverage.
Medical necessity for ABA services is determined through an assessment of communicative, behavioral, social and self-care deficits and the impact of these deficits on the quality of life for the individual and their families. Educational deficits do not qualify as a medical necessity under current insurance regulations.
Most insurance plans are required by law to cover all or part of Applied Behavior Analysis services for children diagnosed with Autism.
In Virginia,
Diagnosis
Behavioral Health Treatment
Pharmacy Care
Psychiatric Care
Psychological Care
Therapeutic Care (e.g. services provided by licensed or certified speech language pathologists, occupational therapists, physical therapists or social workers)
Applied Behavior Analysis (ABA)
are covered under the autism insurance bill HB 2467,HB 2577, and SB 1031.
Coverage of ABA for diagnosises outside of ASD can vary.