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Does Medicaid cover ABA therapy in New Jersey?

Yes. NJ FamilyCare/Medicaid plans cover medically necessary ABA therapy for children under 21 with an autism diagnosis. Your child typically needs an ASD diagnosis, a referral, and prior authorization. We verify all of this for you for free before services begin.

How much does ABA therapy cost with insurance?

For most in-network families, ABA is covered by insurance, with costs limited to your plan's copay, coinsurance, or deductible — if any. Many Medicaid families have no out-of-pocket cost. We verify your exact benefits before you commit to anything.

How long does it take to start therapy?

From your first call to starting therapy usually takes a few weeks, depending on how quickly we can verify benefits, complete the assessment, and receive insurance authorization. We move as fast as your plan allows and keep you updated at every step.

What's the difference between in-home, office, and school-based ABA?

In-home ABA happens in your child's natural environment; office-based ABA uses a structured therapy space; school-based ABA supports your child in their classroom. Many children benefit from a combination. We'll recommend the right setting or combination of settings based on your child's assessment and your family's needs.

Do you come to my child's school?

Yes — we partner with certain private and parochial schools across New Jersey to provide school-based ABA. We coordinate directly with teachers and school staff so therapy supports your child's learning. (School-based ABA is a short-term, clinically justified service, not an educational aide — we'll explain what your plan covers.)

What ages does ABA therapy serve?

We work with children ages 1 to 21. ABA is most often associated with early intervention, but children of many ages benefit. Reach out and we'll let you know how we can help your child specifically.

How do I find out if you take my insurance?

Just call 240.442.2737 or send us a message with your plan information. We'll verify your benefits for free and tell you honestly whether and how we can help.

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