Does Medicade of Arizona Cover ABA Therapy?

Yes, AHCCCS covers the cost of ABA therapy for children with autism. However, there are some criteria that need to be met in order to be eligible for coverage.

First, the child must have a diagnosis of autism spectrum disorder (ASD). Second, the ABA therapy must be deemed medically necessary by a licensed physician or psychologist. Finally, the ABA therapy must be provided by a licensed provider who is certified by the Behavior Analyst Certification Board (BACB).

AHCCCS covers ABA therapy cost for up to 40 hours per week for children under the age of 21. The coverage is subject to prior authorization and medical necessity review.

It is important to note that AHCCCS coverage for ABA therapy is subject to certain limitations and conditions. Here are some things you need to know:

• AHCCCS coverage for ABA therapy is only available for children under the age of 21.
• AHCCCS covers ABA therapy cost for up to 40 hours per week.
• The coverage is subject to prior authorization and medical necessity review.
• The ABA therapy must be provided by a licensed provider who is certified by the Behavior Analyst Certification Board (BACB).
• AHCCCS does not cover ABA therapy provided by family members or caregivers.

If you are a resident of Arizona and have a child with autism, AHCCCS covers the cost of ABA therapy. However, it is important to meet the eligibility criteria and to be aware of the limitations and conditions of the coverage.

If you have any questions, it is best to contact AHCCCS directly or speak with a licensed provider who is certified by the Behavior Analyst Certification Board (BACB).