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Insurance

We understand that dealing with insurance can be tough, but our team is ready assist you. We collaborate with multiple insurance providers to ensure ABA therapy is both affordable and accessible.

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Carolina Complete HealthCoverage for ABA Therapy

Carolina Complete Health provides coverage for Applied Behavior Analysis (ABA) therapy, which is often utilized for individuals with autism spectrum disorder (ASD) and other behavioral health needs. Below are key points regarding their coverage:

Eligibility

  • Coverage is typically available for children diagnosed with ASD.

  • Members must meet specific criteria set by Carolina Complete Health for ABA therapy to be covered.

Covered Services

  • Individualized ABA therapy sessions conducted by certified professionals.

  • Assessment and evaluation services to determine the appropriate treatment plan.

  • Family training and support to help caregivers implement strategies at home.

Authorization Requirements

  • Pre-authorization may be required before starting ABA therapy.

  • Ongoing evaluations may be necessary to continue coverage for therapy sessions.

Limits and Exclusions

  • There may be limits on the number of hours of therapy covered per week or month.

  • Services not deemed medically necessary may not be covered.

Frequently asked questions

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