Vaya Health Coverage for ABA Therapy

Welcome to Epic Minds Therapy! We understand that navigating insurance coverage for ABA therapy can be overwhelming, but we’re here to make the process easier for you. 

If you’re a parent in North Carolina seeking ABA therapy for your child with Autism Spectrum Disorder (ASD), you may be eligible for coverage through Vaya Health. 

Below, we’ll walk you through everything you need to know about Vaya Health’s coverage for ABA therapy, how to access services, and how Epic Minds Therapy can help you every step of the way.

Does Vaya Health Cover ABA Therapy?

Yes! Vaya Health provides coverage for ABA therapy for children diagnosed with ASD. Through Vaya Health’s Medicaid and Tailored Plans, families in North Carolina can access ABA therapy to support their child’s development. 

ABA therapy is a proven, evidence-based treatment that focuses on improving key skills such as communication, social interaction, and daily living.

What ABA Therapy Services Are Covered?

Vaya Health covers a range of essential ABA therapy services to help your child thrive, including:

Assessment and Diagnosis

Your child will first undergo a comprehensive assessment to determine the need for ABA therapy. This evaluation is a key step in creating an effective treatment plan.

Individualized Treatment Plan

Based on the assessment, your child will receive a personalized treatment plan that targets specific skills and behaviors. These plans are developed by Board Certified Behavior Analysts (BCBAs) to ensure the most effective strategies are in place.

Therapy Sessions

ABA therapy is delivered through one-on-one sessions with Registered Behavior Technicians (RBTs), who are supervised by BCBAs. These sessions focus on developing communication, social, and adaptive skills.

Parent Training and Support

Vaya Health’s coverage also includes parent training programs to help you support your child’s progress at home. We’ll guide you through strategies to reinforce therapy goals and promote positive behavior.

How to Access ABA Therapy with Vaya Health

Here’s a simple step-by-step guide to accessing ABA therapy through Vaya Health:

Get a Diagnosis

Your child must have a formal diagnosis of autism from a licensed healthcare provider.

Check Your Insurance Coverage

Contact Vaya Health to confirm your insurance benefits and the specific coverage for ABA therapy. It’s important to know what’s included in your plan and if there are any out-of-pocket costs.

Request Pre-Authorization

ABA therapy typically requires pre-authorization to ensure that the treatment is medically necessary. We can help you with this process to make it as smooth as possible.

Choose an In-Network Provider

To minimize costs, it’s recommended to select an in-network provider. Epic Minds Therapy is an in-network provider with Vaya Health, and we’ll help you find the right fit for your child.

Review Your Benefits

Take the time to review your benefits for session limits, co-pays, and any other specific requirements. Understanding your coverage will help you avoid surprises along the way.

Why Choose Epic Minds Therapy?

At Epic Minds Therapy, we are committed to making the ABA therapy process as easy and stress-free as possible for you and your family. Here’s how we can support you:

Expert Assistance

Our team has extensive experience working with Vaya Health and can help you navigate your insurance coverage from start to finish.

Insurance Verification

We’ll assist with verifying your insurance benefits, so you know exactly what’s covered under your plan.

Pre-Authorization Help

We’ll guide you through the pre-authorization process to ensure everything is approved before therapy begins.

In-Network Providers

As an in-network provider with Vaya Health, we ensure that your child receives the highest-quality ABA therapy at the most affordable rate.

Parent Support

We believe that parent involvement is crucial for success. We’ll provide you with the tools and training needed to support your child’s progress at home.

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Get Started Today

Ready to learn more about how Vaya Health’s coverage can help your child access ABA therapy? We’re here to answer your questions and assist you in every step of the process.

Contact Us Now

Have questions? Need assistance with verifying your benefits or understanding the next steps? Our team at Epic Minds Therapy is here to help.

Epic Minds Therapy: Empowering Children, Supporting Families

We’re dedicated to ensuring your child has access to the care and support they deserve. With Epic Minds Therapy and Vaya Health, you’re not alone in this journey—we’re with you every step of the way.

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FAQs

FAQs About Medicaid and ABA Therapy

How do I know if my child qualifies for Medicaid?

Medicaid eligibility depends on your state’s rules. We can help verify your child’s eligibility for Medicaid.

Do I need a diagnosis for Medicaid to cover ABA therapy?

Yes, Medicaid requires a formal Autism Spectrum Disorder (ASD) diagnosis from a licensed professional.

Can I choose any ABA provider?

Medicaid has approved providers. Epic Minds Therapy is an authorized provider in North Carolina. Contact us today to verify Medicaid benefits and schedule therapy for your child.

Have more questions?