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Applied Behavior Analysis (ABA) therapy is a proven treatment for children with autism spectrum disorder (ASD). However, the cost can be a significant concern for many families.
In North Carolina, there are several avenues to help manage these expenses.
The cost of ABA therapy in North Carolina varies based on factors like the number of therapy hours per week and the provider’s qualifications. On average, families can expect to pay between $120 and $150 per hour.
For children receiving 10 to 40 hours of therapy per week, annual costs can range from $62,400 to $249,600 before insurance.
Insurance Coverage Options
Medicaid
North Carolina Medicaid covers ABA therapy for children under 21 as part of the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit. This means that if the therapy is deemed medically necessary, it should be covered, regardless of age.
2. Private Health Insurance
Under the Autism Health Insurance Coverage Law (HB 498), private insurance plans in North Carolina are required to cover ABA therapy for children under 18. Coverage includes a minimum of $40,000 per year.
Epic Minds Therapy offers in-home ABA therapy services across North Carolina. We accept Medicaid and most major insurance plans, handling all the paperwork for you. Our team of Board Certified Behavior Analysts (BCBAs) works closely with families to create personalized treatment plans that meet each child’s unique needs.
Ready to get started? Contact Epic Minds Therapy today to learn more about how they can support your child’s journey.
FAQs
1. Is ABA therapy covered by Medicaid in North Carolina?
Yes, Medicaid covers ABA therapy for children under 21 if the services are medically necessary.
2. What is the annual cap for ABA therapy under private insurance in NC?
Private insurance plans are required to cover a minimum of $40,000 per year for ABA therapy for children under 18.
3. How can I find in-home ABA therapy providers in North Carolina?
Epic Minds Therapy offers in-home ABA therapy services across North Carolina. They accept Medicaid and most major insurance plans.