December 12, 2021 ABA Therapy Payment Options in Atlanta
We all want the best for our children. That's why we always go out of our way to provide for them and make their lives much easier. But what happens when you're unable to afford to your child's treatment? Applied behavioral analysis (ABA) therapy is considered one of the best treatments for autistic children. However if your insurance is not going to cover the treatments it can get pretty expensive. Therefore, we have put together this guide so you will understand all the payment options that are available to you. But before we get into the payment options for ABA therapy in Atlanta, let’s take a quick look at the therapy itself. Click here if you want to learn more about our Atlanta based ABA therapy.
What is ABA Therapy?Applied Behavioral Analysis (ABA) is a science that focuses on improving behaviors such as communication, social skills, academics, and reading. It’s also aimed at improving adaptive learning skills, including hygiene, fine motor dexterity, and domestic capabilities. The therapy also aims to improve patients’ skills in grooming, punctuality, and job competence. All this is achieved through operant conditioning and positive reinforcement.
On Average, How Much Does ABA Therapy Cost?Typically, a board-certified ABA therapist will charge you about $120 an hour. This adds up to $4800 a week for a child receiving 40 hours of therapy. If you don’t have insurance, you could end up spending up to $125,000 a year on ABA therapy. For most parents, coming up with these figures is very challenging. Some may not even afford to get their children enough hours of therapy each week. Without sufficient time with patients, an ABA therapist can’t fully analyze behavioral changes or build rapport with them. That being said, several factors come into play when determining the overall expenses for ABA therapy. They include:
- The severity of the autism experienced by the child
- Where the therapy will take place
- Length of time spent with the ABA specialist
- The individual ABA therapist’s desired rates and experience level
Does Medicaid Cover ABA Therapy in Atlanta?Since January 1st, 2018, Medicaid has been providing coverage for Autism Spectrum Disorder (ASD) patients under the age of 21. The coverage is provided according to the severity and medical necessity.
How to Get Medicaid Coverage for ABA TherapyIf you want to get Medicaid to cover ABA therapy in Atlanta, there is some paperwork you need to get in order. You must have a document indicating your child’s DSM-V diagnosis of autism spectrum disorder. The diagnosis must also be from a licensed medical professional, such as a physician or psychologist. A licensed physician or healing arts practitioner must also recommend ABA therapy for your child. The services must also be recommended to prevent autism spectrum disorder from progressing and improve the patient’s physical and mental health.
What Insurances Does Hidden Talent Accept?Hidden Talent believes that children with autism can lead happy and productive lives. It focuses on helping children grow and thrive by improving social, communication, and adaptive skills. It also understands the financial burden that ASD therapy can put on you as a parent. As such, it has partnered with various insurance companies to enable you to get the funding you need to cater to your child's needs. Hidden Talent accepts the following insurance companies:
- Amerigroup Community Care
- United Commercial
- United Healthcare
- Wellcare of Georgia
Does Georgia Have Caps of ABA Therapy Coverage?According to Georgia laws, individuals with autism are entitled to meaningful coverage in state-regulated plans. Ava's law, which was originally passed in 2015, has been amended to increase the limits on the coverage of ABA therapy to individuals between 0 and 21 years. Also, each individual's coverage is limited to a maximum annual benefit of $35,000 per year. By law, the following services must be covered for those with autism:
- Diagnosis and treatment of ASD (Autism Spectrum Disorder)
- Rehabilitative services, including applied behavior analysis (ABA)
- Counseling services provided by a licensed psychologist, licensed psychiatrist, clinical social worker, or professional counselor