March 20, 2022 Does Medicaid Cover ABA Therapy in Texas?
Medicaid is a government health insurance program that helps low-income individuals and families pay for medical care. Many people with autism spectrum disorder (ASD) qualify for Medicaid services, including ABA therapy.In this article, we will explore the requirements for qualifying for ABA therapy under Texas's Medicaid program.But first let's get a better understanding about ABA therapy.
What is ABA therapy?ABA therapy is a type of behavior therapy that uses positive reinforcement to encourage desired behaviors and discourage undesired behaviors.ABA therapy has been shown to be an effective treatment for ASD, providing significant improvements in social, communication, and behavioral skills.ABA therapy is usually provided by a therapist in a one-on-one setting, and can be adapted to meet the unique needs of each individual with ASD.
Does Medicaid cover ABA therapy in Texas?Historically ABA therapy was not covered under Texas Medicaid; however, in 2019, the Texas Legislature passed a bill that requires Medicaid to cover ABA therapy for children with ASD. Due to COVID-19, coverage for ABA therapy was delayed until its implementation in February 2022.Now, over 50,000 children with ASD in Texas will have access to this life-changing therapy.Now that we know that Medicaid covers ABA therapy in Texas, let's look at the requirements to qualify for coverage.
How can my child qualify for ABA therapy under Texas Medicaid?In order to qualify for ABA therapy under Texas Medicaid, your child must meet the following criteria:
- Your child must have been diagnosed with ASD within the past 3 years.
- Your child must be under 21 years old.
- You will need to have a current prescription for ABA therapy from a licensed physician or other healthcare professional.