Insurance & Funding
Navigating insurance shouldn't add to the stress. Our team works with you to understand your benefits and explore every available option to fund your child's therapy — so you can focus on your family.
ABA Coverage in Texas
Texas law requires many insurance plans to cover the diagnosis and treatment of autism spectrum disorder, including ABA therapy. Senate Bill 1484 and subsequent legislation have expanded access for families, and most major commercial insurers provide coverage for medically necessary ABA services.
Medicaid also covers ABA therapy for eligible children in Texas through various managed care programs. Coverage specifics— including session limits, authorization requirements, and provider networks—vary by plan, which is why personalized verification is so important.
While the landscape continues to evolve, the trend is toward broader access. We stay current on policy changes so you don't have to.
What We Help With
Insurance Verification
We contact your insurance provider on your behalf to confirm your ABA therapy benefits, including coverage levels, session limits, and any authorization requirements.
Prior Authorization
Many plans require prior authorization before ABA services can begin. We manage the entire process — from submitting clinical documentation to following up on approvals.
Navigating Benefits
Insurance language can be confusing. We translate your benefits into plain terms so you understand exactly what's covered, what your costs will be, and what to expect.
We'll verify your benefits before your first appointment—so you can focus on your child, not paperwork.
Common Questions
Does insurance cover ABA therapy?
In Texas, most major insurance plans are required to cover ABA therapy for children diagnosed with autism spectrum disorder. Coverage details vary by plan, so we verify your specific benefits before your first appointment.
Do I need a diagnosis before starting?
A formal autism diagnosis is typically required for insurance-funded ABA therapy. However, you don't need a diagnosis to reach out to us. We can help guide you through the evaluation process if you're just getting started.
What if my insurance denies coverage?
If your initial request is denied, our team can help you understand your options, including the appeals process. We work with families to navigate these situations and explore alternative funding paths.
Are there out-of-pocket costs?
Depending on your plan, you may have copays, deductibles, or coinsurance. We'll provide a clear breakdown of your expected costs before services begin so there are no surprises.
How long does insurance verification take?
Verification typically takes a few business days. We handle the process for you and will reach out as soon as we have your benefits information.
Self-Pay Options Available
If insurance isn't an option, we offer self-pay arrangements to help make therapy accessible. Contact us to discuss pricing and flexible payment options for your family.
Let Us Check Your Benefits
Join our waitlist and we'll verify your insurance benefits as part of the intake process. No obligation, no surprises.
Join the Waitlist