Insurance coverage
Great News for Carolina Complete Health Members!
Blue Jay ABA proudly accepts Carolina Complete Health for ABA therapy services. Contact us to verify your coverage and begin services.
Verify Your CoverageDoes Carolina Complete Health Cover ABA Therapy?
Yes, Carolina Complete Health provides coverage for ABA therapy, a treatment for individuals diagnosed with Autism Spectrum Disorder (ASD). However, coverage specifics vary depending on your plan, state regulations, and medical necessity. Below is an overview of Carolina Complete Health’s ABA therapy coverage.
Coverage details
Key Points About Carolina Complete Health's ABA Therapy Coverage
General Coverage
Coverage is available for individuals diagnosed with ASD by a licensed provider. Coverage details, including the number of sessions or therapy hours, vary based on your plan and state mandates.
State Mandates
Some states have laws requiring coverage for ABA therapy up to a certain limit, which may affect Carolina Complete Health plans.
Medical Necessity & Pre-Authorization
A diagnosis of ASD is required, and Carolina Complete Health may request pre-authorization for therapy. This ensures the therapy meets their criteria for coverage.
Limitations & Exclusions
There may be restrictions on where therapy can be provided, such as at-home or clinic settings. Additionally, there might be limits on the number of sessions covered annually.
How it works
How to Get Started With ABA Therapy
- 1
Get a diagnosis
Your insurance provider typically requires a diagnosis from a healthcare provider before starting ABA services.
- 2
Verify Insurance
We simplify everything from insurance verification to enrollment, minimizing paperwork.
- 3
We Assess
Our care begins with a thorough assessment. Our clinical team evaluates your child’s strengths and weaknesses to develop a personalized treatment plan.
- 4
Get Personalized Treatment
Our team of BCBAs and RBTs collaborate to deliver high-quality, convenient care tailored to your child’s needs.
FAQ
FAQs About Carolina Complete Health & ABA Therapy
Does Carolina Complete Health cover ABA therapy?
Yes, but coverage specifics depend on the type of plan and state regulations.
What is required for Carolina Complete Health to cover ABA therapy?
You need an ASD diagnosis and medical necessity determination from a licensed provider.
Insurance accepted
Other carriers
More insurance we accept
Start ABA Therapy With Carolina Complete Health Today
If your child is enrolled and diagnosed, Blue Jay ABA is here to help them thrive. From verification to daily therapy, we support your family every step of the way.