Does Georgia Medicaid Cover ABA Therapy?

Applied Behavior Analysis (ABA) therapy, a crucial intervention for children with Autism Spectrum Disorder (ASD), has been covered by Georgia Medicaid since January 2018. This inclusion marks a significant step forward, expanding access to ABA therapy for families across Georgia and providing assistance with therapy costs, depending on specific plan benefits​​.

Overview of ABA Therapy and Georgia Medicaid Coverage

Process of Obtaining a Diagnosis

Diagnosis Tool Requirements

Additional Documentation and Authorization Process

Along with the diagnosis, Georgia Medicaid may request additional documents like the Individualized Family Service Plan (IFSP) or the Individualized Education Plan (IEP). These documents, though not mandatory, are helpful in obtaining authorization for ABA services. Once all necessary information is compiled, it can be submitted by a Medicaid provider to authorize ABA services, typically for 3-6 months and covering 10-30 hours per week based on the BCBA supervisor's recommendation​​.

Conclusion

Georgia Medicaid's coverage of ABA therapy provides essential support for families with children diagnosed with ASD, helping them access critical treatment. Understanding the eligibility criteria, diagnosis process, and authorization requirements is key for families to navigate the system effectively and ensure their children receive the necessary care.

FAQ

Q: Who can diagnose ASD for ABA therapy coverage under Georgia Medicaid?

A: A diagnosis of ASD can be made by developmental pediatricians, psychologists, psychiatrists, or through certain early intervention programs.

Q: What diagnostic tools are required for ABA therapy authorization by Georgia Medicaid?

A: Diagnostic tools such as the Autism Diagnosis Interview – Revised (ADI-R) are typically used for evaluation. These are required for Medicaid authorization.

At Level Ahead ABA, we simplify the insurance process, ensuring you can access our exceptional ABA therapy with peace of mind.