Insurance
Helping Families Access Care with Confidence
Understanding insurance coverage shouldn’t add to the stress of finding the right care for your child. Our team works with families to verify benefits, explain authorization requirements, answer questions, and guide the access process from the first conversation through the start of services.
Insurance Plans We Work With
Coverage and authorization requirements vary by plan. Our team verifies benefits and known requirements directly so families can better understand their individual coverage.
North Carolina Medicaid
State Plan & Managed Care
- NC Medicaid (State Plan)
- AmeriHealth Caritas North Carolina
- Carolina Complete Health
- Healthy Blue North Carolina
- Trillium Health Resources
- UnitedHealthcare Community Plan
- Vaya Health
- WellCare of North Carolina
Commercial Insurance
- Blue Cross Blue Shield of North Carolina
- Aetna
- Cigna
- UnitedHealthcare
South Carolina
Coming Soon
Don't See Your Insurance?
Please do not assume services are unavailable simply because your insurance is not listed. Plan participation can change, and individual benefits vary by plan.
Our team can help
Verify your benefits
Explain your coverage
Navigate authorization requirements
Answer billing and administrative questions
Discuss available options when coverage is unclear
Help determine your next step
We Help Make the Insurance Process Understandable
Families should not have to figure out benefits, authorizations, and coverage requirements alone. Our administrative team helps clarify the process before and throughout services.
Insurance
benefit verification
Explanation of known
coverage requirements
Initial assessment authorization support
Treatment
authorization support
Coordination of
benefits when applicable
Billing
questions
Understanding known deductibles, copays, or coinsurance information
Scheduling and
access guidance
What Happens Next?
Six-Step Process
Contact Us
We get to know you and your child’s needs, answer questions, and explain what comes next.
Complete the Intake Package
Verification of Benefits & Initial Assessment Authorization
We verify insurance benefits and request authorization for the initial assessment when required.
Initial Assessment & Treatment Plan
A BCBA completes the initial assessment and develops an individualized treatment plan
Treatment Authorization
Begin 1-on-1 ABA Services
Once authorization and staffing are in place, individualized ABA services begin.
Together, we can
Common Questions
Does my insurance cover ABA therapy?
Coverage for ABA therapy varies by insurance plan and individual eligibility. After we get to know you and your child our team will verify your benefits and help you understand your coverage and any applicable requirements before services begin.
Do I need a referral?
Does ABA therapy require prior authorization?
How long does insurance approval take?
Approval timelines vary depending on the insurance provider and documentation required. We will keep families informed throughout the authorization process.
What documents will I need?
Requirements vary by insurance providers, but families may be asked to provide insurance information, diagnostic documentation, referral information, and relevant medical or clinical records. Our intake team will let families know exactly what is needed.
What happens if my insurance changes?
Please let us know as soon as possible if your insurance coverage changes. Our team will verify your new benefits, determine whether a new authorization is required, and work to minimize interruptions in services whenever possible.
Explore more answers and guides in our Resource Center.
Ready to Get Started?
Whether you’re ready to begin services or simply want to understand your coverage, our team can help you verify benefits, answer questions, and identify the next step.
