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Illinois Medicaid and ABA Therapy

There are limited opportunities to switch insurance coverage, like the annual open enrollment period for health care or when a qualifying life event occurs. These are great opportunities for families of children with autism in Illinois to get familiar with the ins and outs of insurance coverage for Applied Behavioral Analysis (ABA) therapy. In Illinois, ABA therapy, which is widely recognized as the most effective therapy for individuals with autism, is not currently being covered by medicaid insurance plans. Though the Affordable Care Act (ACA) has created more opportunities for families to receive effective healthcare, it’s important your child is able to receive the support they deserve.  In this post, we’ll discuss ABA therapy, the ACA, medicaid and seeking insurance coverage for your child’s ABA services.

ABA Therapy

Applied Behavior Analysis therapy is the leading methodology proven to bring about positive changes in the behavior of children with autism. It is recognized as the most effective early intervention treatment for children with autism by the US Surgeon General and American Psychological Association. ABA therapy focuses on principles like positive reinforcement that indicate how learning takes place. Techniques used in ABA therapy are best utilized in structured settings like a classroom to enable the learning of positive behavior in an effective and intensive way. You can learn all about the benefits of ABA therapy on our blog

Illinois Medicaid

Medicaid is a federal program that provides health coverage to many Americans as part of the ACA. It especially benefits low-income adults and families. Medicaid is funded jointly by the state and federal government. Medicaid is a program that helps many families cover their medical and health-related expenses. 

Unfortunately, despite a recent federal mandate to the contrary, medicaid in Illinois does not currently cover the cost of ABA therapy. Thankfully that doesn’t mean families currently on medicaid are without hope of getting insurance to cover their child’s ABA services.

Options for Coverage

Since public medicaid isn’t an option for Illinois residents looking for ABA services, private insurance can be the solution. Private insurers are mandated in Illinois to cover the cost of autism diagnosis and treatment.  For low-income families the cost of private insurance can be daunting. 

Fortunately, there are plenty of resources available to help offset those costs while still securing access to insurance coverage for your ABA services. The Place for Children with Autism hosts annual workshops in accessible locations throughout Chicagoland and the surrounding suburbs. To find one in preparation for this year’s open enrollment period, visit our events page.

Need more information on getting ABA therapy covered by insurance? Request it on our site here. The Place is always looking to offer their support to communities that need it most, be sure to check out our new locations slated to open this month and now enrolling in Orland Park and Waukegan. For a full list of centers, visit our location page. If you have questions regarding ABA therapy services don’t hesitate to reach out to us via our contact page.

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August 14, 2020

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