ABA Therapy Covered by Texas Medicaid
Behavioral Innovations is an approved ABA therapy provider for children enrolled in Texas Medicaid. We serve families across Texas and handle the authorization process so you can focus on your child.
Effective February 1, 2022, Texas Medicaid added ABA evaluation and treatment as a covered benefit for eligible children with autism spectrum disorder. Our intake team will verify your benefits and walk you through every step before the first appointment.
ABA therapy covered through Texas Health Steps
Effective February 1, 2022, the Texas Health Steps Comprehensive Care Program added ABA evaluation and treatment as a covered benefit for children with autism spectrum disorder enrolled in Texas Medicaid who meet program criteria. Behavioral Innovations is an approved provider and serves children ages 18 months through 10 years at our Texas locations.
When enrolling in Texas Medicaid, families are assigned to a Managed Care Organization (MCO), a health plan that varies by location, benefits, and ratings. Your MCO is responsible for authorizing ABA services before treatment can begin.
If you are switching from another ABA provider or have questions about eligibility, our intake team can help you confirm coverage and coordinate next steps.
What your child needs to qualify for ABA through Texas Medicaid
To receive ABA therapy as a Texas Medicaid benefit, four criteria must be met before services can begin.
Enroll in Texas Medicaid
Your child must be actively enrolled in Texas Medicaid. Behavioral Innovations serves children ages 18 months through 10 years.
Obtain a current ASD diagnosis
A documented autism spectrum disorder diagnosis in your child's medical records is required before services can begin.
Request a physician referral or prescription
A valid referral or prescription for ABA therapy from a physician is required.
Get prior authorization from your MCO
Your Managed Care Organization must authorize ABA services before treatment starts. Our team can help you navigate this step.
What is an MCO and how does prior authorization work?
Texas Medicaid delivers most benefits through Managed Care Organizations. Understanding your MCO is an important part of accessing ABA therapy.
About MCOs
Steps to get started
We verify your Texas Medicaid benefits within one business day
Our intake team contacts your MCO, confirms your coverage, and calls you with a clear breakdown of what to expect before your child's first appointment.
What Texas Medicaid covers for ABA therapy
Texas Medicaid covers medically necessary ABA evaluation and treatment services for eligible children with a confirmed ASD diagnosis. Coverage is subject to prior authorization from your MCO.
Covered services at Behavioral Innovations
Important to know
We handle the Texas Medicaid process so you can focus on your child
You do not need to understand the prior authorization process before you call. Our intake team verifies your coverage, communicates with your MCO, and guides you through every step.
Call (855) 782-7822Benefit verification within one business day
We contact your MCO, confirm your Texas Medicaid coverage, and call you with a clear breakdown of what to expect before your child's first visit.
Prior authorization submitted and tracked
Our team works with your MCO to file the prior authorization request and tracks its status so delays don't fall on your family.
Claims filed and followed
We submit claims directly to Texas Medicaid and resolve any denials on your behalf so you are not left navigating the billing process alone.
Ongoing support as your child progresses
We handle authorization renewals and keep your child's treatment plan current, so continuity of care is never interrupted.
Texas Medicaid and ABA therapy: frequently asked questions
Does Texas Medicaid cover ABA therapy?
Texas Medicaid can cover medically necessary ABA therapy for qualifying children through Texas Health Steps / EPSDT when criteria are met.
Is Behavioral Innovations an approved Texas Medicaid provider?
Contact our intake team for details specific to your plan. We verify benefits at no charge and explain expected costs before care begins.
What does my child need to qualify for ABA through Texas Medicaid?
Children generally need Medicaid enrollment, a current ASD diagnosis, a physician referral or prescription, and prior authorization from their MCO.
What ages does Behavioral Innovations serve through Texas Medicaid?
Contact our intake team for details specific to your plan. We verify benefits at no charge and explain expected costs before care begins.
What is an MCO?
An MCO (managed care organization) manages Medicaid benefits. Prior authorization from the MCO is typically required before ABA begins.
How do I find out which MCO we are enrolled in?
An MCO (managed care organization) manages Medicaid benefits. Prior authorization from the MCO is typically required before ABA begins.
What is prior authorization and does my child need it?
Behavioral Innovations helps with verification, documentation, and authorization follow-up for Texas Medicaid families.
What services does Behavioral Innovations provide under Texas Medicaid?
Contact our intake team for details specific to your plan. We verify benefits at no charge and explain expected costs before care begins.
How quickly will Behavioral Innovations verify our Texas Medicaid benefits?
We verify Texas Medicaid benefits, typically within one business day, and explain expected next steps.
Can we switch to Behavioral Innovations from another ABA provider?
Contact our intake team for details specific to your plan. We verify benefits at no charge and explain expected costs before care begins.
Questions about Texas Medicaid coverage for ABA therapy?
Our intake team walks every family through their Texas Medicaid benefits, MCO prior authorization, and what to expect before the first appointment. No pressure, no obligation.
- Texas Health Steps guidance
- Help with MCO and prior authorization
- Clear eligibility walkthrough
- No-cost intake consultation
Talk to Our Texas Intake Team
We help Texas Medicaid families understand eligibility and next steps.