Texas Medicaid

We Accept Texas Medicaid Insurance at Select Locations.

After years of advocacy by autism support groups and advocates for the inclusion of ABA services as a covered benefit for those with Texas Medicaid, we are excited to welcome Texas Medicaid members to our Behavioral Innovations family.

We are currently accepting Parkland Community Health Plan, Superior HealthPlan, and Amerigroup, and our team is diligently working through the contracting process with Texas Medicaid and other Managed Care Organizations (MCOs) that administer Texas Medicaid on behalf the State. In the meantime, contact our intake team to start the enrollment process, so your child can start services at the earliest.

Next Steps

Get Added to the Waitlist

Contact us to indicate your interest and learn more about the enrollment process. While we are expanding Medicaid acceptance through MCO partners, you can add your child’s name to the waitlist to ensure you have all the information and documentation needed to expedite enrollment once the contracting process is complete. You will be sent updates as soon as we know more. Contact us to be placed on a waitlist and to be notified of changes.

Contact Us

Receive a Diagnosis

Receiving a formal diagnosis of autism is a requirement of Texas Medicaid.  In need of diagnosis? We can help connect you with leading diagnosing providers in your area. Contact our team for more information.

Schedule an Evaluation

FAQs

Effective February 1, 2022, Texas Health and Human Services (HHS) added a new Medicaid benefit for Applied Behavior Analysis (ABA) services for individuals under 21 years of age with Autism Spectrum Disorder (ASD).

  • Child must be under 21 years of age
  • A recent Autism diagnosis is required within the last three years
  • Diagnosis must also include the Autism diagnostic level (one, two or three)
  • The child must have a referral / prescription for ABA therapy from a physician
  • CHIP is not part of this program

These are the Texas Medicaid health plans we currently accept:

  • Parkland Community Health Plan
  • Superior HealthPlan
  • Amerigroup

These are the health plans we anticipate being accepted soon:

  • Aetna Better Health
  • Cook Children’s Health Plan
  • Texas Children’s Health Plan

When you enroll in Texas Medicaid, you will be given a choice of health plans depending on where you live and the program you’re enrolled in. Each plan has different doctors, hospitals, clinics, benefits, and ratings from members. Texas Medicaid has tools to help you choose the best plan for you and your family.

You should carefully consider all the costs, provider networks, and ratings of each plan and choose the health plan that is best for you and your family.

  • STAR, STAR Kids and STAR Plus members: The Texas Medicaid program allows you to change your or your child’s health plan.
  • You can learn more by calling the Texas STAR Program Helpline at 1-800-964-2777.
  • You can request to change your health plan at any time for any reason.
  • If you call to request a change your health plan on or before the 15th of the month, usually the change will take place on the first day of the next month.
  • If you call to request a change after the 15th of the month, usually the change will take place the first day of the second month after your request. For example:
  • If you call on or before October 15, your change will typically take place on November 1.
  • If you call after October 15, your change will typically take place on December 1.

You can learn more by calling the Texas STAR Program Helpline at 1-800-964-2777 or your current health plan at the number on the back of your ID card.

You can learn more by calling the Texas STAR Program Helpline at 1-800-964-2777 or your current health plan at the number on the back of your ID card.

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TESTIMONIALS

Hear From Our Families

Absolutely the best place! Grateful every day for this center!
Sandra October, 2022
Can’t say enough about them. We have seen improvements in our son. The staff genuinely care for these young ones who need so much care. Thank you for your patience and loving our children.
J. Karoki September, 2022
I have seen such a wonderful and amazing difference in our kiddo! Thank you so much for caring for our family! We would truly be lost with your support.
T. Ross July, 2022

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Get Started  855-782-7822