Now Accepting Medicaid for ABA Therapy in Texas!

We are excited to announce that Behavioral Innovations will be accepting Texas Medicaid Insurance at our centers shortly.

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.

Our team is diligently working through the contracting process with Texas Medicaid and the 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

  1. Get Added to the Waitlist: Contact Us to indicate your interest and learn more about the enrollment process. While we currently do not have a specific date on when families would be able to start services under their Medicaid insurance coverage, we can help ensure you have all the information and documentation needed to expedite enrollment once coverage begins. 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.
  2. 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.

FAQs

1. Who is Eligible for Services through Medicaid?

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).

2. What are the requirements for eligibility?

  • 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

3. What are Managed Care Organizations or MCOs?

Medicaid managed care delivers Medicaid health benefits through contracted arrangements between state Medicaid agencies and Managed Care Organizations (MCOs). Members typically spend a set per month (capitation) payment for these services.

By contracting with MCOs, the state can reduce overall program costs and deliver healthcare to recipients.

“We will miss the Behavioral Innovations family tremendously!! The staff has been so awesome over the years. You guys are doing great things for Awesome kiddos!”

Rosemary C., Parent