Texas Medicaid ABA Benefit Is Now ACTIVE!- Next Steps for Texas Families

On February 1, 2022, children under the age of 21, with an autism spectrum disorder (ASD) diagnosis, gained access to medically necessary ABA therapy.

Here are some tips for gaining access to services:

Find an ABA provider.

Determine what is important to you in a provider and seek out providers that may meet your needs. Connect with them. It may be helpful to ask questions related to where services will be provided (i.e., in-home, in-clinic, both), how often can you expect to see and work with your supervising behavior analyst, how much supervision is provided to your 1:1 therapist (i.e., RBTs), and the process to getting started. These are just a few questions you may ask. You can read a more detailed list of questions here.

To learn more about our approach to ABA therapy, visit us here!

Get a referral for ABA therapy from your child's doctor.

Most insurance providers require a referral to be submitted with a request to complete an assessment. You will hear this process referred to as gaining authorization for an assessment. It is helpful if your referral includes information such as your child's name and DOB, diagnosis and date of diagnosis, and a statement from the doctor recommending ABA therapy. Referrals can be faxed or emailed to the ABA provider.

For more information about the onboarding process at The Outcomes Place, visit us here.

Please contact us for assistance with navigating the Texas Medicaid ABA benefit.