Great News for Priority Partners Insurance Members!

Yes, Priority Partners provides coverage for ABA therapy as part of its Medicaid services.

Applied Behavior Analysis (ABA) therapy is a widely accepted treatment for individuals with Autism Spectrum Disorder (ASD). This therapy is essential for improving communication, developing social skills, and encouraging positive behaviors in individuals with ASD.

Priority Partners , a Medicaid Managed Care Organization (MCO) under Johns Hopkins HealthCare LLC , recognizes the importance of ABA therapy and includes it in its behavioral health benefits for eligible members.

Understanding the details of this coverage helps families access the support they need for their child’s therapy journey.

Priority Partners offers coverage for ABA therapy as part of its Medicaid behavioral health services.

This therapy is generally considered a medical necessity for individuals with ASD, so it is covered under most Medicaid plans through Priority Partners.

However, specific coverage details, such as session limits or prior authorization requirements, may vary depending on individual circumstances and state guidelines.

To qualify for ABA therapy coverage under Priority Partners , a formal diagnosis of ASD by a qualified healthcare provider is required. After receiving the diagnosis, families must submit a comprehensive treatment plan that outlines therapy goals and objectives.

This treatment plan typically requires approval from Priority Partners before therapy services can begin. Additionally, therapy must be administered by a licensed professional who specializes in ABA.

The approval process for ABA therapy under Priority Partners can involve multiple steps, including submitting necessary documentation and meeting specific plan requirements.

Families are encouraged to work closely with their healthcare providers to ensure all forms are completed accurately and submitted on time.

Understanding your Medicaid benefits under Priority Partners, including any session limits or co-pays, is essential. Contact Priority Partners or review your member handbook for detailed guidance.

All Star ABA Therapy is here to help you navigate this process and maximize your benefits— contact us for assistance!

While Priority Partners covers ABA therapy through Medicaid, families may encounter challenges such as service limits or coverage gaps. Additional resources, including state Medicaid waivers or support from non-profit organizations, can help bridge these gaps.

At All Star ABA Therapy, we are dedicated to helping families navigate Medicaid benefits with Priority Partners, ensuring they receive the maximum support for their child’s therapy needs.