AmeriHealth Caritas NC ABA Therapy Coverage
How AmeriHealth Caritas of North Carolina covers ABA therapy for children with autism. Learn about Medicaid managed care benefits, authorization, and getting started.
AmeriHealth Caritas NC & ABA Therapy
AmeriHealth Caritas of North Carolina is a Medicaid managed care plan serving families across the state as part of NC Medicaid’s Tailored and Standard Plans. If your child is enrolled in AmeriHealth Caritas NC, ABA therapy is covered as a behavioral health benefit with no out-of-pocket costs for eligible members.
Coverage Details
AmeriHealth Caritas NC covers ABA therapy as a medically necessary service for children with Autism Spectrum Disorder. Benefits typically include:
- Comprehensive assessments — Functional Behavior Assessments and initial evaluations
- Individual ABA therapy — One-on-one sessions with a trained Behavior Technician
- BCBA supervision — Treatment planning and ongoing oversight by a Board Certified Behavior Analyst
- Parent training — Coaching for caregivers to support skill development at home
- Telehealth options — Remote parent training and BCBA supervision when appropriate
Prior Authorization
AmeriHealth Caritas NC requires prior authorization for ABA therapy services. Our intake team manages this process from start to finish, including gathering clinical documentation, submitting the authorization request, and following up to ensure timely approval.
Verification
Reach out to our team and we’ll verify your child’s AmeriHealth Caritas NC benefits within 48 hours. We confirm enrollment, check authorization requirements, and outline exactly what’s covered so you can move forward with confidence.
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Our team will check your AmeriHealth benefits for ABA therapy in North Carolina — free of charge.
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