WellCare of NC ABA Therapy Coverage

WellCare of North Carolina & ABA Therapy

WellCare of North Carolina is a Medicaid managed care plan that covers ABA therapy for children diagnosed with Autism Spectrum Disorder. As part of NC Medicaid’s managed care program, WellCare members can access ABA services with no out-of-pocket costs when services are determined to be medically necessary.

Coverage Details

WellCare covers a full range of ABA therapy services for eligible children in North Carolina. Benefits typically include:

• Functional Behavior Assessments — Comprehensive evaluations to identify your child’s strengths and needs
• Individual ABA therapy — One-on-one sessions with a Registered Behavior Technician
• BCBA supervision — Treatment plan development, progress monitoring, and clinical oversight by a Board Certified Behavior Analyst
• Parent and caregiver training — Hands-on coaching so you can support your child’s growth at home
• Flexible service delivery — In-home, community-based, and telehealth options to fit your family’s schedule

Prior Authorization

WellCare requires prior authorization before ABA therapy services can begin. Our intake team handles the entire process, including preparing and submitting clinical documentation, responding to any requests for additional information, and managing reauthorizations so your child’s therapy continues uninterrupted.

Verification

Contact our team to verify your child’s WellCare benefits. We’ll confirm plan enrollment, review covered services, and guide you through the steps to begin ABA therapy as quickly as possible.