Families seeking financial assistance for ABA therapy in North Carolina and Utah have several pathways to secure funding:

Private Health Insurance: Many private plans, including Blue Cross Blue Shield of NC, SelectHealth in Utah, UnitedHealthcare, and Aetna, provide coverage under mental health parity laws. These plans can potentially cover up to 90% of therapy expenses.

Medicaid and EPSDT: Medicaid provides comprehensive coverage for children under 21 diagnosed with Autism Spectrum Disorder through the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit. This mandates coverage for all medically necessary treatments, including ABA therapy.

State-Specific Grants:

• North Carolina Autism Scholarship Program: This program assists non-Medicaid families with reimbursement for ABA and related therapies.
• Utah Katie Beckett Waiver: This waiver covers children with disabilities regardless of family income, providing up to $20,000 annually for in-home services.

Non-Profit and Federal Grants: Organizations such as Autism Speaks and the Autism Society of America offer grants for autism interventions. Additionally, federal grants from SAMHSA support early childhood mental health initiatives.

Many providers, such as Little Achievers ABA, offer insurance verification services and flexible payment plans to help families bridge coverage gaps and minimize out-of-pocket costs.