Resources

We work with a wide range of insurance providers to ensure access to ABA therapy including Massachusetts Behavioral Health Partnership (MBHP), Blue Cross Blue Shield of Massachusetts, Magellan, Optum Health, United Behavioral Health, Fallon, Beacon Value Options, Tufts Health Plan, Tufts Public Health Plans, Cigna, and Aetna. Because every plan is different, we recommend reaching out to our intake team to confirm.

The journey begins with a simple initial outreach. You can complete our online intake form or call our office to speak with a dedicated Care Coordinator. We will gather basic information about your child’s needs and your goals for therapy. From there, we move into insurance verification and scheduling a clinical assessment with one of our Board-Certified Behavior Analysts (BCBA).

Yes. To meet the “medical necessity” requirements set by most insurance companies including MassHealth and private commercial plans. A formal diagnosis of Autism Spectrum Disorder (ASD) is required. This diagnosis must typically be provided by a licensed professional, such as a developmental pediatrician, neurologist, or psychologist, before ABA services can be authorized.

To get started, we typically need a copy of your child’s formal diagnostic report and a prescription or referral for ABA therapy from their primary doctor. Once we have these, our team handles the heavy lifting of submitting the “Prior Authorization” request to your insurance company. We also collect basic demographic and insurance card information to ensure there are no delays in funding.

Wait times can vary based on your location and the specific type of service (home, center, or community) you are requesting. However, ABI New England strives to process intakes as efficiently as possible. Once we have verified your insurance and received the necessary medical documentation, we work to schedule your child’s comprehensive functional assessment to minimize the gap between your first call and the start of ABA therapy.