Does Community Care Cover ABA Therapy?

Applied behavior analysis (ABA) therapy is a widely recognized and effective therapy for individuals with autism spectrum disorder (ASD).

Many families who have children with ASD rely on ABA therapy to help their children learn important life skills. However, ABA therapy can be expensive, and many families struggle to afford the treatment.

This has led many families to wonder if their insurance plan, specifically CommunityCare, covers ABA therapy. In this article, we will explore whether CommunityCare covers ABA therapy and what families can do to ensure they have access to this important treatment.

What is CommunityCare?

CommunityCare is a health insurance plan that is available in Oklahoma. It is designed to provide affordable health care coverage to individuals and families in the state.

The plan is available to businesses, individuals, and families, and it offers a variety of health care benefits. CommunityCare is committed to providing quality health care to its members, and it works with health care providers to ensure that members have access to the care they need.

Does CommunityCare Cover ABA Therapy?

The short answer is yes. CommunityCare covers ABA therapy for individuals with ASD. However, there are certain requirements that must be met in order for the therapy to be covered.

First, the ABA therapy must be medically necessary. This means that the therapy must be prescribed by a doctor or licensed health care provider. The therapy must also be provided by a licensed ABA therapist.

Second, the ABA therapy must be provided within the scope of the therapist’s license. This means that the therapist must be licensed to practice ABA therapy in Oklahoma, and the therapy must be provided in accordance with the therapist’s license.

Finally, the ABA therapy must be provided by a provider who is contracted with CommunityCare. This means that families who are interested in ABA therapy should check with their insurance provider to find a qualified provider who is contracted with CommunityCare.

How to Get ABA Therapy Covered by CommunityCare

If you are a family who is interested in ABA therapy but are not sure if it is covered by your insurance plan, there are several steps you can take to ensure that you have access to this important treatment.

First, talk to your doctor or licensed health care provider. They can help you determine if ABA therapy is appropriate for your child and if it is covered by your insurance plan. They can also provide you with a referral to a licensed ABA therapist.

Second, check with your insurance provider to find a licensed ABA therapist who is contracted with CommunityCare. This will ensure that you are receiving the therapy from a qualified provider who is covered by your insurance plan.

Finally, be sure to keep detailed records of all ABA therapy sessions. This will help you track progress and provide documentation to your insurance provider if necessary.

Conclusion

In conclusion, CommunityCare does cover ABA therapy for individuals with ASD. However, there are certain requirements that must be met in order for the therapy to be covered.

Families who are interested in ABA therapy should talk to their doctor or licensed health care provider and check with their insurance provider to find a qualified provider who is contracted with CommunityCare. By taking these steps, families can ensure that they have access to this important treatment.