Is Aba Therapy Covered by Medicaid in Utah?
Yes, ABA therapy is covered by Medicaid in Utah. Specifically, coverage is provided through the Childrens Health Evaluation and Care (CHEC) program. This program is a vital resource for families with children under the age of 21 who have received an autism diagnosis.
Key details regarding Utah Medicaid coverage for ABA therapy include:
- Therapy Limits: Eligible children can receive up to 40 hours of therapy weekly, though the exact number of hours varies based on individual needs assessments.
- Eligibility Requirements: Families must meet income-based criteria, typically up to 300 percent of the federal poverty level. A formal autism diagnosis from a qualified professional and documentation of medical necessity are required.
- Supervision: The therapy must be delivered with Board Certified Behavior Analyst (BCBA) oversight and Registered Behavior Technician (RBT) implementation.
- Application Process: Families can apply through the Utah Medicaid website, by mail, or in person via the Department of Workforce Services. The state also provides an Eligibility Lookup Tool to help verify benefits.
While Medicaid provides substantial support, coverage is always subject to verification and is not guaranteed.
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