What Maryland Medicaid typically covers
For children with an autism spectrum diagnosis and a physician's referral, Maryland Medicaid generally covers ABA assessments, one-on-one therapy hours, and parent training when a Board Certified Behavior Analyst determines they are medically necessary.
- Initial and reassessment ABA evaluations
- In-home and community-based direct therapy hours
- Parent training and BCBA supervision
How the authorization process works
After you submit an intake, our team confirms your Medicaid MCO, requests a copy of the autism diagnosis, and coordinates the initial assessment. Once the treatment plan is written, we submit it for prior authorization before the first therapy hour.
How ABA Prep helps families through it
We do the paperwork alongside you — verifying benefits, submitting authorizations, and answering questions in plain language. Coverage details ultimately depend on your specific plan and current openings; our intake team confirms both before your first session.
Frequently asked
- Does Maryland Medicaid cover ABA therapy?
- Yes — Maryland Medicaid covers medically necessary ABA therapy for children with an autism diagnosis when prescribed and supervised by a BCBA.
- Do I need a diagnosis before starting?
- Yes. Medicaid requires a current autism spectrum diagnosis and physician referral before authorizing ABA hours.
- How long does authorization take?
- Timelines vary by MCO but typically range from a few days to a few weeks after the initial ABA assessment is submitted.