Does PeachState Cover ABA Therapy?

PeachState Health Plan is a Medicaid managed care organization that provides healthcare services to eligible individuals in Georgia. One of the services that PeachState Health Plan covers is Applied Behavior Analysis (ABA) therapy for children with autism spectrum disorder (ASD).

ABA therapy is a type of therapy that uses behavioral principles to teach children with ASD new skills and behaviors. This therapy is often recommended for children with ASD because it has been shown to be effective in improving social, communication, and behavioral skills.

PeachState Health Plan covers ABA therapy for children with ASD who are under the age of 21 and who meet certain criteria. These criteria include a diagnosis of ASD, a recommendation for ABA therapy from a licensed healthcare provider, and a treatment plan that outlines the goals and objectives of the therapy.

If your child is eligible for ABA therapy through PeachState Health Plan, you will need to find a provider who is in-network with the plan. You can search for in-network providers on the PeachState Health Plan website or by calling the customer service number on your insurance card.

It is important to note that there may be limits on the amount of ABA therapy that PeachState Health Plan will cover. These limits may include a maximum number of hours per week or a maximum dollar amount per year. It is important to check with your insurance provider to understand what your specific coverage limits are.

In conclusion, PeachState Health Plan does cover ABA therapy for children with ASD who meet certain criteria. If you believe your child may benefit from ABA therapy, it is important to speak with your healthcare provider and your insurance provider to understand your options and coverage.