Insurance Coverage

Military Families

The Tricare Comprehensive Autism Care Demonstration (CACD) is available to active duty, retired, reservist, and National Guard families. Military dependents diagnosed with Autism, Asperger’s, or PDD-NOS are eligible to participate in the program. The Tricare Comprehensive Autism Care Demonstration provides Applied Behavior Analysis (ABA) therapy, a comprehensive structured program individually designed to address skill deficits (i.e. language, cognitive, social, play, self-help) and problem behaviors in diagnosed children. Additionally, 15 – 40 hours of 1:1 therapy by a Behavior Technician are covered per week. The CACD program also covers assessments, treatment planning, parent training, and ongoing supervision provided by a Board Certified Behavior Analyst.

NC State Health Plan

The N.C. State Health Plan for Teachers and State Employees (SHP) covers applied behavior analysis (ABA) therapy for SHP members diagnosed with Autism. SHP members diagnosed with an Autism Spectrum Disorder are eligible for coverage up to age 26. The SHP provides coverage for ABA assessments, treatment planning, parent training, and direct therapy up to a yearly cap of $36,000. Services must be provided by a provider who is in-network with BCBSNC.

How to Get Started

If you would like to start an ABA program for your child, or would like more information regarding ABA therapy, please call 252-341-4192 or fill out our online contact form. We will be able to discuss what ABA is, how it can benefit your child, the typical costs involved, insurance funding, community resources, and any additional questions you may have.