Healthy Blue NC ABA Therapy Coverage
How Healthy Blue of North Carolina covers ABA therapy for children with autism. Learn about Medicaid managed care benefits, authorization requirements, and how to access services.
Healthy Blue NC & ABA Therapy
Healthy Blue is a Medicaid managed care plan offered in North Carolina through a partnership between Blue Cross Blue Shield of NC and Anthem. As part of NC Medicaid managed care, Healthy Blue covers ABA therapy for children diagnosed with Autism Spectrum Disorder.
Coverage Details
Healthy Blue provides comprehensive ABA therapy coverage as a behavioral health benefit. Eligible members can access:
- Diagnostic evaluations — Initial assessments and Functional Behavior Assessments
- Individual ABA therapy — Direct one-on-one therapy sessions with a Registered Behavior Technician
- BCBA oversight — Supervision, treatment planning, and progress monitoring by a Board Certified Behavior Analyst
- Caregiver training — Parent coaching sessions to help reinforce your child’s progress at home
- Flexible service delivery — In-home, community-based, and telehealth options
As a Medicaid managed care plan, Healthy Blue members typically have no copays or out-of-pocket costs for covered ABA services.
Prior Authorization
Healthy Blue requires prior authorization for ABA therapy. Our team handles the full authorization process, including clinical documentation, submission to Healthy Blue’s utilization review team, and ongoing reauthorizations so services continue without interruption.
Verification
Contact us to verify your child’s Healthy Blue benefits. We’ll confirm enrollment, review your coverage details, and walk you through the next steps to begin ABA therapy services.
Have Healthy Blue? Let's verify your benefits.
Our team will check your Healthy Blue benefits for ABA therapy in North Carolina — free of charge.
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