What is the Children’s Autism Program (CAP) and how is it different from Medicaid ABA coverage?

CAP provides limited ABA hours, while Medicaid covers ABA based on medical necessity.

The Children’s Autism Program provides up to 180 hours of ABA annually and is limited in scope. Texas Medicaid, by contrast, authorizes ABA therapy based on medical necessity without a fixed yearly hour limit. CAP may supplement care but does not replace comprehensive Medicaid or private insurance coverage.

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What alternative funding options exist for ABA therapy in Texas?

Families may explore CAP, private insurance, grants, Medicaid, and private pay options.

How much does ABA therapy cost in Dallas, Texas?

ABA therapy in Dallas typically costs $120 to $150 per hour before insurance.

How long does the PDSES grant take to be funded?

The PDSES application process can take several months, often up to six months.

Does Texas Medicaid cover ABA therapy?

Yes, Texas Medicaid covers medically necessary ABA therapy for children with an autism diagnosis.

Does CHIP cover ABA therapy in Texas?

No, Texas CHIP does not currently cover ABA therapy.

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