We accept Health First Colorado Medicaid Insurance in Colorado

Navigating insurance for applied behavior analysis (ABA) therapy can feel overwhelming. Our insurance experts will help you navigate getting ABA therapy covered by Health First Colorado Medicaid in Colorado.

Does Health First Colorado Medicaid Cover ABA Therapy in Colorado?
In-Network Provider

We Accept Health First Colorado Medicaid in Colorado

Yes, Alpaca Health proudly accepts Health First Colorado Medicaid insurance for ABA therapy services. We're in-network with most Health First Colorado Medicaid plans, which means your family can access high-quality care with reduced out-of-pocket costs. We handle the billing and authorization paperwork, so you can focus on your child's progress.

How Health First Colorado Medicaid Coverage Works in Colorado

Within 24 hours of you reaching out, we will share how Health First Colorado Medicaid covers ABA therapy in Colorado – required documentation, typical timeline, and potential costs of therapy.

Referrals

Some Cigna plans require a referral from your pediatrician or primary care provider, while others allow direct access to ABA therapy.

Diagnosis

Network status and benefits can differ based on your state or region, even within the same insurance company.

Prior Authorization

Most plans require prior authorization and documentation of medical necessity before therapy begins. We handle this process for you.

Session limits and costs

Coverage limits, copayments, coinsurance, and deductibles vary by plan. Some plans offer unlimited sessions; others have annual caps.

Alpaca Health – ABA Therapyfor Families

Health First Colorado Medicaid Plan Labels You Might See in Colorado

Health First Colorado Medicaid

Health First Colorado Medicaid

  • Health First Colorado (Medicaid)
  • Colorado Medicaid
  • Health First Colorado – Child & Family Coverage
  • Health First Colorado – EPSDT (Well-Child / ABA)
  • Health First Colorado Behavioral Health
  • Health First Colorado Managed Care Plan
  • Rocky Mountain Health Plans – Health First Colorado
  • Colorado Access – Health First Colorado
  • Kaiser Permanente – Health First Colorado
  • UnitedHealthcare – Health First Colorado
  • Child Health Plan Plus (CHP+)
  • Colorado Child Health Plan (CHP)
  • Medicaid Buy-In Program for Children with Disabilities
  • Medicaid Buy-In Program for Working Adults with Disabilities
  • Home and Community-Based Services (HCBS) Waiver
  • HCBS Children’s Extensive Support (CES) Waiver
  • HCBS Children’s Habilitation Residential Program (CHRP) Waiver
  • HCBS Children’s Home and Community-Based Services (CHCBS) Waiver
  • Colorado Youth Mental Health Treatment Act (CYMHTA)
  • Health First Colorado Autism / ABA Services

Find Colorado ABA Therapy Covered by Health First Colorado Medicaid Today

We serve families throughout Colorado with Health First Colorado Medicaid-covered ABA therapy. Select your city below to find providers near you, and we'll verify your specific benefits and network status in your location—completely free with no obligation.

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Explore All Colorado Providers

Let us verify your Health First Colorado Medicaid benefits and confirm your eligibility for ABA therapy. We'll explain your costs, network status, and help you get started.

FAQs About Health First Colorado Medicaid ABA Therapy Coverage in Colorado

Do we need a referral or diagnosis for ABA therapy to be covered by Health First Colorado Medicaid in Colorado?

In most cases (with some exceptions, such as Colorado Medicaid), insurance plans require a formal diagnosis of Autism Spectrum Disorder (ASD) from a qualified provider—such as a developmental pediatrician, neurologist, psychologist, or psychiatrist—before ABA therapy can be covered. Without this diagnosis, insurers typically do not consider ABA therapy medically necessary.

Does Health First Colorado Medicaid ABA therapy coverage in Colorado require a prior authorization?

Almost always. Prior authorization means your insurance company must review and approve the treatment plan before services can start. Our team handles this process for you, submitting the necessary clinical documentation to ensure approval.

Do I need proof of medical necessity for ABA therapy to be covered by Health First Colorado Medicaid in Colorado?

Yes. Insurance companies require documentation showing that ABA therapy is medically necessary for your child’s development. This is usually demonstrated through the diagnostic report and a treatment plan written by a BCBA outlining specific, measurable goals.

Does Health First Colorado Medicaid cover ABA therapy for all ages in Colorado?

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How long does it take for Colorado to approve ABA therapy in Colorado?

Approval times vary by insurer, but typically range from 1–3 weeks after all documents are submitted. Delays can occur if additional information is requested. Our team stays in close contact with your insurance to help move the process along.

Are parent/caregiver training sessions covered by Health First Colorado Medicaid in Colorado?

Yes, most plans include coverage for caregiver training as part of the ABA treatment program. These sessions are considered essential because progress is greatest when parents and caregivers are part of the learning process.

Does Health First Colorado Medicaid cover virtual ABA therapy in Colorado?

Many insurers do cover telehealth ABA sessions, especially for parent training or supervision by a BCBA. Coverage may depend on your state and specific plan. We can confirm eligibility during your benefits check.

What if my Health First Colorado Medicaid plan doesn’t cover ABA therapy in Colorado?

If your plan excludes ABA or limits coverage, we’ll walk you through alternatives—such as appealing the denial, switching to a plan with autism benefits, or exploring private pay or grant options. Some states also offer Medicaid or autism mandates that ensure ABA coverage.

Get Started With Autism Care in Colorado

Insurance covers the majority of the costs of ABA therapy. Start today and get a clear cost estimate in 24 hours or less.