We accept Medicaid Insurance in North Carolina

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

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Does Medicaid Cover ABA Therapy in North Carolina?
In-Network Provider

We Accept Medicaid in North Carolina

Yes, Alpaca Health proudly accepts Medicaid insurance for ABA therapy services. We're in-network with most 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 Medicaid Coverage Works in North Carolina

Within 24 hours of you reaching out, we will share how Medicaid covers ABA therapy in North Carolina – 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.

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Alpaca Health – ABA Therapyfor Families

Medicaid Plan Labels You Might See in North Carolina

Medicaid

Medicaid

What ABA Services Does Medicaid Cover in North Carolina?

Find North Carolina ABA Therapy Covered by Medicaid Today

We serve families throughout North Carolina with 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.

Looking for Coverage in Another State

Select your state to see Medicaid coverage in your area

CO
Colorado
150+ Providers
TX
Texas
150+ Providers

Explore All North Carolina Providers

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

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Top North Carolina Cities We Serve

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Verify Your Medicaid Benefits

Alpaca Health completely handles the process of dealing with insurance, so you don’t have to. You’ll get quality ABA therapy, covered by Medicaid

1. Tell Us About Your Child

Start by filling out our quick intake form. You’ll share some basic info, like your child’s age, availability, insurance details, and any diagnoses. This helps us understand your needs from the start.

2. We’ll Reach Out Within 24 Hours

Once you submit your form, our team will verify your insurance  and follow up within one business day to confirm everything’s  set. No long waits, no endless phone calls.

3. Get Matched to a Provider – Or Tell Us Who You’d Prefer

We’ll work with you to find a local provider in your area who  has availability now — not months from now. We’ll match you  with someone who fits your child’s needs and your family’s  schedule.

4. Start Care, Fast

We’ll introduce you directly to your provider, and they’ll take it  from there. Most families schedule their first meeting or  assessment within the same week.

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FAQs About Medicaid ABA Therapy Coverage in North Carolina

Do we need a referral or diagnosis for ABA therapy to be covered by Medicaid in North Carolina?

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 Medicaid ABA therapy coverage in North Carolina 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 Medicaid in North Carolina?

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 Medicaid cover ABA therapy for all ages in North Carolina?

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

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 Medicaid in North Carolina?

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 Medicaid cover virtual ABA therapy in North Carolina?

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 Medicaid plan doesn’t cover ABA therapy in North Carolina?

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.

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