Does Vaya Health Cover ABA Therapy Costs?

Vaya Health is a managed care organization that provides behavioral health services to individuals in western North Carolina. ABA therapy, or Applied Behavior Analysis therapy, is a type of therapy that is often used to treat individuals with autism spectrum disorder.

The answer to whether Vaya Health covers ABA therapy is yes, but with some limitations. Vaya Health covers ABA therapy for individuals under the age of 21 who have a diagnosis of autism spectrum disorder. However, there are limits to the amount of ABA therapy that is covered.

Vaya Health covers up to 40 hours of ABA therapy per week for up to 12 months. After that, the amount of ABA therapy that is covered is determined on a case-by-case basis.

It's important to note that there may be other requirements that need to be met in order for ABA therapy to be covered by Vaya Health. For example, the therapy may need to be provided by a licensed provider who is in-network with Vaya Health.

If you or a loved one is in need of ABA therapy and is covered by Vaya Health, it's important to contact Vaya Health to find out more about the specific requirements and limitations of coverage for ABA therapy.