UnitedHealthcare Community Plan NC ABA Coverage

UnitedHealthcare Community Plan NC & ABA Therapy

UnitedHealthcare Community Plan of North Carolina is a Medicaid managed care plan that provides coverage for ABA therapy as part of NC Medicaid’s behavioral health benefits. If your child is enrolled in UHC Community Plan, ABA services are covered at no out-of-pocket cost when medically necessary.

Coverage Details

UHC Community Plan covers comprehensive ABA therapy services for children diagnosed with Autism Spectrum Disorder. Benefits include:

• Comprehensive assessments — Diagnostic evaluations and Functional Behavior Assessments
• Individual ABA therapy — Direct one-on-one therapy with a Registered Behavior Technician
• BCBA supervision — Ongoing treatment oversight and plan development by a Board Certified Behavior Analyst
• Parent and caregiver training — Coaching sessions to help you support your child’s development at home
• Telehealth services — Remote parent training and supervision sessions when appropriate

As a Medicaid plan, UHC Community Plan members have no copays, deductibles, or out-of-pocket costs for covered ABA therapy services.

Prior Authorization

UHC Community Plan requires prior authorization for ABA therapy. Our team manages the complete authorization process, from gathering clinical records and submitting documentation to following up with UHC’s review team and handling reauthorizations on an ongoing basis.

Verification

Reach out to us and we’ll verify your child’s UHC Community Plan enrollment and benefits. We confirm eligibility, outline covered services, and coordinate the authorization process so your family can begin ABA therapy without delay.