Boutique agency established in 2015

UnitedHealthcare ABA Therapy - ABS

Great News for UnitedHealthcare (UHC)Members!

Achievement Behavior Services accepts UnitedHealthcare insurance for ABA therapy services in New York and New Jersey.

Get Started Today

If your child has been diagnosed with autism, coverage may already be in place. Contact us to verify your UHC benefits and begin services without delay.

UnitedHealthcare Insurance Coverage for ABA Therapy

Does UHC Insurance Cover ABA Therapy?

Yes, UnitedHealthcare covers ABA therapy for children diagnosed with Autism Spectrum Disorder (ASD).

Under federal mental health parity laws and state autism mandates in both New York and New Jersey, UnitedHealthcare is required to cover medically necessary ABA therapy. This means that if your child holds a documented ASD diagnosis and ABA therapy is recommended by a licensed provider, your plan cannot deny coverage solely on the basis of cost limits or visit caps.

At Achievement Behavior Services, every ABA program is designed and overseen by a Board Certified Behavior Analyst (BCBA®). We work directly with UHC to handle prior authorization, treatment plan submissions, and ongoing utilization reviews, so your family focuses on your child, not the paperwork.

Our Autism Services Covered by UnitedHealthcare (UHC)

ABA therapy services your child needs, fully covered under your UnitedHealthcare plan.

Behavior Assessment

A BCBA evaluates your child's needs and builds a treatment plan submitted directly to UnitedHealthcare for authorization.

Center-Based ABA Therapy

Structured sessions at our ABA centers, covered under your UnitedHealthcare plan when prior-authorized.

In-Home ABA Therapy

One-on-one therapy in your home across New York and New Jersey, billed directly to UnitedHealthcare.

Parent Training

BCBA-led sessions teaching you strategies to reinforce your child's goals between therapy visits.

Progress Monitoring

Data tracked every session. Treatment plans updated and resubmitted to UnitedHealthcare at every renewal.

Steps to Obtain UnitedHealthcare ABA Therapy Coverage

Four simple steps: we handle the insurance side so you can focus on your child.

01

Confirm Your ASD Diagnosis

A formal autism diagnosis from a licensed provider is required before UnitedHealthcare approves ABA therapy.

02

Verify Your Benefits With ABS

We contact UnitedHealthcare directly to confirm your coverage, copays, and authorization requirements, at no cost to you.

03

We Submit the Treatment Plan

Our BCBA prepares and submits all clinical documentation to UnitedHealthcare. We handle every follow-up until approved.

04

Therapy Begins

Once authorized, your child’s sessions start, at home, at our center, or in the community.

We Accept UnitedHealthcare & All Major Insurances for ABA Therapy

Serving families across NY, NJ, GA and NC — no waiting list!

Medicaid

Aetna

Bluecross Blueshield

Carelon

Compsych

Healthfirst

Magellan

Optum

United Healthcare

Alliance Health

Vaya Health

Trillium

Priority Partners

Wellcare

Healthy Blue

Amerihealth Caritas

Do you have Questions?

We’ve got answers — dive into our FAQs below!

Yes. Both states have autism insurance mandates requiring UnitedHealthcare to cover medically necessary ABA therapy for children diagnosed with ASD.

Most UnitedHealthcare plans require a referral from a pediatrician or developmental specialist along with a formal ASD diagnosis. Our intake team will confirm what your plan specifically requires.

Typically 7 to 21 business days after a complete treatment plan is submitted. ABS handles all authorization paperwork on your behalf.

It depends on your plan. When you contact us, we verify your benefits and tell you exactly what to expect before services begin.

You have the right to appeal. ABS will prepare the clinical documentation and support you through the appeals process.

Contact our intake team to confirm which UnitedHealthcare plan types we are currently contracted with, including Medicaid managed care.

Autism, also known as Autism Spectrum Disorder (ASD), is a developmental condition that affects how a person communicates, interacts, and experiences the world around them. It is characterized by a range of behaviors, challenges, and strengths, which can vary widely from one individual to another. People with autism may have difficulties with social interactions, communication, and repetitive behaviors, but they may also have unique abilities or strengths, such as exceptional memory, attention to detail, or specialized skills.

Applied Behavior Analysis (ABA) is a therapeutic approach that focuses on understanding and changing behavior using principles of learning and motivation. ABA uses evidence-based techniques to help individuals develop important skills, such as communication, social interaction, and self-care, while reducing behaviors that may be challenging. The therapy is highly individualized and tailored to each person’s unique needs, with progress monitored through data collection and ongoing assessment. ABA is widely used to support individuals with autism, but it can also be effective for addressing a variety of behavioral and developmental concerns.

Applied Behavior Analysis (ABA) benefits individuals with autism by helping them develop essential skills, reduce challenging behaviors, and improve overall functioning in everyday situations. ABA therapy focuses on teaching communication, social interaction, self-care, and academic skills through structured, individualized programs. It uses positive reinforcement to encourage desired behaviors, which helps increase independence and confidence. By breaking down complex tasks into smaller, manageable steps, ABA makes learning more accessible and promotes meaningful progress. Additionally, ABA provides ongoing data collection and adjustments to ensure that the therapy is effective and tailored to the unique needs of each individual with autism.

We currently have offices in New Jersey and New York, with our newest location in Malverne featuring a newly renovated center. We proudly serve clients across multiple states, including New York, New Jersey, North Carolina, Georgia, and Connecticut.

We’re pleased to offer insurance-covered ABA therapy. Our staff is here to help you navigate the often confusing insurance paperwork. Many major insurance carriers provide coverage for ABA services. We partner with several insurance carriers, including Aetna, Child Health Plus, Cigna, Emblem Health, Empire Blue Cross and Blue Shield, GHI, Horizon NJ Health, United Health Care, among others. Contact our office to verify if your insurance provider covers our in-home or center based services.

Ready to Start ABA Therapy With UnitedHealthcare?

ABS accepts UnitedHealthcare in New York and New Jersey. Verify your coverage today and get your child started without delay.