Does NH Medicaid Cover ABA Therapy? | Achieving Stars Therapy

<h3>In-Home ABA Sessions</h3> <p>BCBA-supervised therapy delivered in your home by trained therapists</p> </div> <div class="service-card"> <h3>Behavior Assessment</h3> <p>Functional Behavior Assessment (FBA) to identify your child's specific needs and goals</p> </div> <div class="service-card"> <h3>Treatment Planning</h3> <p>Individualized treatment plan with measurable goals, updated every 6 months</p> </div> <div class="service-card"> <h3>Parent Training</h3> <p>Caregiver coaching so you can support your child's progress between sessions</p> </div> <div class="service-card"> <h3>Progress Monitoring</h3> <p>Ongoing data collection and analysis to track your child's growth</p> </div> <div class="service-card"> <h3>Re-Assessments</h3> <p>Regular evaluations every 6 months to adjust goals and treatment intensity</p> </div> </div> </section>  <section> <h2>What Is Connor's Law and How Does It Help New Hampshire Families?</h2> <p>Connor's Law (HB 569), passed in 2014, requires private insurance plans in New Hampshire to cover ABA therapy for children with autism. Under Connor's Law, private insurers must cover diagnosis and treatment of autism spectrum disorders for individuals under 21.</p> <p>Connor's Law coverage caps for private insurance:</p> <ul> <li>Under age 12: up to <strong>$36,000 per year</strong></li> <li>Ages 12-21: up to <strong>$27,000 per year</strong></li> </ul> <div class="highlight-box"> <p><strong>These dollar caps apply only to private insurance.</strong> NH Medicaid does not have these caps. Under Medicaid's EPSDT benefit, ABA therapy is covered based on medical necessity with no fixed dollar limit. This makes Medicaid one of the strongest coverage options for intensive ABA therapy in New Hampshire.</p> </div> <p>Achieving Stars Therapy accepts both NH Medicaid and private insurance plans covered under Connor's Law, including Cigna, Aetna, Anthem BCBS, and UnitedHealthcare.</p> </section>  <section> <h2>What Is Katie Beckett Medicaid and Does My Child Qualify?</h2> <p>Katie Beckett Medicaid (also called the TEFRA option) allows children with significant disabilities to qualify for Medicaid based on the child's own income, not the family's income. Here is why that matters: many families earn too much for standard Medicaid but cannot afford 20-40 hours per week of ABA therapy out of pocket. Katie Beckett fills that gap.</p> <p><strong>Your child may qualify for Katie Beckett Medicaid if:</strong></p> <ul> <li>Your child is under 19 years old</li> <li>Your child has a disability that meets SSI criteria (an autism diagnosis often qualifies)</li> <li>Your child needs a level of care that would otherwise require institutional placement</li> <li>Your child lives at home</li> </ul> <p>Katie Beckett Medicaid covers ABA therapy the same way standard NH Medicaid does, with no annual dollar cap on medically necessary services. Achieving Stars Therapy helps families navigate the Katie Beckett application process and can start a benefits check before the application is complete.</p> </section>  <section> <h2>How Does Achieving Stars Therapy Handle NH Medicaid Authorization?</h2> <p>Achieving Stars Therapy manages the entire Medicaid authorization process so parents do not have to navigate it alone. Here is how it works:</p> <ol class="steps-list"> <li><strong>Free phone consultation</strong> (15 minutes). Call (833) 666-3115 or book online. Achieving Stars Therapy will ask about your child's diagnosis, current services, and insurance.</li> <li><strong>Benefits verification.</strong> Achieving Stars Therapy contacts WellSense or AmeriHealth Caritas directly to confirm your child's Medicaid coverage. Typical turnaround: 24-48 hours.</li> <li><strong>In-home BCBA assessment.</strong> A Board Certified Behavior Analyst visits your home to evaluate your child's needs and develop an individualized treatment plan with measurable goals.</li> <li><strong>Prior authorization submitted.</strong> Achieving Stars Therapy submits the treatment plan to your child's managed care plan. Standard authorization takes 14 business days.</li> <li><strong>Therapy begins.</strong> Most New Hampshire families start ABA sessions within 1-2 weeks of authorization. Achieving Stars Therapy matches your child with a consistent therapist team.</li> </ol> <div class="highlight-box"> <p><strong>Research shows</strong> that children who begin ABA therapy before age 5 and receive 25-40 hours per week for 2+ years demonstrate significant improvements in language, social skills, and adaptive behavior (Lovaas, 1987). Achieving Stars Therapy tailors hours to each child, typically 10-30 hours per week.</p> </div> </section>  <section> <h2>What Cities in New Hampshire Does Achieving Stars Therapy Serve?</h2> <p>Achieving Stars Therapy provides in-home ABA therapy across New Hampshire, covering four counties and ten cities:</p> <h3>Hillsborough County</h3> <div class="areas-list"> <span class="area-tag primary">Manchester</span> <span class="area-tag primary">Nashua</span> <span class="area-tag">Hudson</span> <span class="area-tag">Merrimack</span> <span class="area-tag">Londonderry</span> </div> <h3>Rockingham County</h3> <div class="areas-list"> <span class="area-tag">Derry</span> <span class="area-tag">Salem</span> </div> <h3>Merrimack County</h3> <div class="areas-list"> <span class="area-tag">Concord</span> </div> <h3>Strafford County</h3> <div class="areas-list"> <span class="area-tag">Dover</span> <span class="area-tag">Rochester</span> </div> <p>All services are delivered in your home by BCBA-supervised therapists. Achieving Stars Therapy serves families in both urban and rural areas across these counties.</p> </section>  <section> <h2>What Insurance Plans Does Achieving Stars Therapy Accept in New Hampshire?</h2> <div class="insurance-box"> <h3>Medicaid / Managed Care</h3> <ul> <li>WellSense Health Plan</li> <li>AmeriHealth Caritas NH</li> </ul> </div> <h3>Private Insurance (Connor's Law)</h3> <div class="insurance-grid"> <div class="insurance-item">Cigna</div> <div class="insurance-item">Aetna</div> <div class="insurance-item">Anthem BCBS</div> <div class="insurance-item">UnitedHealthcare</div> </div> <p>Not sure about your coverage? Call Achieving Stars Therapy at <strong>(833) 666-3115</strong> for a free benefits check. The team will verify your child's coverage and explain what services are authorized.</p> </section>  <section> <h2>Frequently Asked Questions About NH Medicaid and ABA Therapy</h2> <div class="faq-item"> <h3>Does New Hampshire Medicaid cover ABA therapy?</h3> <p>Yes. NH Medicaid covers ABA therapy for children under 21 with an autism diagnosis through the EPSDT benefit. There is no annual dollar cap. Achieving Stars Therapy is an approved NH Medicaid provider.</p> </div> <div class="faq-item"> <h3>How many hours of ABA therapy does NH Medicaid approve?</h3> <p>NH Medicaid does not set a fixed hour limit. Authorization is based on medical necessity, typically ranging from 10-40 hours per week. Achieving Stars Therapy's BCBAs recommend hours based on your child's individual assessment.</p> </div> <div class="faq-item"> <h3>What is the difference between Connor's Law coverage and Medicaid coverage?</h3> <p>Connor's Law applies to private insurance and has annual dollar caps ($36K under 12, $27K ages 12-21). NH Medicaid has no dollar caps and covers based on medical necessity. Both cover ABA therapy, but Medicaid often provides broader coverage for intensive therapy.</p> </div> <div class="faq-item"> <h3>How long does it take to get ABA therapy started through NH Medicaid?</h3> <p>After Achieving Stars Therapy submits the authorization request, approval typically takes 14 business days. Most families go from first call to first therapy session in 3-5 weeks.</p> </div> <div class="faq-item"> <h3>Can I use Katie Beckett Medicaid for ABA therapy?</h3> <p>Yes. Katie Beckett Medicaid covers ABA therapy the same way standard NH Medicaid does. Achieving Stars Therapy helps families determine if their child qualifies and assists with the application.</p> </div> <div class="faq-item"> <h3>Does Achieving Stars Therapy accept WellSense and AmeriHealth Caritas?</h3> <p>Yes. Achieving Stars Therapy works with both NH Medicaid managed care plans: WellSense Health Plan and AmeriHealth Caritas New Hampshire.</p> </div> <div class="faq-item"> <h3>What if my child's Medicaid ABA authorization is denied?</h3> <p>Achieving Stars Therapy helps families appeal denials. The team reviews the denial reason, gathers additional documentation, and resubmits. Families can also request a state fair hearing through NH DHHS.</p>

</div> <div class="faq-item"> <h3>What ages does Achieving Stars Therapy serve in New Hampshire?</h3> <p>Achieving Stars Therapy provides ABA therapy for children and teens ages 2-18 in New Hampshire. NH Medicaid EPSDT coverage extends through age 21.</p> </div> </section>  <section> <h2>New Hampshire Autism and Medicaid Resources</h2> <div class="resource-card"> <h3>NH Birth to 3 / Family-Centered Early Supports and Services (FCESS)</h3> <p>Early intervention for children under 3 with developmental delays. <a href="https://nhfv.org" target="_blank" rel="noopener">nhfv.org</a></p> </div> <div class="resource-card"> <h3>Katie Beckett Medicaid (NH DHHS)</h3> <p>Application information for families who do not qualify for standard Medicaid. <a href="https://dhhs.nh.gov" target="_blank" rel="noopener">dhhs.nh.gov</a></p> </div> <div class="resource-card"> <h3>Dartmouth Health Children's (CHaD)</h3> <p>Diagnostic evaluations and developmental pediatrics. <a href="https://dartmouth-health.org" target="_blank" rel="noopener">dartmouth-health.org</a></p> </div> <div class="resource-card"> <h3>Autism Society of New Hampshire</h3> <p>Family support, advocacy, and community resources. <a href="https://autismnh.org" target="_blank" rel="noopener">autismnh.org</a></p> </div> </section>  <div class="cta-section"> <h2>Start Medicaid-Covered ABA Therapy with Achieving Stars Therapy in New Hampshire</h2> <p>Achieving Stars Therapy will verify your Medicaid coverage, handle all paperwork, and get your child started with in-home ABA therapy. Most families begin within 1-2 weeks.</p> <a href="https://www.achievingstarstherapy.com/contact" class="cta-button">Book Your Free Consultation</a> <div class="cta-grid"> <div class="cta-item"> <div class="cta-item-label">Call</div> <div class="cta-item-value"><a href="tel:8336663115">(833) 666-3115</a></div> </div> <div class="cta-item"> <div class="cta-item-label">Email</div> <div class="cta-item-value"><a href="mailto:info@achievingstarstherapy.com">info@achievingstarstherapy.com</a></div> </div> <div class="cta-item"> <div class="cta-item-label">Fax</div> <div class="cta-item-value">(833) 666-1401</div> </div> </div> <p class="cta-note">Free consultation. No pressure. Achieving Stars Therapy serves families across 10 New Hampshire cities.</p> </div> </div>

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