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<div class="hero"><div class="hero-inner"><span class="location-badge">New Hampshire Guide</span><h1>How to Get an Autism Diagnosis in New Hampshire</h1><p>New Hampshire families have three real paths to an autism evaluation: a hospital developmental team, a private neuropsychologist, or the state's free Birth to 3 program for children under three. Achieving Stars Therapy helps NH parents find the right one, then starts in-home ABA once a diagnosis is in hand.</p></div></div>
<div class="quick-info"><div class="info-item"><div class="info-label">Screening Starts</div><div class="info-value">18 Months</div></div><div class="info-item"><div class="info-label">Under Age 3</div><div class="info-value">Free: Birth to 3</div></div><div class="info-item"><div class="info-label">Typical Wait</div><div class="info-value">2 to 8 Months</div></div><div class="info-item"><div class="info-label">To Start ABA</div><div class="info-value">Diagnosis Needed</div></div></div>
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<section><p>An autism spectrum disorder (ASD) diagnosis in New Hampshire comes from a developmental pediatrician, a psychologist, or a neuropsychologist, not usually your regular pediatrician. The pediatrician screens and refers. The formal diagnosis happens at a clinic that runs a comprehensive evaluation, often using a tool called the ADOS-2. This guide covers where to go, how long the wait runs, and how to start therapy fast once you have it.</p>
<div class="highlight-box"><p>This is not a small-numbers state. About <strong>4.2% of NH parents report a child diagnosed with autism</strong>, higher than the national average (National Survey of Children's Health). Nationally, the CDC now puts autism at 1 in 31 children.</p></div></section>
<section><h2>Where do you actually start?</h2><p>Start with the pediatrician, but do not stop there. At the 18-month and 24-month checkups, most NH pediatricians run a quick screen called the M-CHAT-R. The AAP recommends autism-specific screening at exactly those two visits. A red flag on that screen gets your child referred for a full evaluation.</p><p>You can also skip ahead. Any NH parent can self-refer to the state's early-intervention program without a doctor's note, covered below. You do not have to wait for permission to act.</p></section>
<section><h2>Who diagnoses autism in New Hampshire?</h2><p>A handful of NH clinics and hospitals do the actual diagnostic evaluation. The gold-standard tool most of them use is the ADOS-2, an in-person observation session. Here are real, currently operating options across the state.</p>
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<thead><tr><th>Where to go</th><th>Location</th><th>What they do</th><th>Phone</th></tr></thead>
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<tr><td>Dartmouth Health Children's (BANDS team)</td><td>Lebanon</td><td>Multidisciplinary autism diagnosis; physician referral needed</td><td>(603) 650-7075</td></tr>
<tr><td>Elliot Developmental & Behavioral Pediatrics</td><td>Manchester</td><td>Evaluates birth to 12 for autism and ADHD</td><td>(603) 663-3222</td></tr>
<tr><td>Amoskeag Health Child Development Clinics</td><td>Manchester, Keene, Lakes Region</td><td>State-network evaluations, ages 0 to 6</td><td>(603) 296-9249</td></tr>
<tr><td>Autism Care Partners</td><td>Bedford, Concord</td><td>Diagnostic evaluations plus ABA</td><td>(800) 679-3609</td></tr>
<tr><td>Katalyst Psychological Family Center</td><td>Manchester</td><td>Neuropsychological evaluations, including autism</td><td>(603) 206-5844</td></tr>
<tr><td>Portsmouth Neuropsychology Center</td><td>Portsmouth</td><td>Neuropsychological autism evaluations</td><td>(603) 433-0800</td></tr>
<tr><td>Neurodevelopment Institute of NH</td><td>Hooksett, Gorham</td><td>Neurodevelopmental evaluations, all ages</td><td>(603) 621-9870</td></tr>
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<p>Hospital programs like Dartmouth's BANDS need a referral from your child's doctor. Several private neuropsychologists take families directly. Call the intake line and ask what they need.</p></section>
<section><h2>How long is the wait in New Hampshire?</h2><p>It depends on your child's age. A developmental pediatrician at Dartmouth-Hitchcock told New Hampshire Magazine that children under 3 can usually be seen within about two months, while older children often wait six to eight months for a developmental-pediatrics slot. Private neuropsychologists vary, and some carry their own <a href="/guide/autism-evaluation-wait-times-new-hampshire">waitlist</a>.</p><p>The waits are real. One NH mom on the r/newhampshire forum said her son's autism evaluation in Manchester had a long waitlist, but insurance covered it fully. That gap is exactly why the next question matters.</p></section>
<section><h2>Can your child start therapy before the diagnosis is final?</h2><p>Sometimes, yes. If your child is under three, New Hampshire's Family-Centered Early Supports and Services, usually called <a href="https://www.dhhs.nh.gov/programs-services/disability-care/developmental-services/birth-3-family-centered-early-supports" rel="noopener">Birth to 3</a>, can begin support based on a developmental delay alone, with no autism diagnosis required. It is free, and any parent can self-refer by calling (603) 271-4488. Read the <a href="/guide/early-intervention-new-hampshire">NH early intervention guide</a> for how that works.</p><p>ABA therapy is different. To bill Medicaid or private insurance for ABA, a formal autism diagnosis almost always has to be on file first. Achieving Stars Therapy verifies that during intake and points families who are still waiting toward the right evaluation. See <a href="/guide/start-aba-without-diagnosis-new-hampshire">starting ABA without a full diagnosis in NH</a> for the details.</p></section>
<section><h2>Does insurance cover the evaluation and ABA?</h2><p>Usually. New Hampshire's Connor's Law (RSA 417-E) requires state-regulated insurance plans to cover autism treatment, including applied behavior analysis (ABA), an evidence-based therapy. NH Medicaid covers ABA through its EPSDT benefit and its two health plans, Well Sense and NH Healthy Families, with prior approval. The <a href="/guide/aba-therapy-medicaid-new-hampshire">NH Medicaid guide</a> breaks that down.</p><p>Private-pay evaluations exist too if you want to skip a waitlist, though they can run into the thousands. Achieving Stars Therapy checks your Medicaid or insurance benefits for free before anything begins.</p></section>
<section><h2>Frequently Asked Questions</h2>
<div class="faq-item"><h3>Does my pediatrician diagnose autism?</h3><p>Usually not. Pediatricians screen and refer. The formal diagnosis comes from a developmental pediatrician, a psychologist, or a neuropsychologist, often using the <a href="/aba-therapy-resources/what-is-an-ados-2-assessment">ADOS-2 assessment</a>.</p></div>
<div class="faq-item"><h3>What age should screening start?</h3><p>The AAP recommends autism-specific screening at the 18-month and 24-month checkups. The CDC says signs can appear as early as 18 months, and a reliable diagnosis is possible by age 2. Achieving Stars Therapy serves children as young as 18 months.</p></div>
<div class="faq-item"><h3>Do I need a referral for an evaluation?</h3><p>It depends on the provider. Hospital programs like Dartmouth's BANDS need a physician referral. Many private neuropsychologists and the state's Birth to 3 program do not. Call the intake line and ask before you book.</p></div>
<div class="faq-item"><h3>Does Achieving Stars Therapy diagnose autism?</h3><p>No. Achieving Stars Therapy provides in-home ABA therapy after a diagnosis. The intake team knows the New Hampshire evaluation options, can help you find a provider, and checks your coverage.</p></div>
<div class="faq-item"><h3>How fast can ABA start once we have a diagnosis?</h3><p>Fast. Most families begin in-home ABA with Achieving Stars Therapy within one to two weeks, with no waitlist. See <a href="/guide/what-to-do-after-autism-diagnosis-new-hampshire">what to do after an autism diagnosis in NH</a>.</p></div>
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<h2>Start In-Home ABA in New Hampshire</h2>
<p>Have a diagnosis, or close to one? Achieving Stars Therapy starts <a href="/location/states/aba-therapy-new-hampshire" style="color:var(--gold)">in-home ABA across New Hampshire</a> with no waitlist. Free benefits check first.</p>
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