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<title>Can My Child Get ABA at School Through Medicaid to Schools and Private In-Home ABA Too? New Hampshire's Duplication of Services Question, Answered | Achieving Stars Therapy</title>
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<div class="hero"><div class="hero-inner"><span class="location-badge">New Hampshire Coverage</span><h1>School ABA and Private ABA: Is That Duplication?</h1><p>Short answer: no. Receiving services at school does not limit your child's eligibility for services outside of school. The two run on different funding streams, in different settings, toward different goals.</p></div></div>
<div class="quick-info"><div class="info-item"><div class="info-label">Duplication?</div><div class="info-value">No</div></div><div class="info-item"><div class="info-label">School Route</div><div class="info-value">IEP / IDEA</div></div><div class="info-item"><div class="info-label">Private Route</div><div class="info-value">Medical necessity</div></div><div class="info-item"><div class="info-label">Both at Once</div><div class="info-value">Allowed</div></div></div>
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<section><p>Medicaid to Schools lets a New Hampshire school district bill Medicaid for services written into a Medicaid-eligible student's IEP. Speech, occupational therapy, physical therapy, nursing, counseling, and yes, applied behavior analysis for a student with autism spectrum disorder, can all appear there.</p>
<p>So parents ask a fair question. If the school already bills Medicaid for behavior support, does that block private in-home ABA billed to the same Medicaid?</p>
<p>It does not.</p></section>
<section><h2>Why it isn't duplication</h2><p>New Hampshire's Medicaid to Schools guidance is direct: receiving services in the school setting does not limit a child's eligibility to receive services outside of school. As long as both are medically necessary and meet federal Medicaid rules, a child can receive both.</p>
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<tr><th></th><th>School services</th><th>Private in-home ABA</th></tr>
<tr><td><strong>Legal basis</strong></td><td>IDEA, via the IEP</td><td>Medical necessity, via a treatment plan</td></tr>
<tr><td><strong>Purpose</strong></td><td>Access to education</td><td>Clinical treatment</td></tr>
<tr><td><strong>Setting</strong></td><td>The school building</td><td>Home and community</td></tr>
</table>
<p>Same child. Different job. A school BCBA works on staying in the classroom and following the instructional routine. An in-home team works on the 6 p.m. meltdown, the toothbrushing, the sibling fight. Things the school will never see.</p></section>
<section><h2>How to keep the paperwork clean</h2><ul>
<li><strong>Keep the goals distinct.</strong> IEP goals and the private treatment plan should not be carbon copies. Overlapping skill areas are fine. Identical goals with identical strategies invite questions.</li>
<li><strong>Separate documentation.</strong> The school documents to the IEP. The private provider documents to the treatment plan.</li>
<li><strong>Consent for school billing</strong> is required and handled during the IEP process. Signing it does not sign away your private benefits.</li>
</ul>
<div class="highlight-box"><p><strong>If someone tells you that you must choose, ask them to put it in writing.</strong> In practice this usually turns out to be a misunderstanding at the school or a benefits rep guessing. New Hampshire's own program guidance says both can run.</p></div></section>
<section><h2>Frequently Asked Questions</h2>
<div class="faq-item"><h3>The school says my child already gets ABA. Do we still need private ABA?</h3><p>Depends what they are actually delivering. Often it is consultation to teachers, not direct one-to-one therapy, and it stops at the 3 p.m. bell. If the hard moments happen at home, school ABA will not touch them.</p></div>
<div class="faq-item"><h3>Will private ABA hours be cut because of school hours?</h3><p>Authorization is based on clinical need, assessed by a BCBA, not an automatic deduction. Achieving Stars Therapy builds around the school day, with sessions as late as 8 p.m., for families in <a href="/location/city/aba-therapy-concord-nh">Concord</a>, <a href="/location/city/aba-therapy-derry-nh">Derry</a>, and across <a href="/location/states/aba-therapy-new-hampshire">New Hampshire</a>.</p></div>
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<p class="disclaimer">Reflects New Hampshire Medicaid to Schools program guidance as of July 14, 2026. Your district's practice may vary; get any restriction in writing.</p>
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<h2>Add In-Home ABA Alongside School</h2>
<p>Free benefits check. BCBA-led, in-home, flexible day and evening scheduling.</p>
<a href="https://www.achievingstarstherapy.com/contact" class="cta-button">Check Your Coverage</a>
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<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>
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