In-Home ABA Therapy in Rochester, NH
BCBA-supervised, play-based ABA therapy — Medicaid accepted, no waitlist — serving Rochester and surrounding Strafford County communities.
Does Achieving Stars serve Rochester, NH? Yes. Rochester is one of the primary communities served across New Hampshire, along with Dover, Somersworth, and surrounding Strafford County towns.
How much does ABA therapy cost? Medicaid covers 100% of ABA therapy costs for eligible families — no copay, no deductible. Private insurance typically covers the majority of costs; out-of-pocket varies by plan.
How long until services start? After your intake packet is complete, insurance authorization usually takes 1–14 days. There's no waitlist. Sessions begin as soon as authorization is received.
Where does therapy happen? In your home. Achieving Stars provides 100% in-home ABA, working with your child in the environment where they actually live and learn.
What if my child isn't diagnosed yet? A formal ASD diagnosis is required before insurance will authorize ABA. Achieving Stars offers diagnostic services, including the ADOS-2 and M-CHAT.
What In-Home ABA Therapy Looks Like in Rochester
A Registered Behavior Technician (RBT) comes to your home — your living room, your backyard, your kitchen table — and works one-on-one with your child during each session. The therapy is structured, but it doesn't look clinical. For younger kids especially, a lot of it looks like play.
Every program is built and supervised by a Board Certified Behavior Analyst (BCBA), who designs your child's individualized treatment plan and reviews progress data regularly. The BCBA also meets with caregivers — weekly or every other week — so you understand what's happening in sessions and how to support the same skills at home.
This matters more than it might sound. Your child's therapist is there for a few hours a week. You're there the rest of the time. Caregiver involvement is built into the Achieving Stars model from day one — not treated as optional.
ABA Therapy Services Available in Rochester
Behavior Reduction
Identifying why challenging behaviors happen, then building safer, functional alternatives through in-home Functional Behavior Assessments.
Communication Skills
Building functional language — requesting, labeling, following directions — whether through speech, AAC devices, or sign language.
Play-Based ABA
Teaching social skills, turn-taking, and peer interaction through structured and naturalistic play in your child's home environment.
School Readiness
Preparing children for classroom routines — attending, transitioning, following group instructions — before or alongside school enrollment.
Caregiver Guidance
Weekly or biweekly coaching sessions where your BCBA walks you through strategies, reviews data, and answers whatever's on your mind.
Teen ABA Services
ABA for older learners focusing on independence, social skills, and daily living — adapted for adolescents' specific goals and environments.
Achieving Stars also works with children who have dual diagnoses — ASD alongside ADHD, Down syndrome, or other co-occurring conditions. See the full services overview for more.
What Sets Achieving Stars Apart from Other Rochester ABA Providers
There are other ABA providers operating in the Rochester area. A few things are worth knowing when you're comparing options.
No Waitlist — Structurally
Achieving Stars is built around fast starts. Once authorization comes in, services begin. This isn't a marketing claim — it's how the intake process is designed.
Weekly Parent Guidance
BCBAs aim to meet with caregivers every week or every other week. Most providers offer this quarterly, if at all.
Clinician-Led Plans
Every treatment plan is built by the BCBA working with your child — not pulled from a template. Goals reflect your child's specific behaviors, strengths, and daily life.
Session Notes On Demand
Caregivers can request full access to session notes at any time. You don't have to wait for a scheduled check-in to know what happened during a session.
100% Medicaid Coverage
For eligible families, Medicaid covers ABA therapy in full — no out-of-pocket cost. Achieving Stars accepts Medicaid as primary or secondary insurance.
Autism Society Member
Achieving Stars is a member of the Autism Society of New Hampshire, giving families access to broader local resources and community connections.
How to Get Started with ABA Therapy in Rochester
Call or submit a contact form. The Achieving Stars intake team reaches out to answer your initial questions — no forms to navigate alone first.
Complete the intake packet. You'll need your child's ASD diagnosis documentation and insurance information. The intake team walks you through it.
Insurance authorization. The authorizations team submits to your insurer promptly. Most authorizations arrive within 1–14 days; Medicaid is often faster.
Initial BCBA assessment. Your assigned BCBA conducts an in-home assessment — observing your child, reviewing reported behaviors, and establishing baseline skills. The specific tools used depend on your child's age and what you've described.
Treatment plan review. The BCBA presents the individualized treatment plan and walks you through every goal before submitting it to insurance for approval to begin direct services.
Sessions begin. No waitlist. Your RBT starts coming to your home as soon as direct services are approved.
Rochester and Surrounding Communities Served
Achieving Stars serves Rochester and neighboring communities across Strafford County and the Seacoast region of New Hampshire.
Services are available statewide across all 10 New Hampshire counties — including Manchester, Nashua, Concord, Derry, Salem, and Londonderry. If you're not sure whether your town is covered, call and ask. The team will confirm availability quickly.
ABA Therapy in Rochester, NH — Frequently Asked Questions
Does Medicaid cover ABA therapy in New Hampshire?
Yes. Medicaid covers ABA therapy in full for eligible children in New Hampshire — no copays, no deductibles. Achieving Stars accepts Medicaid as primary or secondary insurance. Families who qualify pay nothing out of pocket for services.
How many hours of ABA therapy will my child receive?
Hours are determined by your child's BCBA based on the initial assessment and treatment plan. They vary depending on your child's age, the goals being addressed, and what insurance authorizes. Your BCBA explains the recommendation before anything is submitted.
What age does Achieving Stars serve?
ABA therapy is appropriate across a wide age range. Research consistently shows that earlier intervention tends to produce stronger long-term outcomes, so starting young is often advantageous. That said, it's never too late — Achieving Stars works with children and teens of various ages.
What does the BCBA actually do?
The BCBA designs your child's individualized treatment plan, supervises the RBT who delivers sessions, reviews session data, and conducts regular caregiver guidance meetings with you. They're the clinical lead on your child's case — not just a background supervisor.
Can I be present during therapy sessions?
Yes — and caregiver involvement is actively encouraged. The more you understand about what's happening in sessions, the better you can support the same skills during the rest of the week. Your BCBA will coach you on exactly how to do that.
My child has both autism and ADHD. Does that affect eligibility?
Not at all. Dual diagnoses like ASD + ADHD, or ASD + Down syndrome, are common among the children Achieving Stars serves. The treatment plan is simply designed around your child's full profile, not just one diagnosis.
We don't have a diagnosis yet. What do we do first?
A formal autism diagnosis is required before insurance will authorize ABA therapy. Achieving Stars offers diagnostic evaluation services, including the ADOS-2 assessment and the M-CHAT screening. Learn more about the CAST test for autism as well.
Ready to Get Started in Rochester?
One call is all it takes to find out whether Achieving Stars is the right fit. No obligation — just clear answers and next steps.
Call: (833) 666-3115
Email: info@achievingstarstherapy.com
Fax: (833) 666-1401
Serving Rochester · Dover · Somersworth · Strafford County · All of New Hampshire