We Handle the Insurance So You Can Focus on Your Child
ABA therapy is a covered benefit in New York. Our team manages the entire authorization process — from verifying your benefits to submitting claims — so families can focus on what matters most.
What We Handle For You
- Benefits verification before services begin
- Prior authorization requests & follow-up
- Ongoing claims submission
- Denial appeals & re-authorizations
- Clear communication about your costs
ABA Therapy Is Covered by Law in New York
New York State law requires all insurance plans to cover Applied Behavior Analysis (ABA) therapy for individuals diagnosed with autism spectrum disorder (ASD). This includes commercial insurance plans and Child Health Plus.
Our billing and intake team works directly with your insurance provider to verify your benefits, obtain prior authorization, and manage ongoing claims. Most families pay little to nothing out of pocket.
How We Handle Your Insurance
Benefits Verification
Before services begin, we contact your insurance provider to confirm your ABA therapy benefits, deductible status, co-pay amounts, and any coverage limits.
Prior Authorization
Most insurers require prior authorization before ABA services can begin. We handle the entire authorization request, including submitting clinical documentation and following up on approvals.
Ongoing Claims Management
Once services are underway, our billing team submits claims on your behalf and monitors for any issues. We handle denials, appeals, and re-authorizations so you don't have to.
Family Support
We keep you informed every step of the way. If you have questions about your coverage, out-of-pocket costs, or billing statements, our team is always available to help.
Insurance Plans We Work With
We are in-network or able to bill with most major insurance plans in New York, including:
Commercial Insurance Plans
Including Empire BlueCross BlueShield, Aetna, Cigna, United Healthcare, Oscar Health, and most other major commercial carriers
Child Health Plus (CHP)
New York's low-cost health insurance program for children
Aetna
Commercial and managed care plans
Cigna
Commercial plans
United Healthcare
Commercial and managed care plans
Empire BlueCross BlueShield
Commercial plans
Oscar Health
Commercial plans
Other Plans
Don't see your plan? Contact us — we work with many additional carriers and can verify your specific benefits.
Coverage Questions, Answered
Now Accepting New Patient Inquiries With NYCE PPO Insurance
NY Center for Autism Treatment welcomes inquiries from families covered by the New York City Employees PPO (NYCE PPO) health insurance plan.
NYCE PPO is offered through EmblemHealth and UnitedHealthcare for eligible New York City employees, pre-Medicare retirees, and their dependents.
Our team provides individualized, BCBA-supervised Applied Behavior Analysis (ABA) therapy for children with autism throughout Brooklyn, Queens, Manhattan, the Bronx, and Staten Island.
Therapists Available for New Cases
We currently have ABA therapists available for new patient assignments. The start of services depends on insurance eligibility, network participation, clinical assessment, authorization, and scheduling.
Have NYCE PPO Insurance?
Our enrollment team can help verify your child's ABA benefits and explain the steps required to begin services.
Insurance benefits, network participation, authorization requirements, and out-of-pocket costs must be verified for each patient.
ABA Therapy Accepting Child Health Plus in New York City
NY Center for Autism Treatment accepts eligible Child Health Plus plans for ABA therapy services throughout New York City. Child Health Plus is New York State's low-cost health insurance program for children, and New York law requires Child Health Plus plans to cover ABA therapy for children diagnosed with autism spectrum disorder.
We currently accept the following Child Health Plus plans:
- UnitedHealthcare Child Health Plus
- Anthem / Empire BlueCross BlueShield Child Health Plus
- MetroPlus Child Health Plus
We are not currently in network with Healthfirst Child Health Plus.
Families with eligible Child Health Plus coverage can contact our agency to begin the ABA enrollment process. Our team assists families with insurance verification, required documentation, and authorization requests.
Prompt Assessments & Timely ABA Services
We prioritize scheduling initial assessments promptly once required enrollment documents are received. In many cases, we are able to begin ABA therapy within approximately two weeks following the initial assessment, subject to insurance authorization, clinical needs, and therapist availability.
We serve families with Child Health Plus coverage throughout Brooklyn, Queens, Manhattan, the Bronx, and Staten Island.
Insurance acceptance and coverage vary by specific plan. Benefits, authorization requirements, and out-of-pocket costs must be verified for each patient prior to the start of services.
Not Sure About Your Coverage?
Our intake team will verify your insurance benefits at no cost and walk you through exactly what's covered before you commit to anything.