Insurance Coverage at Achieve ABA
We've Got You Covered
Every child deserves the opportunity to thrive - and that includes having access to the therapy they need. Navigating insurance coverage can feel overwhelming, but we're here to make the process a breeze.
Carolina Complete Health insurance coverage for ABA therapy
At Achieve ABA, we know that when your child needs help, the last thing you want is to get stuck in confusing insurance rules. Families with Carolina Complete Health insurance often wonder how to start ABA therapy, what’s covered, and how long it will take.
That’s where we step in. Our team will guide you through every step of the process—from verifying your benefits to beginning therapy—so you can focus on your child, not the paperwork.
What does Carolina Complete Health cover for ABA therapy?
Carolina Complete Health covers comprehensive ABA services for children and teens with autism (under age 21). This usually includes:
✓ Initial ABA assessment by a Board Certified Behavior Analyst (BCBA)
✔ Goal-focused planning, including in-home ABA therapy
✔ One-on-one ABA sessions with trained behavior technicians, supervised by a BCBA
✔ Parent and caregiver training to help you use ABA strategies at home
✔ Progress reviews and reauthorizations to make sure therapy remains medically necessary
✔ Behavior management strategies and skill-building programs (communication, social skills, daily living skills, etc.)
Who Is eligible for ABA Therapy with Carolina Complete Health?
Eligibility is based on your child’s diagnosis, age, and the medical necessity of ABA therapy.
Your child may be eligible if:
✔ Diagnosis: A licensed provider has given a formal autism diagnosis.
✔ Medical necessity: A physician or professional recommends ABA therapy
✔ Age requirements: Typically covered for children under 21
✔ In-network provider: Services are delivered by an approved Carolina Complete provider like Achieve ABA
✔ Prior authorization: Approval is secured before services begin
How to get started with ABA therapy through Carolina Complete Health
Getting ABA therapy approved through Carolina Complete Health is a step-by-step process, but we make it simple for families. Here’s how it works:
1. Confirm eligibility - We check your child's Carolina Complete Health benefits
2. Get prior authorization – Our team submits the required paperwork for approval.
3. Initial assessment – A BCBA completes a full evaluation and creates a treatment plan.
4. Therapy begins – ABA sessions start, tailored to your child’s unique needs.
5. Ongoing support – We handle reauthorizations and progress reviews so care continues without interruption.
Why families choose Achieve ABA
Choosing the right ABA provider in North Carolina makes the process smoother for your child and your family.
Insurance expertise – We know Carolina Complete Health’s requirements inside and out
Fast start times – We work to get therapy approved and scheduled quickly
Family-centered care – Parents are active partners in every step of therapy
Compassionate team – We care deeply about helping children succeed
FAQs about Carolina Complete ABA therapy coverage
Parents often have questions about what’s required and what to expect with Carolina Complete Health.
Do I need a referral for ABA therapy?
Some cases require it, others do not. We’ll confirm your plan’s requirements.
How long does approval take?
Usually 1–3 weeks once all documentation is submitted. We work to speed things up.
What if my child is over 21?
ABA is generally only covered for those under 21, but we’ll review your options.
Does Carolina Complete require caregiver involvement?
Yes. Plans must show that caregivers are included in training and support.
What if my plan denies coverage?
We’ll help you file an appeal and resubmit with the necessary clinical documentation.
Our team is here to help
Start your child’s ABA journey today
Every child deserves the chance to grow and succeed. With Achieve ABA and Carolina Complete Health, getting ABA therapy is easier than you think. Let us manage the details while you focus on your child’s progress.
