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.
Trillium Health Resources insurance ABA therapy coverage
Starting therapy can feel like a big step, and figuring out insurance can add even more stress. With Trillium Health Resources, families have access to ABA therapy coverage that helps children with autism get the support they deserve.
At
Achieve ABA, we partner with families to make the process smoother, clearer, and less overwhelming—so you can feel confident as you take the next step forward
Trillium Health Resources coverage for ABA therapy
Trillium Health Resources—one of the NC Medicaid Tailored Plan partners—does cover ABA therapy for children with autism, coordinating mental health and I/DD services in one plan.
What this means for families:
✓ ABA therapy is recognized as a medically necessary service when appropriate.
✔ Coverage is often available through EPSDT benefits for individuals under age 21.
✔ Services typically require prior authorization, following NC Medicaid's guidelines.
✔ ABA may be available in a variety of settings, depending on your child's needs and plan specifics.
✔ Trillium ensures services align with NC Medicaid standards for EPSDT
Who qualifies for ABA therapy with Trillium?
Eligibility generally includes:
✓ A formal autism diagnosis from a qualified provider.
✓ A treatment plan documenting medical necessity.
✓ Prior authorization via Trillium following EPSDT and DHB standards.
✓ Enrollment in the Trillium Tailored Plan—part of the NC Medicaid managed care system.
Even if you're just beginning that journey, we're here to help you move forward, step by step.
ABA therapy services covered by Trillium
Trillium Health Resources supports
comprehensive ABA services that fit into your child’s daily life:
✓ An initial assessment with a qualified clinician (often a BCBA).
✓ A customized treatment plan that reflects your child’s strengths.
✓ In-home ABA therapy, school-based autism support, and/or clinic sessions as appropriate.
✓ Caregiver coaching, so you feel equipped and confident.
✓ Continued authorization and progress updates to maintain consistent care.
These services build a circle of support around your child—wherever they learn and grow best.
How we make the process easier
With Achieve ABA, families can move from “how do we start?” to “therapy is underway” in clear steps:
We listen. Every journey begins with your child’s story.
We review benefits. Our team checks Trillium coverage and explains it clearly.
We take care of forms. Evaluations, authorizations, and documentation are handled for you.
We start services. Therapy begins with a team dedicated to your child’s growth.
That first call often brings the relief parents need most.
FAQs about Trillium Health Resources ABA therapy coverage
Does Trillium cover ABA therapy for autism?
Yes. ABA therapy is covered within Trillium’s tailored behavioral health plans when medical necessity is shown.
Is prior authorization required?
Yes, following NC Medicaid (EPSDT) and DHB guidelines.
What age groups are covered Trillium?
Children and young adults under 21 are eligible under EPSDT (Early and Periodic Screening, Diagnostic, and Treatment). Adults over 21 may qualify if services are deemed medically necessary and evidence-based.
Can families choose their ABA provider?
Yes, but it’s important to make sure your ABA provider is in-network with Trillium to avoid delays or uncovered costs.
How long is an authorization valid?
Authorizations are usually approved in six-month periods, with renewals based on your child’s progress and updated treatment plan.
Which ABA therapy settings are covered?
Potentially in-home, school, clinic, or telehealth—depending on the plan and your child’s needs.
Opening the path to care
Insurance can sometimes feel like an obstacle. With Trillium Health Resources, ABA therapy becomes a covered support—helping children with autism build skills and confidence without families carrying the burden alone.
At Achieve ABA, we guide you through each step, turning complicated policies into clear actions and offering steady, caring support. Together, what once felt overwhelming can become a hopeful next chapter.
