21 articles
ABA reauthorization decides whether therapy continues and at how many hours. What your plan reviews, why hours get cut, and what to do before the next review.
Oct 30, 2026 · 9 min read
Does Aetna cover ABA therapy? For autism, yes, when its medical necessity guide is met. What Aetna asks for, the hours it uses, and what to ask before you start.
Oct 30, 2026 · 7 min read
How long does it take to start ABA therapy in Washington? The nine steps from diagnosis to first session, the insurer deadlines, and how to shorten the wait.
Oct 23, 2026 · 9 min read
The 2027 ABA CPT code changes take effect January 1, 2027: six new codes, 0362T and 0373T retired, and 97155 split. What it means for your child's authorization and EOB.
Oct 23, 2026 · 7 min read
A single case agreement lets your insurer pay an out-of-network ABA provider at in-network cost. How it works in Washington, when a gap exception applies, and what to ask.
Oct 22, 2026 · 6 min read
Does Cigna cover ABA therapy? For autism, yes, when Cigna's medical necessity rules are met. Here's what Cigna asks for, what it won't pay for, and what to ask first.
Oct 16, 2026 · 7 min read
Regence BlueShield covers ABA for autism in Washington, with pre-authorization for kids under 18. See Policy No. 18, the Nov 2026 changes, and how to appeal.
Oct 16, 2026 · 7 min read
ABA therapy for ADHD uses the same behavioral tools as parent training, but Washington insurance rarely authorizes ABA for ADHD alone. Here is which path fits.
Oct 8, 2026 · 6 min read
CPT 97151 is the ABA behavior identification assessment code, billed in 15-minute units of BCBA time. What it covers, how long it takes, and what you get.
Oct 8, 2026 · 7 min read
Premera Blue Cross covers ABA for autism in Washington under policy 3.01.510. Learn the 2014 settlement, what Premera excludes, and how to appeal a denial.
Sep 29, 2026 · 7 min read
ABA therapy billing red flags are in the news after new CMS guidance and four federal audits. Here's what auditors actually found, and what a parent can check without an accountant.
Aug 17, 2026 · 6 min read
Does Medicaid cover ABA therapy in Washington? Yes, through Apple Health, but only after a Center of Excellence evaluation. Here are the four steps, in order.
Aug 17, 2026 · 7 min read
Real hourly rates, weekly and annual totals, and the actual math behind private-pay, in-network, and Apple Health (Medicaid) ABA therapy costs for Washington families.
Aug 14, 2026 · 7 min read
A practical ABA insurance process from benefits verification through authorization, first sessions, and renewal, plus the questions to ask when a step stalls.
Nov 5, 2025 · 5 min read
Why insurance needs an autism diagnosis before ABA, what the report must include, how to shorten WA waitlists, and what to do while you wait.
Oct 31, 2024 · 4 min read
ABA insurance claim denied in Washington? Save the letter, check the deadline, build a record, appeal, and request an external review when eligible.
Oct 28, 2024 · 8 min read
Plain-English ABA insurance terms: deductible, copay, coinsurance, out-of-pocket maximum, EOB, prior authorization, and reauthorization.
Oct 29, 2024 · 4 min read
Washington autism financial help: private insurance, DDA, SSI, Apple Health, ABLE accounts, and grants like Ben's Fund.
Feb 17, 2024 · 2 min read
Keep ABA insurance info current: what to send when a plan changes, birthday-rule exceptions after divorce, and why a same-carrier swap still breaks claims.
Jul 17, 2024 · 5 min read
How ABA deductibles, coinsurance, and 2026 and 2027 HSA limits work, why January bills spike, and a calendar so services do not stall.
Nov 14, 2024 · 5 min read
A parent-friendly ABA insurance comparison worksheet: network, authorization rules, total costs, transition-of-care questions, and a call script for open enrollment.
Jul 17, 2024 · 3 min read
