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Does Mercy Care Cover ABA Therapy?

Yes, Mercy Care covers costs related to Applied Behavior Analysis (ABA) therapy in certain states and under specific conditions.


Mercy Care does cover ABA therapy for eligible individuals with ASD.

Mercy Care is a Medicaid managed care organization that provides healthcare services to eligible individuals in Arizona.

One of the services that Mercy Care covers is Applied Behavior Analysis (ABA) therapy. ABA therapy is a type of therapy that is used to treat individuals with autism spectrum disorder (ASD) and other developmental disabilities.

ABA therapy is a highly effective treatment for individuals with ASD. It is a type of therapy that is based on the principles of behaviorism, which is the science of behavior.

ABA therapy uses positive reinforcement to teach individuals with ASD new skills and behaviors.

It is a data-driven and evidence-based therapy that has been shown to be effective in improving communication, social skills, and behavior in individuals with ASD.

Mercy Care covers ABA therapy for eligible individuals who have been diagnosed with ASD. Eligibility for ABA therapy is determined by a licensed healthcare provider.

The healthcare provider will evaluate the individual and determine if ABA therapy is medically necessary. If ABA therapy is deemed medically necessary, Mercy Care will cover the cost of the therapy.

It is important to note that there may be some limitations and restrictions on ABA therapy coverage. For example, there may be a limit on the number of therapy sessions that are covered per year.

Additionally, there may be restrictions on the age of the individual receiving therapy or the type of therapy that is covered.

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