Medicaid Coverage
New Mexico Medicaid Coverage for ABA Therapy
PlayPath ABA is in network with New Mexico Medicaid. Medicaid and Turquoise Care families pay $0 for medically necessary ABA.
New Mexico Medicaid covers medically necessary Applied Behavior Analysis for children with a documented autism spectrum disorder diagnosis. Because we’re in network, families don’t pay out of pocket for ABA.
Coverage generally requires a diagnosis of autism, a referral or prescription from a physician, and a comprehensive assessment completed by a Board Certified Behavior Analyst. We handle that paperwork for you, including prior authorization and reauthorization.
If your child has a Turquoise Care plan through Presbyterian, Blue Cross Blue Shield or Molina, that’s Medicaid too, and ABA is covered the same way.
What Medicaid Coverage Typically Includes
- In-home ABA therapy sessions with a trained RBT
- Comprehensive BCBA assessment and treatment planning
- Ongoing BCBA supervision and program adjustments
- Parent and caregiver training
- Reassessment and reauthorization as your child progresses
New Mexico Medicaid & ABA: FAQs
Does New Mexico Medicaid cover ABA therapy?
Yes. New Mexico Medicaid covers medically necessary ABA therapy for children with a documented autism diagnosis. We’re credentialed with Medicaid and verify your benefits before services begin.
Will I have out-of-pocket costs with Medicaid?
No. Medicaid and Turquoise Care families pay $0 for ABA. We confirm your child’s benefits before services begin.
Do I need a referral for Medicaid to cover ABA?
Most plans require a referral or prescription from your child’s physician along with an autism diagnosis. We help coordinate this paperwork with your provider.
How long does Medicaid authorization take?
It varies by plan. We send the treatment plan as soon as the BCBA assessment is done, follow up with the plan and keep you posted.
Not Sure What Your Plan Covers?
We’ll check your benefits for free and tell you what’s covered. No cost, no obligation.