Paying for ABA therapy in Colorado with Budding Futures

Budding Futures is enrolled with Health First Colorado as a behavioral therapy provider.

Health First Colorado covers behavioral therapy when it is medically necessary. A child does not need an autism diagnosis for that coverage.

For families on Health First Colorado, the cost is usually $0.

We work with Aetna and other major insurance plans. What you pay depends on your plan's deductible and copay.

If your plan is regulated by the State of Colorado, it must answer a prior authorization request within five business days. Self-funded employer plans follow different rules.

• We send the prior authorization request to your plan
• We coordinate benefits when a child has two plans
• We do not balance bill

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Medicaid

The public health insurance program for people with low incomes. In Colorado it is called Health First Colorado. Wikipedia

HCPF

The Colorado Department of Health Care Policy and Financing, the state department that runs Health First Colorado. Wikipedia

Prior authorization

Approval a health plan gives before it will pay for a service. Wikipedia

Deductible

The amount you pay each year before your insurance starts paying. Wikipedia

Do I need an autism diagnosis to start?

It depends on your plan. Health First Colorado covers behavioral therapy without one when it is medically necessary. Private plans set their own rules, so call us and we will check yours.

Do you diagnose autism?

No. We do not do diagnostic evaluations. We can point you to a provider who does.

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