Vermont Medicaid ABA benefit
Vermont Medicaid covers ABA supervised by board-certified behavior analysts for children from birth until age 21. The Department of Vermont Health Access (DVHA) prior authorizes every ABA service except the initial assessment. Before treatment starts, a psychiatrist, doctoral-level psychologist, neurologist or developmental-behavioral pediatrician writes a prescription, and an autism-experienced clinician completes a diagnostic assessment.
- The ABA provider writes an assessment and submits a prior authorization request, both updated at least every six months.
- A child who starts ABA before age 6 needs a refreshed prescription within six months after the sixth birthday.
- BCBAs and BCaBAs must hold a Vermont license and a Vermont Medicaid enrollment to be paid.