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Real members of MyAutismTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MyAutismTeam Member asked a question 💭
Chicago, IL

Hi every one,
I heard that Medicaid in Massachusetts cover ABA therapy at home.
We want to move from Illinois. Can any one tell me if what we heard is right?
If so how many hours it will cover?
Any advice will help us.
Thank you.

March 28, 2016
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Answer Summary

Members confirmed that MassHealth (Massachusetts Medicaid) does cover in-home ABA therapy for children of all ages, including older kids, with... Read more

Members confirmed that MassHealth (Massachusetts Medicaid) does cover in-home ABA therapy for children of all ages, including older kids, with hours determined by individual need and therapist assessment rather than a fixed limit, though one member mentioned their early intervention program offered up to 25 hours per week. Several members recommended applying for SSI disability benefits as an additional financial support, explaining that eligibility is based on both medical necessity and family income, with one member sharing that their family qualified with a $40,000 annual income and their children received between $600 to $700 monthly. A recurring theme was the strong reputation of MassHealth as highly supportive compared to other states, with encouragement to explore all available resources when making the move from Illinois.

A MyAutismTeam Member

I don't have the exact amount to qualify but I can tell you my income is 40k a year and both my children have it. The more the family makes the less the children get but the lowest the usually go down to is around $300 from what I know. My children get between 600-700 a month depending on if I have any extra coming in for bonuses.

March 29, 2016
A MyAutismTeam Member

They do cover it but the actual hours are determined by what the child needs and what the therapist proves they need. Medicaid stays with the child so the age makes no difference, once you qualify you keep it. There are some income regulations involved so you have to be aware of that.

Mass Medicaid is called Mass Health and it is the best Medicaid in the country by far. I work in the medical equipment Buisiness so I can tell you this is true.

I would also suggest applying for SSI as well it does help. SSI does require medical justification as well as financial justification so they take family income into consideration.

March 28, 2016
A MyAutismTeam Member

I believe they cover older kids too. We live in Milford.

March 28, 2016
A MyAutismTeam Member

Yes they do😀 The Place we got ABA early intervention from was up to 25 hours/week. I'm not sure if they're all like that or if they differ.

March 28, 2016
A MyAutismTeam Member

Medicaid covers ABA therapy up to a certain age . The above post is referencing SSDI payments , totally unrelated to Medicaid insurance . Hope this clarifies things .

March 29, 2016

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