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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 💭
St. Charles, MO

Hi everyone! My 2 year old daughter is beginning early intervention therapy very soon and I have heard that Medicaid may cover the services. We have private insurance through my husband's employer but don't know how Medicaid works or even if we qualify.

Can anyone provide a link or more information? I have no idea where to begin. Thank you!

March 28, 2016
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Answer Summary

Members offered guidance to a parent seeking Medicaid coverage for their 2-year-old daughter's early intervention therapy, with several... Read more

Members offered guidance to a parent seeking Medicaid coverage for their 2-year-old daughter's early intervention therapy, with several clarifying that children diagnosed with autism may automatically qualify for Medicaid regardless of family income or existing private insurance. Many community members recommended applying for a Medicaid waiver, such as the EDCD waiver, which bases eligibility on the child's income rather than the parents' and can provide access to additional therapies beyond state-funded early intervention programs. A recurring theme was the variability of early intervention costs and coverage across states, with members sharing that while some states provide completely free services, others use a sliding scale, making Medicaid a valuable supplement for families facing high out-of-pocket therapy costs.

A MyAutismTeam Member

EDCD = Elderly or Disabled with Consumer Direction
The others are ID = Intellectual Disability and DD = Developmental Disability. Here is more info on the process: http://momsinmotion.net/waivers-general-info-2/...

April 10, 2016
A MyAutismTeam Member

@A MyAutismTeam Member. Wow I didn't realize that in other states it's not completely free. In that case you should apply for medicaid and see what happens. I only know about NY but historically if I child is eligible for SSI they are automatically are approved for medicaid. But things change.

April 3, 2016
A MyAutismTeam Member

Not true . Any child with a Dx of Autism is automatically eligible for Medicaid regardless of other health insurance and income . Contact your county Service Access Management and inquire about the Medicaid waiver funding . It is normally for older children and has a long wait list . Medicaid insurance is your ticket to all services .

March 29, 2016
A MyAutismTeam Member

Depends on your income in most cases unless you go for a Medicaid waiver which is based on your kid's income.

https://www.autismspeaks.org/resource-guide/sta...
http://medicaidwaiver.org/state/missouri.html

March 28, 2016
A MyAutismTeam Member

@A MyAutismTeam Member What does EDCD stand for?

April 3, 2016

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