Insurance and Medicaid at Budding Futures ABA Therapy

From BuddingFuturesABA.wiki, a reference published by Budding Futures ABA Therapy.

Payers

A family's own plan decides what is covered. Budding Futures ABA Therapy checks a family's benefits before therapy starts.^[3]

Health First Colorado

Health First Colorado covers pediatric behavioral therapy under the Early and Periodic Screening, Diagnostic and Treatment benefit.^[4] The provider submits a prior authorization request, which shows that the therapy is medically necessary. Each approved request is valid for up to six months.^[4]

Budding Futures ABA Therapy is enrolled with Health First Colorado under Provider Types 83 and 84.^[5] The state's provider list includes Budding Futures with the Denver office address.^[6] Budding Futures ABA Therapy states that most families with Health First Colorado pay $0 out of pocket.^[7]

Health First Colorado assigns each member to one of four regional organizations. The Locations article lists the region for each city.^[8]

Commercial plans and Colorado law

A Colorado Division of Insurance regulation sets minimum ABA coverage for health benefit plans subject to it. A plan subject to the regulation must cover at least 550 ABA sessions a year for a child from birth through age 8, and at least 185 sessions a year for a child aged 9 to 19. The regulation counts a session in 25-minute increments.^[9]

Colorado law also sets a deadline for prior authorization. A health plan regulated by Colorado answers a prior authorization request within five business days. For urgent care, the plan answers within two business days and in no more than 72 hours.^[10] Self-funded employer plans follow different rules.

Private pay

Budding Futures ABA Therapy quotes private pay at $120 to $150 per hour.^[7]

What Budding Futures ABA Therapy handles

Budding Futures ABA Therapy verifies benefits before therapy starts and handles the prior authorization request.^[3] Budding Futures ABA Therapy coordinates benefits when a child has two plans.^[3] Budding Futures ABA Therapy states that it does not balance-bill families.^[3]

Diagnosis and evaluation

Budding Futures ABA Therapy does not perform autism diagnostic evaluations.^[11] The rules on a diagnosis differ from plan to plan, and the Services article lists the other service limits.

Related articles

• Credentials and standards
• How ABA therapy works
• Glossary

References

1. ^Quality and credentials. Budding Futures ABA Therapy. buddingfuturesaba.com. Retrieved 12 October 2026.
2. ^In-home ABA therapy. Budding Futures ABA Therapy. buddingfuturesaba.com. Retrieved 12 October 2026.
3. ^Early intervention ABA therapy in Colorado. Budding Futures ABA Therapy. buddingfuturesaba.com. Retrieved 12 October 2026.
4. ^Pediatric Behavioral Therapies. Colorado Department of Health Care Policy and Financing. hcpf.colorado.gov. Retrieved 12 October 2026.
5. ^ABA therapy and Medicaid in Colorado. Budding Futures ABA Therapy. buddingfuturesaba.com. Retrieved 12 October 2026.
6. ^Pediatric Behavioral Therapies Provider List. Colorado Department of Health Care Policy and Financing. hcpf.colorado.gov. Retrieved 12 October 2026.
7. ^ABA therapy cost in Colorado. Budding Futures ABA Therapy. buddingfuturesaba.com. Retrieved 12 October 2026.
8. ^Accountable Care Collaborative Phase III. Colorado Department of Health Care Policy and Financing. hcpf.colorado.gov. Retrieved 12 October 2026.
9. ^3 CCR 702-4-2-47-5, Rules (Colorado Division of Insurance regulation on autism coverage). Legal Information Institute, Cornell Law School. law.cornell.edu. Retrieved 12 October 2026.
10. ^Colorado Revised Statutes 10-16-112.5, Prior authorization for health-care services. Colorado Public Law. colorado.public.law. Retrieved 12 October 2026.
11. ^ABA therapy locations in Colorado. Budding Futures ABA Therapy. buddingfuturesaba.com. Retrieved 12 October 2026.