Applied Behavior Analysis (ABA) services can play an important role in helping children with autism spectrum disorder (ASD) and other developmental needs. Families often have questions about how to access services, what the assessment process looks like, and how ABA may fit into an overall plan of care. This guide walks you through the basics, so families can feel more prepared and understand what to expect as they begin exploring ABA therapy.
What Is ABA Therapy?
Applied Behavior Analysis therapy is a proven way to help children build and learn new skills based on their individual strengths and needs. It teaches better behaviors by encouraging and rewarding what works. ABA therapy can help your child:
- Communicate better
- Build social skills
- Manage emotions and behaviors
- Improve daily routines
ABA therapy can be provided by Board Certified Behavioral Analysts (BCBA) and Registered Behavior Technicians (RBT) under the supervision of a BCBA or a psychologist with experience in ABA. ABA therapy can happen:
- At school
- At home
- Or in the child’s community
ABA therapists work closely with children and their families to set goals and create a personal treatment plan for therapy.
How Can Families Access ABA Services?
After receiving an autism diagnosis, the next step is getting a referral for an evaluation. You can start by talking a provider like:
- Your child’s pediatrician
- A psychologist
- A developmental specialist
Some important things to remember:
- Insurance coverage: Most families will access ABA through either private insurance or Medicaid. This is important for confirming benefits, understanding what services are covered, and identifying in-network providers.
DID YOU KNOW? Maryland’s Autism Waiver helps eligible individuals with autism access long‑term supports and services in their communities. Families participating in programs like Maryland’s Autism Waiver who have both private insurance and Medicaid, must always use their private insurance first as Medicaid is the payer of last resort. This means if the family’s private insurance does not cover ABA therapy, Medicaid may step in. Because Autism Waiver services are fully funded by Medicaid, all participants must qualify for Medicaid in addition to carrying any private insurance they may have.
- Choosing an ABA provider: To move forward with therapy, families will reach out to ABA agencies to ask about availability, services offered, waitlists, and whether the provider is a good fit for their child and family. Many families benefit from assistance at this step. Service Coordinators at The Coordinating Center and other supports planning agencies can help families understand available options and navigate next steps.
What Happens During an ABA Assessment?
Once a family has selected an ABA provider, they will need to complete any required paperwork and participate in an intake and assessment process to determine medically necessary service recommendations and next steps. Assessments usually include:
- Observing your child, talking with your family, and checking skill levels.
- Gaining insights about your child’s strengths, challenges, routines, and goals.
- Creating a personalized plan with measurable objectives, created by a Board Certified Behavior Analyst (BCBA).
Conclusion: Empowering Families Through Clarity and Choice
Applied Behavioral Analysis therapy is one of many tools that support a child’s development. Understanding the referral process, assessment steps, and what to expect can help families feel more confident and prepared when exploring ABA services.
Interested in learning more about ABA services? Learn more in our Community Enrichment series, aimed to help individuals and families achieve their aspirations for a meaningful life. Click here to discover our upcoming sessions.
