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Select Health

In-home ABA therapy in Colorado

Select Health ABA therapy coverage, handled from your first call

Achieve ABA Therapy Group accepts Select Health and works directly with your plan so navigating your child’s ABA therapy benefits doesn’t fall on you.

In-network with major Colorado insurers
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How Select Health ABA therapy coverage works in Colorado

If you’re asking whether Select Health covers ABA therapy, the answer for most families is yes, when a child has a formal autism diagnosis and documented medical necessity. As with most insurance plans, whether your specific plan is fully insured or self-funded affects how Colorado’s autism coverage requirements apply, so it’s worth having your exact benefits verified rather than assuming either way.

At Achieve, here’s what that looks like in practice: we verify your specific Select Health plan and benefits before you commit to anything, we submit and follow up on every authorization ourselves, we walk you through your actual costs upfront, and when claims or appeals get complicated, we’re the ones dealing with Select Health, not you.

Here's how we do it, step by step:

We check everything first

Tell us about your Select Health plan, and we'll find out exactly what's covered before you commit to anything.

We handle authorization

Select Health typically requires prior authorization and documentation of medical necessity before ABA therapy can begin. We submit the paperwork, follow up, and respond to any requests for more information.

We explain your real costs

Before your child's first session, you'll know what Select Health covers and what you're responsible for. Clear numbers, explained plainly.

We manage the paperwork

Claims, follow-up calls, resubmissions, and appeals when coverage gets denied. We handle it so you don't have to.

We’re not working on abstract goals but on the things you need to change.

What happens during sessions

What ABA therapy benefits include through Select Health

When Select Health approves ABA therapy, coverage typically includes:

In-home ABA therapy

One-on-one sessions in your home, where your child works on communication, behavior, social skills, and daily living skills with a trained therapist.

School support

Coordination with your child's school so the skills they're building carry into the classroom and through the rest of their day.

Progress monitoring

Regular reviews and plan adjustments from your BCBA, to make sure therapy keeps moving toward your child's goals.

Coverage specifics vary by plan. We’ll walk you through exactly what yours includes once your benefits are verified.

Some children also qualify for Medicaid waivers, which add services like respite care or home modifications on top of standard coverage

see our guide to Colorado Medicaid waivers explained.

Getting started: Your roadmap begins here

The Select Health approval process for ABA therapy

Step 1
Get a diagnosis

Before Anthem can approve ABA therapy, your child needs a formal autism spectrum disorder diagnosis from a qualified provider. If you don’t have one yet, we can help point you toward next steps.

Step 1

Reach out

Call us or fill out our contact form. We’ll ask for your Select Health information and your child’s diagnosis paperwork.

Step 2

We verify everything

We contact Select Health, confirm your benefits, and let you know exactly what’s covered. No surprises.

Step 3

We handle authorization

We submit prior authorization requests with the required documentation and follow up until approval comes through.

Step 4

Therapy begins

Once approved, we schedule your child’s first session, in your home, on a schedule that works for your family.

No waitlist. We make summer work.
FAQ

FAQs about Select Health and ABA therapy

Does Select Health cover ABA therapy?

In most cases, yes — for children with a documented autism diagnosis and medical necessity. We verify your specific plan before your child’s first session so there are no surprises.

 

Some children may also qualify for a Medicaid waiver, which adds extra support like respite care or home modifications on top of standard coverage. See our guide to Colorado Medicaid waivers explained.

Typically, yes. Select Health usually requires prior authorization along with documentation of medical necessity before therapy can begin. We handle this process for you as part of getting your child started.

We help you appeal with additional documentation from your child’s evaluation and our clinical team. A denial is often a paperwork issue rather than a final answer, and we know what Select Health looks for.

Timelines vary, but prior authorization commonly takes a couple of weeks once all the required documentation is submitted. We follow up with Select Health throughout so nothing sits waiting, and we’ll keep you updated on where things stand.

Some plans require a referral or a formal autism diagnosis from a qualified provider before ABA therapy is approved. When you reach out, we’ll check your specific plan’s requirements and tell you exactly what’s needed.

That depends on your specific plan’s deductible, copay, and coinsurance. Before your child’s first session, we walk you through what Select Health covers and what you’re responsible for — in clear numbers, explained plainly.

In most cases, yes. Covered ABA services typically include one-on-one in-home sessions, and we’ll confirm exactly what your plan includes once your benefits are verified.

Once you have a formal autism diagnosis, we can begin verifying your Select Health benefits and submitting authorization immediately. Reach out and we’ll get the process moving.

Have another question?
Ready to build your roadmap?

Let's get your child covered

Our team at Achieve ABA Therapy Group has helped families across Denver, Aurora, Colorado Springs, and beyond get their Select Health coverage approved. Let us help yours too.