CHP+ ABA therapy coverage, handled from your first call
If your child is covered under Child Health Plan Plus, the last thing you need is a benefits maze — so Achieve ABA Therapy Group takes CHP+ directly, managing enrollment and authorizations so care can start without the runaround.
- CHP+ (Child Health Plan Plus) accepted
- We handle enrollment & authorizations
- BCBA-led care teams
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How CHP+ ABA therapy coverage works
If you’re asking whether CHP+ covers ABA therapy, the answer for most families is yes. Child Health Plan Plus is Colorado’s low-cost health insurance program for kids whose families earn too much for Health First Colorado but not enough to comfortably afford private insurance, and Colorado’s autism coverage requirements generally extend to CHP+ the same way they do to other regulated plans in the state. Your child will need a formal autism diagnosis and documentation showing that ABA therapy is medically necessary.
CHP+ is managed through a Managed Care Organization, or MCO, and which MCO applies to your family depends on the county you live in. That’s one more reason it’s worth having your specific benefits verified rather than assuming, since coverage details can vary a bit by MCO.
At Achieve, here’s what that looks like in practice: we verify your specific CHP+ 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 your CHP+ MCO, not you.
We check everything first
Tell us about your CHP+ plan, and we'll find out exactly what's covered before you commit to anything.
We handle authorization
Many CHP+ plans require prior authorization for ABA therapy. We submit the paperwork, follow up with your MCO, and respond to any requests for more information.
We explain your real costs
CHP+ typically involves small co-pays based on your household income, with no cost for preventive care. We'll confirm your exact numbers before your child's first session.
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.
Who in Colorado qualifies for CHP+
CHP+ is generally available to children and pregnant individuals in households that earn too much to qualify for Health First Colorado but not enough to afford private insurance, typically under 260% of the Federal Poverty Level. Eligibility and enrollment go through Colorado PEAK.
- Spouses and children of veterans rated permanently and totally disabled from a service-connected condition
- Survivors of veterans who died from a service-connected condition
- Survivors of service members who died in the line of duty, in certain cases
If you’re not sure whether your family qualifies, reach out and we can help you figure out where to start.
What ABA therapy benefits include through CHP+
When CHP+ 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 can vary depending on your specific CHP+ MCO. We’ll walk you through exactly what yours includes once your benefits are confirmed.
Some children also qualify for Medicaid waivers, which add services like respite care or home modifications on top of standard coverage
CHP+ ABA therapy across Colorado
Achieve ABA Therapy Group serves CHP+ families across
The CHP+ approval process for ABA therapy
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.
Reach out
Call us or fill out our contact form. We’ll ask for your CHP+ information and your child’s diagnosis paperwork.
We verify everything
We confirm your CHP+ MCO, your eligibility, and exactly what’s covered. No surprises.
We handle authorization
We submit prior authorization requests with the required documentation and follow up until approval comes through.
Therapy begins
Once approved, we schedule your child’s first session, in your home, on a schedule that works for your family.
FAQs about CHP+ and ABA therapy
Does CHP+ cover ABA therapy?
In most cases, yes, for children with a documented autism diagnosis and medical necessity. Coverage specifics can vary slightly depending on which CHP+ managed care organization applies to your family, so we always confirm your exact benefits first.
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.
Who is eligible for CHP+?
Generally, children and pregnant individuals in households that earn too much for Health First Colorado but not enough to afford private insurance. You can check eligibility and apply through Colorado PEAK.
What does CHP+ cost?
It’s free to enroll, though most families pay small co-pays based on income. Preventive care has no co-pay.
Does CHP+ require prior authorization for ABA therapy?
Many CHP+ plans do. We handle this process for you as part of getting your child started.
What if my CHP+ MCO denies coverage?
We help you appeal with additional documentation from your child’s evaluation and our clinical team.
Let's get your child covered
Our team at Achieve ABA Therapy Group has helped CHP+ families across Denver, Aurora, Colorado Springs, and beyond get their ABA therapy coverage approved. Let us help yours too.