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Partners Health ABA therapy coverage
in North Carolina & Virginia

One Less Thing to Deal With

Having a child with autism means wanting the best support so they can shine the way you know they can. At Connect n Care ABA, we ensure Partners Health coverage won't stand in the way of your child's progress. You need a reliable team that understands your child's needs and takes care of the insurance process, so you can focus on the only thing that counts.

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Here's how we help

What we do with your Partners Health plan

Verify benefits before your first appointment

Submit authorizations and handle follow-ups

Manage claims, reauthorizations, and appeals

How we work with your plan

How we work with Partners Health

At Connect n Care ABA, we manage the insurance process so you can focus on what really matters: your child's therapy. We handle the paperwork, approvals, and everything in between, ensuring you don't waste time on confusing billing codes or authorization requirements.

We verify first

Give us your Partners Health details, and we'll confirm exactly what's covered before you commit to therapy. No surprises later about what Partners Health will or won't pay for.

We submit authorization requests

Partners Health requires prior authorization for ABA therapy. We know exactly what paperwork they need, how to format it, and who to follow up with when they're slow to respond.

We break down your costs

Before therapy begins, you'll know exactly what Partners Health will cover and what you'll need to pay. Real numbers, not estimates.

We handle the administrative chaos

Submitting claims, resubmitting when paperwork is missing, appealing denials — Connect n Care ABA handles everything so you don't have to.

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Covered ABA services

What Partners Health covers for ABA therapy

In-home ABA therapy

One-on-one therapy with a trained RBT, right in your home. Your child works on communication, behavior regulation, and skill-building in the environment they need it most.

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Center-based ABA therapy

Structured, individualized therapy delivered at our dedicated clinic. Your child receives focused support with a team of trained professionals, access to specialized materials, and a consistent therapy setting designed for growth.

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School-based ABA support

Therapy during your child's school day — in the classroom, during lunch, and at recess. We help them succeed in real situations: participating in group work, managing frustration, and navigating peer relationships.

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Parent training & coaching

You'll learn the same strategies our therapists use, so you can reinforce skills at home. You'll know how to support your child's progress between sessions.

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Get started in 4 simple steps

How to get started with ABA covered by Partners Health

  1. 1

    Contact Connect n Care ABA

    Call us or fill out our contact form. We'll need your Partners Health member ID and your child's autism diagnosis documentation.

  2. 2

    We contact Partners Health

    We verify your benefits directly with Partners Health to give you clear answers and coverage.

  3. 3

    We submit authorization

    We prepare and submit the prior authorization request with all required clinical documentation. Then we follow up with Partners Health until they process it.

  4. 4

    Your child starts therapy

    Once Partners Health approves coverage, we schedule your child's first session, in your home or at school, based on your family's needs and schedule.

Start the process today
Why families choose us

Why families with Partners Health trust Connect n Care ABA

Expert knowledge

A team member organizing insurance paperwork

We know how Partners Health works. We've processed hundreds of Partners Health authorizations and understand their documentation.

We handle the paperwork

A clinician working one-on-one with a young girl

You don't need to become fluent in insurance terminology. We manage the whole process — from verification to final claims.

Clear cost information

A therapist leading an activity with two children

You'll know your costs upfront before therapy begins, not vague estimates that turn into surprise bills later.

Therapy where it matters most

A therapist working with a child at home

Whether in your home or at school, therapy happens in real settings, with real-world challenges.

We're direct

A therapist and children smiling during a session

If Partners Health denies coverage, we'll explain the real reason and appeal with the right documentation.

More about Connect n Care ABA

Partners Health Management questions we hear most

What families ask us

No, and this catches people out. Mecklenburg County — Charlotte itself — is covered by Alliance Health. Partners covers the counties around it, including Gaston, Cabarrus, Union, Iredell, Lincoln and Catawba, along with Forsyth and the central Piedmont. If you live just outside Charlotte, Partners is likely yours.

No. A Tailored Plan exists because a child has more complex developmental or behavioral needs, not because ABA works differently. The treatment plan comes from your BCBA either way. What changes is which organization reviews and approves the hours.

For most families on Partners Health Management, nothing. Medicaid does not carry the deductibles and coinsurance that commercial insurance does. If your plan applies any cost-sharing at all, you get the figure in writing before the first session rather than on a bill after it.

Yes. Partners Health Management funds ABA on the basis of an autism diagnosis from a qualified provider. If your child has already been evaluated, that report is usually enough. If you are still waiting on an evaluation, call us anyway and we will tell you what the plan will need.

That comes out of the assessment rather than a fixed rule, and any provider quoting a number before meeting your child is guessing. A comprehensive program commonly runs 25 to 40 hours a week; a focused program targeting specific skills usually runs 10 to 25. You will know the approved figure before sessions start.

We appeal, and we write the appeal. A denial is usually about documentation or the number of hours rather than whether your child qualifies for ABA at all. North Carolina gives you the right to appeal and to ask that services continue while it is decided. We prepare the clinical justification ourselves, and we will tell you honestly if we think an appeal is unlikely to succeed.

Yes, and in most cases it should. Partners Health Management covers ABA in each setting on the same basis. Many families use a combination and change the balance as their child progresses.

Related ABA insurance coverage

Related insurance guides

North Carolina MedicaidStandard and Tailored Plans

Commercial plansEmployer and marketplace cover

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Let's get you covered

We're with you every step

Navigating insurance can be overwhelming. That's why we're here to help you every step of the way. Let's make sure your child gets the ABA therapy they need without the insurance headaches.

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