ABA therapy in Georgia
Georgia Medicaid covers ABA for eligible kids, and the state has required private insurance to cover autism care since 2015. Here’s how it actually works — and how we handle the messy parts for you.
Does Medicaid cover ABA in Georgia? Yes.
THE COVERAGE PATHWAY
Adaptive Behavior Services (ABS) under EPSDT since 1/1/2018 for under-21 with documented DSM-5 ASD diagnosis; delivered FFS via DCH/GAMMIS and through the four Georgia Families CMOs which authorize and reimburse in-network
WHO RUNS IT
Dept. of Community Health (DCH), medicaid.georgia.gov; GAMMIS portal mmis.georgia.gov
You don’t have to memorize any of this — we work with Georgia’s system every day.
Getting approved, in three steps
Georgia requires paperwork before therapy is covered. Here’s the whole process from your side of the table — we do the rest.
1
Round up the diagnosis paperwork
An autism diagnosis from a qualified provider is the key that opens coverage. Already have it? You’re ahead. If not, we’ll help you find an evaluation.
2
We build and submit the plan
Your BCBA assesses your child and writes the treatment plan. Then we file it with the right reviewer in Georgia — forms, follow-ups, and all.
3
Coverage confirmed. Therapy starts.
Once the plan signs off, sessions begin. Most families who qualify start within 2–3 weeks. Approvals renew on a schedule — we track it so you never think about it.
The fine print, if you want it (Georgia’s exact rules)
PA required before services: ASD diagnosis from licensed physician/psychologist plus provider-submitted treatment plan approved by DCH or the member's CMO
Coverage details in Georgia
How many hours a week?
Georgia doesn't publish a fixed weekly-hours number. Hours are set child by child: your BCBA writes a treatment plan, and the reviewer approves the hours that plan supports. We'll tell you what to expect for your child on the first call.
Private insurance has to help too
Not on Medicaid? Georgia’s autism insurance law makes state-regulated private plans cover autism care — you’d pay your plan’s normal deductible and copays. The rule on the books: Ava's Law (HB 429) enacted 2015 covering under age 6; SB 118 (2018) expanded to age 20 and younger; permitted $35,000/yr ABA benefit cap
Waiver programs worth knowing
Waivers can add services or open Medicaid eligibility even when family income is too high. In Georgia: Katie Beckett (TEFRA) deeming pathway; NOW (New Options Waiver); COMP (Comprehensive Supports Waiver) — both waitlisted
What does ABA actually cost in Georgia?
Georgia Medicaid reimburses ABA providers roughly $62–$151 per hour for one-on-one therapy (rates differ by clinician credential and setting). That's what the state pays us — with Medicaid, most families pay nothing out of pocket.
Georgia questions, answered
Program rules change; this page describes Georgia’s public coverage rules in plain English and isn’t legal or benefits advice. Call us and we’ll check your exact plan.
READY WHEN YOU ARE, GEORGIA.
“I’m worried, but there’s no diagnosis yet.”
That’s where most families begin. Tell us what you’re seeing and we’ll help you figure out the next step — even if it isn’t us.
Help me figure it out“We have a diagnosis. What does ABA cost?”
For most families it’s covered — Medicaid in every state, and every state has an autism insurance law. See exactly how yours works.
Check my state + insurance“I just want to talk to a person.”
One 15-minute call. A real human who does this every day, no pressure and no obligation.
Call (800) 555-0134Biggest cities in Georgia
Local pages for Georgia’s largest communities — what settings are realistically available in each, how far the nearest city is, and which county’s rules apply to you. We cover 305 towns and cities across Georgia; the rest are listed on their county pages.
- Atlanta
- Columbus
- Augusta-Richmond County
- Macon-Bibb County
- Savannah
- Athens-Clarke County
- South Fulton
- Sandy Springs
- Roswell
- Warner Robins
- Johns Creek
- Mableton
- Alpharetta
- Albany
- Marietta
- Stonecrest
- Brookhaven
- Smyrna
- Valdosta
- Dunwoody
- Gainesville
- Newnan
- Peachtree Corners
- Milton
- Peachtree
- Douglasville
- Woodstock
- Rome
- East Point
- Canton
- Kennesaw
- Tucker
- Hinesville
- Stockbridge
- Statesboro
- Dalton
- LaGrange
- Duluth
- McDonough
- Chamblee
- Lawrenceville
- Pooler
- Sugar Hill
- Carrollton
- Union
- Cartersville
- Perry
- Decatur
- Griffin
- Suwanee
- Acworth
- Snellville
- Kingsland
- Winder
- Fayetteville
- Holly Springs
- St. Marys
- Conyers
- Villa Rica
- Richmond Hill
Counties we serve in Georgia
Every corner of Georgia — pick your county for local answers on coverage, in-home care, and how to start.
- Fulton County
- Gwinnett County
- Cobb County
- DeKalb County
- Chatham County
- Clayton County
- Cherokee County
- Forsyth County
- Henry County
- Hall County
- Richmond County
- Muscogee County
- Paulding County
- Houston County
- Columbia County
- Coweta County
- Bibb County
- Douglas County
- Clarke County
- Carroll County
- Fayette County
- Newton County
- Lowndes County
- Bartow County
- Walton County
- Whitfield County
- Floyd County
- Rockdale County
- Barrow County
- Jackson County
- Glynn County
- Bulloch County
- Dougherty County
- Effingham County
- Troup County
- Spalding County
- Walker County
- Catoosa County
- Liberty County
- Gordon County
- Camden County
- Bryan County
- Laurens County
- Habersham County
- Colquitt County
- Thomas County
- Oconee County
- Polk County
- Coffee County
- Baldwin County
- Tift County
- Murray County
- Harris County
- Pickens County
- Ware County
- Lumpkin County
- Lee County
- Dawson County
- Gilmer County
- Madison County
- Haralson County
- Wayne County
- Monroe County
- White County
- Decatur County
- Peach County
- Jones County
- Sumter County
- Upson County
- Hart County
- Union County
- Stephens County
- Toombs County
- Butts County
- Grady County
- Fannin County
- Chattooga County
- Franklin County
- Burke County
- Tattnall County
- Putnam County
- Emanuel County
- Morgan County
- McDuffie County
- Meriwether County
- Greene County
- Lamar County
- Pierce County
- Pike County
- Long County
- Mitchell County
- Banks County
- Worth County
- Elbert County
- Washington County
- Dodge County
- Crisp County
- Brantley County
- Appling County
- Berrien County
- Cook County
- Rabun County
- Jasper County
- Ben Hill County
- Brooks County
- Oglethorpe County
- Dade County
- Jeff Davis County
- Jefferson County
- Screven County
- Towns County
- Charlton County
- Bleckley County
- Crawford County
- Heard County
- Macon County
- McIntosh County
- Dooly County
- Candler County
- Bacon County
- Telfair County
- Evans County
- Lanier County
- Early County
- Pulaski County
- Wilkes County
- Seminole County
- Johnson County
- Irwin County
- Turner County
- Wilcox County
- Jenkins County
- Terrell County
- Hancock County
- Wilkinson County
- Montgomery County
- Chattahoochee County
- Atkinson County
- Lincoln County
- Taylor County
- Twiggs County
- Marion County
- Wheeler County
- Clinch County
- Treutlen County
- Randolph County
- Miller County
- Talbot County
- Calhoun County
- Warren County
- Stewart County
- Schley County
- Echols County
- Glascock County
- Clay County
- Baker County
- Quitman County
- Webster County
- Taliaferro County
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