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CareSource ABA therapy coverage in Georgia

Your CareSource coverage, explained

Insurance jargon should never stand between your child and excellent ABA therapy. That's why we handle your CareSource coverage, your authorization, and every step in between, so all you have to focus on is your child.

Does CareSource cover ABA therapy in Georgia?

Yes, and it's one of Georgia's confirmed long-term partners

CareSource is one of Georgia's Medicaid managed care organizations, and following the state's January 2026 procurement decision, it's the only incumbent Georgia Medicaid plan that kept its contract, alongside new entrants Humana, Molina, and UnitedHealthcare. CareSource covers ABA therapy as medically necessary for eligible children under 21.

What makes CareSource's coverage work

The specifics that matter

A mother seated on a bed with her young son

Confirmed continuity, unlike some other Georgia Medicaid plans

CareSource kept its Georgia Medicaid contract in the state's most recent procurement, which matters given other plans are being phased out.

A child painting like an artist

Two-part authorization structure

Behavioral assessment authorization is requested in 3-month increments, while ongoing treatment authorization is requested in 6-month increments.

A child playing with colorful sensory toys

Detailed documentation standards

CareSource requires the treatment plan and behavioral assessment to be developed by the same provider requesting authorization, and specifies exactly how parent and caregiver training goals must be documented.

A boy concentrating on a stacking game

Medicaid is the payer of last resort

If you have other insurance, CareSource is billed second, and won't pay more than the Medicaid rate.

How the process works with CareSource

From your first call to your first session

  1. 01

    Step 1: Schedule a free consultation

    Call (888) 690-0663. We listen and learn what your family needs before anything else happens.

  2. 02

    Step 2: We verify your benefits

    We confirm your specific CareSource coverage directly.

  3. 03

    Step 3: We submit your prior authorization

    This includes a DSM-5 diagnosis, a behavioral assessment, and a BCBA-led treatment plan with documented caregiver training goals.

  4. 04

    Step 4: Therapy begins

    Your child starts sessions at home, at school, or wherever makes the most sense.

  5. 05

    Step 5: We manage your reauthorization

    On CareSource's required schedule.

Why families choose Apex ABA for their CareSource coverage

What your coverage is actually paying for

CareSource covers ABA therapy because it works, but it's worth knowing exactly what that coverage buys your child.

A parent and child communicating while playing with modeling clay

Communication

Finding words and the confidence to use them. Asking for help. Expressing needs.

A child confidently holding up flashcards during a session

Independence

Doing more, needing less help, one skill at a time.

A therapist and child playing together face-to-face on the floor

Social Connection

Playing alongside others, then with them.

A child engaging calmly with colorful sensory toys

Self-Regulation

Fewer meltdowns. More tools to handle the hard moments.

A parent and child working through an activity together at a small table

Daily Routines

Mornings, mealtimes, transitions, smoother than you thought possible.

A mother and daughter sharing a joyful high-five at home

Family Life

Less crisis management. More time to just be family.

How your CareSource coverage plays out at Apex

Coverage is one thing. What happens with it is another.

Plenty of families with good coverage still end up on the sidelines. Having CareSource doesn't guarantee that experience is any different. How your provider uses it does.

At Apex, you're in the room

Not sidelined while decisions get made about your child. Not waiting to hear about it after the fact.

Small caseloads mean your authorization actually gets used well

We limit our caseloads on purpose. That means your BCBA knows your child, remembers what happened last week, and adjusts before your next reauthorization.

You see exactly how your coverage is being spent

Weekly check-ins with your BCBA. Live coaching during real moments. Written strategies you can use between sessions.

“Apex has been a game-changer for our family. The therapists take the time to understand our son as an individual and tailor everything to his needs. His tantrums have decreased dramatically, and he's picking up new skills every week.”

— Priya S., Georgia

ABA therapy services covered by CareSource

What your coverage can include

CareSource coverage across Georgia

Where we serve CareSource families

Our Georgia office is based at 3372 Peachtree Road NE in Atlanta, and we provide in-home ABA therapy to CareSource families statewide.

Don't see your area listed? Reach out anyway, we likely already serve it.

CareSource ABA therapy FAQs

What you're probably wondering

A DSM-5 autism diagnosis, a behavioral assessment, and a BCBA-led treatment plan documenting parent and caregiver training goals.

Behavioral assessment authorization comes in 3-month increments, treatment authorization in 6-month increments.

No, CareSource kept its Georgia Medicaid contract in the state's most recent procurement and continues serving families.

We help you appeal with additional documentation from your child's evaluation and our clinical team.

More coverage options in Georgia

Don't have CareSource?

We also work with Georgia Medicaid, Peach State Health Plan, and Amerigroup.

See all Georgia insurance options

Let's find out exactly what your CareSource plan covers.

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