Built specifically for autism and I/DD, not general healthcare
As a Tailored Plan, Alliance covers physical health, behavioral health, I/DD, and pharmacy under one plan and one care team.
Alliance Health ABA therapy coverage in North Carolina
Your Alliance Health coverage, explained
Insurance jargon should never stand between your child and excellent ABA therapy. That's why we handle your Alliance coverage, your authorization, and every step in between, so all you have to focus on is your child.
Does Alliance Health cover ABA therapy?
Yes, and it's built specifically for children like yours
Alliance Health is one of North Carolina's four Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans. Alliance covers ABA for eligible children and young adults under 21 through the federal EPSDT benefit, integrating physical health, behavioral health, I/DD services, and pharmacy under one plan.
What makes Alliance's coverage work
The specifics that matter
No hard hour cap
Coverage is driven by documented medical necessity and your BCBA's clinical recommendation.
Covers some of North Carolina's largest cities
Alliance's Tailored Plan region includes Mecklenburg (Charlotte), Wake (Raleigh, Cary, Apex), Durham, and Orange counties, making it one of the more urban Tailored Plan regions.
Reauthorization every 6 months
Based on documented progress rather than an automatic renewal.
How the process works with Alliance Health
From your first call to your first session
- 01
Step 1: Schedule a free consultation
Call (888) 690-0663. We confirm your child is enrolled in Alliance, which is tied to your home county.
- 02
Step 2: We verify your benefits
We confirm your specific coverage and Tailored Plan enrollment status.
- 03
Step 3: We submit your prior authorization
This includes a DSM-5 diagnosis with ICD-10 code F84.0, a referral from your child's primary care provider, a BCBA-led treatment plan, and standardized assessments like the Vineland-3.
- 04
Step 4: Therapy begins
Your child starts sessions at home, at school, or wherever makes the most sense.
- 05
Step 5: We manage your reauthorization
Every 6 months, based on your child's progress.
Why families choose Apex ABA for their Alliance Health coverage
What your coverage is actually paying for
Alliance covers ABA therapy because it works, but it's worth knowing exactly what that coverage buys your child.
Communication
Finding words and the confidence to use them. Asking for help. Expressing needs.
Independence
Doing more, needing less help, one skill at a time.
Social Connection
Playing alongside others, then with them.
Self-Regulation
Fewer meltdowns. More tools to handle the hard moments.
Daily Routines
Mornings, mealtimes, transitions, smoother than you thought possible.
Family Life
Less crisis management. More time to just be family.
How your Alliance Health 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 Alliance 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.
Your Alliance benefits cover therapy where your child actually lives
In-home therapy during real family moments. School-based therapy during class, recess, lunch.
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.
“We were nervous about starting therapy, but the team at Apex made us feel comfortable from day one. Our daughter actually looks forward to her sessions now, and we've seen huge growth in her social skills and confidence.”
— Marcus T., North Carolina
ABA therapy services covered by Alliance Health
What your coverage can include
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In-Home ABA Therapy — real family moments: breakfast, getting ready, bedtime
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School-Based ABA Therapy — support during class, recess, and lunch
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Parent Training and Support — tools for the hours we're not there
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Daycare ABA Therapy — support at your child's daycare or early learning center
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Weekend ABA Therapy — because progress doesn't take Saturdays off
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Early Intervention ABA Therapy — for toddlers and preschoolers, when it matters most
Alliance Health coverage across North Carolina
Where we serve Alliance families
Alliance's Tailored Plan covers Cumberland, Durham, Harnett, Johnston, Mecklenburg, Orange, and Wake counties, including Charlotte, Durham, Fayetteville, Raleigh, Cary, and Apex.
Don't see your county listed? Reach out anyway, we'll confirm your enrollment and coverage.
Alliance Health ABA therapy FAQs
What you're probably wondering
A DSM-5 autism diagnosis with ICD-10 code F84.0, a referral from your child's primary care provider, a BCBA-led treatment plan, and standardized assessment results.
No hard cap. Hours are based on your BCBA's documented medical necessity and your child's progress.
Roughly every 6 months.
We help you appeal with additional documentation from your child's evaluation and our clinical team.
More coverage options in North Carolina
Don't have Alliance Health?
We also work with Blue Cross Blue Shield, Healthy Blue, Trillium Health Resources, AmeriHealth Caritas, Vaya Health, Partners Health Management, WellCare, Optum, and Carolina Complete Health.
Blue Cross Blue Shield 
Healthy Blue 
Trillium Health Resources 
AmeriHealth Caritas 
Vaya Health 
Partners Health Management 
WellCare 
Optum 
Carolina Complete Health 
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