ABA Therapy with Maryland Physicians Care in Maryland

ABA Therapy for Maryland Physicians Care Members in Maryland

Maryland Physicians Care is a Medicaid managed care organization serving families in Maryland's HealthChoice program. Care2Care ABA accepts Maryland Physicians Care and provides in-home and community-based applied behavior analysis (ABA) therapy for children with autism across Maryland.

Maryland Medicaid covers medically necessary ABA therapy for eligible members under age 21 with an autism spectrum disorder diagnosis. Coverage for your child depends on eligibility, diagnosis and medical necessity, so we verify your Maryland Physicians Care benefits first and explain everything in plain language before therapy begins.

Call (301) 635-0688 Check My Coverage

Illustration of a shield with a heart for ABA therapy coverage with Maryland Physicians Care

How We Start ABA Therapy with Maryland Physicians Care

We handle the insurance work so you can focus on your child.

Free benefits check

Send us a photo of your Maryland Physicians Care member card. We verify eligibility and ABA benefits for you.

Share diagnosis & referral

Provide your child's autism diagnosis report and the referral from a qualified health care professional.

We request authorization

Our team prepares the clinical documentation and submits the prior authorization request.

Assessment & therapy begins

A BCBA completes your child's assessment, builds an individualized plan and therapy starts.

What to Have Ready

To speed up verification and authorization for Maryland Physicians Care, gather the items below. Missing something? Call us and we will help you get it.

Your child's Maryland Physicians Care member ID card (front and back)
Autism spectrum disorder diagnosis report
Referral or recommendation for ABA from a qualified health care professional
Parent or guardian contact details and your child's date of birth

ABA Services Covered Under Your Plan

When ABA is authorized, your child receives support from a Board Certified Behavior Analyst (BCBA) and trained therapists through our ABA therapy program. Many families also benefit from:

See where we work on our areas we serve page.

Maryland Physicians Care ABA Therapy: Frequently Asked Questions

Maryland Medicaid covers medically necessary applied behavior analysis (ABA) for eligible members under age 21 who have an autism spectrum disorder diagnosis. Whether your specific Maryland Physicians Care plan covers ABA depends on your eligibility, your child's diagnosis and medical necessity. Call Care2Care ABA at (301) 635-0688 and we will verify your benefits at no cost.

Yes. Maryland Physicians Care is one of the Maryland plans Care2Care ABA works with. Our intake team confirms your coverage, requests authorization and tells you what to expect before therapy begins.

In most cases you will need a formal autism spectrum disorder diagnosis and a referral or recommendation for ABA from a qualified health care professional, such as your child's pediatrician, psychologist or developmental specialist. If you are still waiting for a diagnosis, call us and we will explain the next steps.

Yes, ABA services require prior authorization. For Maryland Medicaid members, authorization requests go through the state's behavioral health administrative services organization. Care2Care ABA prepares and submits the clinical information on your behalf, so you do not have to handle the paperwork.

Your out-of-pocket cost depends on your plan type and eligibility. Many Medicaid members have no cost-sharing for covered services, but we always confirm this during benefit verification before your child starts, so there are no surprises.

Timing depends on your diagnostic paperwork, insurance authorization and our current availability. Once we receive your insurance information and diagnosis report, our team begins verification right away and keeps you updated at every step.

Last reviewed November 2026. Coverage is subject to eligibility, medical necessity and prior authorization. Care2Care ABA is an independent ABA provider and is not affiliated with Maryland Physicians Care; plan names belong to their respective owners.