Autism treatments, like ABA therapy, are now covered by most insurance plans throughout the country. However, the extent of coverage can vary by plan and state, and insurance deductibles can be high. As a result, families can find themselves in need of financial assistance to give their children every opportunity for achieving their full potential and having the best possible life.
Over the years, our autism and ABA therapy experts have helped many families apply for and secure financial assistance through various organizations. Below is our go-to list of organizations when our clients need help. Our hope is that it can help you, too. We’ve had the most success with the first three on the list.
If you need assistance applying for a grant or scholarship and live in the North Texas or Boulder, Colorado, areas, please contact us to make an appointment. You want the best for your child, and so do we!
Top 3 Financial Resources That Have Helped Our Clients
#1 – Masonic Children & Family Services of Texas
For more than a century, Masonic Children & Family Services of Texas (MCFS) has partnered with charitable organizations, medical professionals, and educational facilities to help fulfill the basic needs every child and family deserves, like safety, comfort, food, shelter, healthcare, and educational services. Children’s therapies for autism, including the gold standard of ABA therapy, are a primary focus for MCFS.
The first step in applying for assistance from MCFS is make sure you meet the following criteria:
- You must be a resident of the state of Texas.
- Your child must be 21 or younger and living with you.
- You must be their parent or legal guardian.
In addition, you’ll need to:
- Provide proof of income for each adult in your home, including:
- Two(2) of your most recent paycheck stubs OR most recent income tax return OR SSI benefit summary OR unemployment benefit check stub
- Letter from employer(s) or most recent employer to verify unemployment
- Submit a completed Provider Referral form if treatment for your child will be provided by a doctor, therapist, dentist, or other professional.
- Provide a copy of your child’s diagnosis from a pediatrician or specialist.
- Provide a copy of your child’s treatment plan(s) from a doctor or therapist.
- Provide health insurance coverage details, including the amount of the deductible you’ve met so far and/or a denial letter for treatment.
If you’re ready to apply for assistance from MCFS, complete their application in full.
#2 – UnitedHealthcare Children’s Foundation
UnitedHealthcare Children’s Foundation (UHCCF) offers financial support in the form of grants to families, so they can focus on improving the quality of life of their children. Grants are designed to help with medical expenses not covered, or not fully covered, by a family’s commercial health insurance. (Note: You’re not required to have insurance with UnitedHealthcare to apply for a UHCCF grant.)
Here’s a look at UHCCF’s basic requirements to apply for a one-time grant that can help cover the costs of your child’s ABA therapy:
- Your child must be 3 to 6 years of age at the time you submit a grant application.
- Your child must have a SS number. TIN numbers are not accepted.
- Your child must have primary coverage from a commercial health plan, either through an employer or one that has been individually purchased.
- Your child’s care must be:
- Administered by a licensed medical professional
- Prescribed by an M.D., D.O. or Au.D.
- Received or purchased in the United States
- Your family must not exceed the maximum eligible income as documented on your IRS Tax Form 1040:
- $65,000 or less – for a family of 2
- $100,000 or less – for a family of 3
- $135,000 or less – for a family of 4
- $170,000 or less – for a family of 5 or more
You’ll also need to provide the following documents:
- An electronic copy of your most recent submitted IRS 1040 tax form.
- An electronic copy of the front and back of your current commercial/private insurance card.
- A completed and signed Physician Certification of Medical Condition form.
To apply for a UHCCF grant, get started here.
#3 – Variety of Texas
Variety of Texas provides resources as well as empowering experiences to children with special needs and their families. Its Heart of Variety Fund offers financial assistance for life-saving surgical procedures, customized wheelchair accessible vans, service dogs, wheelchairs, or anything that might empower a child with special needs to live a fuller life.
At this time (March 2024), the Heart of Variety Fund remains paused due to the effects of the pandemic on the economy and on donations. However, you’re encouraged to complete its pre-screening application. By completing the form, you’re providing Variety of Texas critical information to present to its funders, eventually enabling them to re-start its assistance program.
Additional Financial Resources We Recommend Trying
Autism Spectrum Disorder Foundation (ASDF) provides financial support for therapies, education, and medical treatment. ASDF programs range from autism awareness to summer camp scholarships. This year, the foundation will start taking applications for summer camp scholarships, starting on May 1, 2024 at 10:00 EST.
Oracle Health Foundation provides pediatric grants that connect children to needed care when finances stand in the way. Applications are accepted from the United States and through select international providers. For funding criteria and to apply for a grant, start here.
Health Insurance Premium Payment (HIPP) program is a Texas Medicaid program that helps families with at least one person on Medicaid pay for their employer-sponsored health insurance premiums. Premiums are the amount you pay every month for your health insurance. You can learn all about it and apply here.
Varghese Summersett Autism Scholarship awards $500 scholarships to children with autism that can be used towards camp, tutoring, education, or other tools that help students with autism progress and live a fulfilling, happy life. The deadline for applications this year is on or before April 1, 2024, so hurry if you’re interested! Click here to learn how to apply.
(For Central Texas and Houston-area families only)
Imagine A Way Foundation helps children with autism get the critical therapeutic services they need during the years they need it most, the preschool years. To see if you qualify and to apply, go here.
National Autism Association’s (NAA) Give a Voice Program provides individuals with autism who are non-verbal or minimally verbal and in dire need of financial assistance with iPads, augmentative and alternative communication (ACC) software, and access to certified practitioners. You can learn more about the program and eligibility requirements here and here.
We’ll continue to add to this list as new financial support resources become available. We sincerely hope you find the financial assistance you need for your child. Every child with autism deserves access to early intervention services that can make the future a lot brighter for them and their families.
If you need assistance with applying for financial support, the autism and ABA therapy experts at The Behavior Exchange are ready to help. All you have to do is ask.