Insurance and Coverage
Getting started with services should feel simple and supported. Autism FIRST partners with many insurance plans across Virginia, and our team will help you understand your benefits so you can focus on what matters most: your child.
Insurance Plans We Accept
Autism FIRST accepts many commercial insurance plans, select Medicaid Cardinal Care managed care plans, Virginia Medicaid Fee-for-Service (FFS), TRICARE East, and CHAMPVA for eligible families. Our list continues to grow, and our intake team will help verify each family’s coverage and eligibility.
Commercial Insurance
Autism FIRST accepts many commercial insurance plans, including HMO and PPO plans. Because plan benefits vary, our intake team will verify coverage and eligibility during the intake process.
Aetna
Anthem Blue Cross Blue Shield
Anthem HealthKeepers
CareFirst Blue Cross Blue Shield
Cigna Behavioral Health
Federal Blue Cross Blue Shield
Kaiser Permanente
Sentara Health Plans
United Behavioral Health Optum
Medicaid Coverage
We accept Virginia Medicaid Fee-for-Service (FFS) and select Medicaid Cardinal Care managed care plans, including Anthem HealthKeepers Cardinal Care, Aetna Better Health Cardinal Care, Sentara Cardinal Care, and UnitedHealthcare Cardinal Care.
Virginia Medicaid Fee-for-Service (FFS)
Anthem HealthKeepers Cardinal Care
Aetna Better Health Cardinal Care
Sentara Cardinal Care
UnitedHealthcare Cardinal Care
Additional Coverage
We also accept TRICARE East and CHAMPVA for eligible families.
TRICARE East
CHAMPVA
Insurance FAQ
Do I need a referral before starting services?
Most insurance plans do not require a referral for ABA services, but some plans may request documentation from your child’s pediatrician or specialist. Our team can help you understand what your plan needs to begin.
Will Autism FIRST check my benefits for me?
Yes. Our intake and billing teams can verify your insurance coverage and explain your benefits so you know what to expect before services begin.
What if my plan is not listed?
Our network continues to grow. If your plan is not listed, contact us and we will review your coverage and discuss available options.
Do you accept Medicaid?
Yes. We accept Virginia Medicaid Fee-for-Service (FFS) and select Medicaid Cardinal Care managed care plans. If you are unsure which Medicaid plan you have, our intake team can help verify your coverage.
Do you accept commercial insurance?
Yes. Autism FIRST accepts many commercial insurance plans, including HMO and PPO plans. Because commercial plans vary by employer group, product type, and benefit design, our intake team will verify each family’s coverage and eligibility during the intake process.
What will my out-of-pocket cost be?
Your cost depends on your insurance plan. Once we verify your benefits, we will explain your deductible, copay, or coinsurance in clear, simple language.
Will you submit claims for me?
Yes. We submit claims for all in-network plans and provide complimentary claim submissions for out-of-network benefits as well.
We Are Here to Help
Our intake and billing teams will guide you through every step. We can check your coverage, explain your benefits, and help you understand the cost of care before you begin. If you have questions, we encourage you to contact us. We are happy to walk you through the process.
