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ABA Therapy Providers Accepting Medicaid in Evergreen, Colorado

These providers report accepting Medicaid. Ask about your specific plan, location, service and authorization requirements.

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1 provider profile in Evergreen

Showing 1–1 of 1. Confirm services and coverage directly.

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Profiles appear in a rotating random order, not a ranking or recommendation. Details come from providers and can change. How our directory works →

MEDICAID ABA THERAPY IN EVERGREEN

Medicaid ABA therapy in Evergreen at a glance

1 Medicaid ABA provider in this directory is based in Evergreen, out of 2 ABA providers listed there. Among them, 1 offers in-home ABA and 1 offers telehealth.

Counts update automatically as listings change. Providers that haven’t listed a detail aren’t counted.

WHAT TO KNOW

A parent’s guide to medicaid ABA therapy

How Health First Colorado covers ABA

Health First Colorado (Colorado Medicaid) covers behavioral therapies such as ABA for members 20 and younger when the services are medically necessary. Every plan of care needs prior authorization through the state’s contractor, Acentra Health, and an approved authorization lasts up to six months before it is renewed.

What the provider needs to request authorization

  • A referral for behavioral therapy
  • A standardized assessment of your child’s skills
  • A plan of care written by the supervising BCBA

If authorization is denied

  • Ask the provider to request a reconsideration or submit a new request
  • Ask for a peer-to-peer review between the BCBA and the reviewer
  • You can appeal the decision as a Health First Colorado member

Questions to ask Medicaid providers

  • How long are your Medicaid authorizations taking right now?
  • Do you have openings for Health First Colorado members?
  • Who handles the authorization paperwork?
  • Has your clinic applied for its state license under HB26-1425?

LOCAL RESOURCES

Autism resources for Evergreen families

Where to get an evaluation, help paying for care and support at school in Evergreen and Jefferson County. Each listing links to the organization’s own website. Resources reviewed October 2026.

Paying for ABA and support services

Getting an autism evaluation

School support

Family support

COLORADO UPDATES

What’s changed for ABA in Colorado.

Recent laws, audits and Medicaid changes that affect families looking for ABA. Each item links to its source. Reviewed October 2026.

  1. June 2026

    Colorado now requires ABA providers to be licensed

    HB26-1425, signed June 3, 2026, requires ABA providers to apply for professional licensure, with fingerprint-based background checks for providers and staff. It also sets up licensing for ABA facilities and requires a clinic facing a negative licensing action to notify the families it serves.

    What to ask: Ask any provider whether it has applied for its Colorado ABA license.

    Source: Colorado governor’s joint release on HB26-1425 ↗ (opens in a new tab)

  2. February 2026

    Federal audit flags Colorado Medicaid ABA billing

    A U.S. Health and Human Services Inspector General audit (A-09-24-02004) found at least $77.8 million in improper fee-for-service Medicaid payments for children’s ABA in 2022 and 2023, tied to documentation, billing and credentialing problems. It recommends more guidance for providers and regular payment reviews.

    What to ask: Expect more paperwork checks. Ask your provider how it documents sessions and supervision.

    Source: HHS Office of Inspector General ↗ (opens in a new tab)

  3. Late 2025

    Proposed Medicaid rate cuts for pediatric behavioral therapy

    The Governor’s 2026–27 budget proposal included reducing Medicaid reimbursement for pediatric behavioral therapies, including ABA. Families and providers rallied at the Capitol in November 2025 and warned that some clinics could close.

    What to ask: Ask providers whether rate changes have affected their openings or hours.

    Source: Colorado Public Radio ↗ (opens in a new tab)

  4. September 2025

    ABA providers sue the state over the cuts

    ABA providers and the Colorado Association for Behavior Analysis filed suit in Denver District Court, arguing that the state’s cuts to pediatric autism therapy coverage and reimbursement violate mental health parity laws. The case was unresolved as of our last review.

    Source: Complaint filed September 30, 2025 ↗ (opens in a new tab)

  5. Ongoing

    Every Medicaid ABA plan needs prior authorization

    Health First Colorado requires prior authorization for pediatric behavioral therapy through its authorization contractor, Acentra Health. An approved authorization lasts up to six months, and families can appeal a denial.

    What to ask: Ask the provider how long its authorizations are taking right now.

    Source: Colorado Department of Health Care Policy and Financing ↗ (opens in a new tab)

LOCAL QUESTIONS

Medicaid ABA therapy in Evergreen: common questions

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Which ABA providers in Evergreen accept Medicaid?

1 Medicaid ABA provider in this directory is based in Evergreen. A Medicaid listing doesn’t guarantee openings, so ask each provider whether it is taking new Health First Colorado members.

Does Health First Colorado cover ABA therapy?

Yes. Health First Colorado covers behavioral therapies such as ABA for members 20 and younger when medically necessary. Your provider requests prior authorization through Acentra Health, and approvals last up to six months.

What happens if Medicaid denies ABA?

Your provider can ask for reconsideration, submit a new request or set up a peer-to-peer review. As a member, you can also appeal the decision.

Does CHP+ cover ABA therapy?

Child Health Plan Plus (CHP+) covers children 18 and under in families that earn too much for Health First Colorado, and its benefits include behavioral health care and autism evaluations. CHP+ does not cover ABA therapy, so a child who needs ABA through public coverage needs Health First Colorado.

What is the CES waiver?

The Children’s Extensive Support (CES) waiver is a Health First Colorado program for children under 18 with developmental disabilities or delays who need intensive support at home. It can cover services such as respite and caregiver education. Apply through your county’s Case Management Agency.

Have Colorado’s Medicaid changes affected ABA?

Colorado cut Medicaid rates for pediatric behavioral therapy, including ABA, for services on or after October 1, 2025. ABA providers sued over the cuts in September 2025. A 2026 federal audit also flagged ABA billing problems. Ask providers whether these changes have affected their openings.

Who can diagnose autism in Evergreen?

Developmental pediatricians, child psychologists and other qualified clinicians can diagnose autism. Children’s Hospital Colorado’s Developmental Pediatrics program evaluates children at clinics across its system (720-777-6630). Ask your pediatrician for a referral. Most insurance plans ask for a diagnosis or referral before approving ABA. Children’s Colorado Developmental Pediatrics →

My child is under 3. Where do we start in Evergreen?

Early Intervention Colorado serves children from birth through age 2. In Jefferson County, the local program is Developmental Disabilities Resource Center (DDRC). Call the statewide referral line at 833-733-3734. Parents, doctors and caregivers can all make a referral. Developmental Disabilities Resource Center (DDRC) →

How do I find out which ABA providers are taking new clients in Evergreen?

Openings change week to week, so listings can’t promise availability. Call several providers and ask whether there is a waitlist or an intake date, whether the wait differs by setting or time of day, and how long their insurance authorizations are taking. Getting on more than one list is normal. You can also ask Colorado ABA to look for you in Evergreen.

Can Colorado ABA help me find medicaid ABA therapy in Evergreen?

Yes. Tell us your child’s age, insurance, preferred setting and schedule, and we’ll look for providers that fit. It’s free, and browsing the directory never requires a request.

GUIDES FOR FAMILIES

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