NJ FamilyCare, New Jersey's Medicaid and CHIP program, covers medically necessary ABA for members under 21 at $0 under the federal EPSDT benefit. Your benefit runs through your managed care plan (Horizon NJ Health, Aetna Better Health, Fidelis Care, or UnitedHealthcare Community Plan), and the process is the same: diagnosis, plan, authorization, start.
What NJ FamilyCare covers for autism
Under EPSDT (Early and Periodic Screening, Diagnostic and Treatment), Medicaid must cover services medically necessary to address a child's condition. For autism, that includes comprehensive diagnostic evaluation and applied behavior analysis, at no cost to the family: no premiums for children's Medicaid, no copays for covered services.
The MCOs, in one paragraph
FamilyCare members are enrolled in a managed care organization; the card in your wallet says which. Horizon NJ Health is the largest, alongside Aetna Better Health of NJ, Fidelis Care NJ, and UnitedHealthcare Community Plan. The ABA benefit exists in all of them; the paperwork details differ slightly, which is our job, not yours. Liftoff ABA accepts NJ FamilyCare, and we confirm your specific MCO during free verification.
Not enrolled yet?
Families can apply for NJ FamilyCare year-round at njfamilycare.dhs.state.nj.us or by phone at 800-701-0710. Children in households above regular Medicaid limits often still qualify through CHIP tiers. If your child has an autism diagnosis and you are uninsured or between plans, apply; ABA at $0 usually beats any commercial option.
Starting ABA with FamilyCare
- Get or gather the comprehensive autism evaluation.
- We verify your MCO benefit free and handle prior authorization.
- Therapy starts at home, typically within weeks, with reauthorizations managed for you.
Not sure what your plan covers? Send us your insurance card and we will verify ABA benefits for free, usually within a day or two: start here.
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Frequently asked questions
Does NJ Medicaid cover ABA therapy?
Which NJ FamilyCare plan is best for ABA?
How do I apply for NJ FamilyCare?
Does FamilyCare cover in-home ABA?
Start ABA therapy in New Jersey — no waitlist
We'll verify your insurance for free and map out your child's next steps. Most families start within weeks.
Apply for ABAMore coverage guides
Insurance details change and vary by plan. This page is general information, not insurance or medical advice. Plan names are trademarks of their owners; Liftoff ABA is an independent provider. We verify your exact benefits for free.