FL Medicaid FFS — ABA Therapy

Does FL Medicaid FFS cover ABA therapy?

MCDS currently works with eligible FL Medicaid FFS plans for ABA therapy. Because FL Medicaid FFS spans many different employer groups and plan tiers, actual coverage, network participation, cost-share, and authorization requirements vary by plan and by individual policy. That is why the meaningful answer for your family requires a plan-specific benefits check — not a generic yes or no.

What MCDS does with FL Medicaid FFS

To confirm whether your specific FL Medicaid FFS plan will cover ABA therapy through MCDS, an intake team member will:

1. Complete a benefits verification — eligibility, network participation, and cost-share.
2. Confirm documentation already in place (diagnostic evaluation, referrals) and identify what is missing.
3. Coordinate prior authorization after a BCBA-led assessment.
4. Explain what your family is responsible for — see ABA therapy costs.

Services covered under most plans

Once authorized, ABA therapy at MCDS can be delivered in the settings that make clinical sense for your child:

• In-home ABA therapy
• Community-based ABA therapy
• School-based ABA support
• Telehealth ABA support
• Parent and caregiver training

Coverage varies by eligibility, clinical need, and prior authorization.