ABA Therapy with Anthem HealthKeepers Plus
Anthem HealthKeepers Plus is a Virginia Medicaid (Cardinal Care) managed care plan, and we are in-network. For eligible children with an autism diagnosis, ABA therapy is a covered benefit, usually at no cost to the family. We verify eligibility, handle the authorization, and bring BCBA-led therapy to your home, anywhere in Virginia.
Medicaid Accepted
How HealthKeepers Plus Covers ABA Therapy in Virginia
Medicaid ABA coverage works a little differently; here is the path.
Eligibility and enrollment
Your child needs active Virginia Medicaid coverage with HealthKeepers Plus as the managed care plan. Not sure which plan your child has? We can help you read the card; it takes two minutes.
A diagnosis and a treatment plan
Coverage requires an autism diagnosis and a BCBA-written treatment plan showing medical necessity. If your child doesn't have a diagnosis yet, our diagnosis page covers the fastest routes, including options that accept Medicaid.
Prior authorization
HealthKeepers Plus approves ABA hours in authorization periods. We prepare the clinical paperwork, submit it, and manage reauthorizations so therapy continues without gaps.
No-cost care for most families
Medicaid families typically pay nothing out of pocket for covered ABA services. We confirm the details during the verification of benefits so there are no surprises.
What HealthKeepers Plus Families Actually Pay
For most Virginia Medicaid families, covered ABA therapy through Anthem HealthKeepers Plus comes at no out-of-pocket cost. We confirm your child's eligibility and benefits before anything starts, and we tell you plainly if anything about your situation is different. If your child has Medicaid through a different managed care plan, call us anyway; we will help you figure out the path.
From First Call to First Session
1. Reach out
Call, text, or send the form. A real person answers, and a BCBA talks with you about your child, usually the same day.
2. We verify your HealthKeepers Plus benefits
We run a verification of benefits right away and tell you exactly what your plan covers before you commit to anything.
3. We handle the authorization
We prepare the clinical documentation HealthKeepers Plus requires, submit the prior authorization, and keep reauthorizations moving so therapy never stalls.
4. Therapy starts at home
Sessions begin on a schedule that fits your family: mornings, after school, or weekends. No long waitlist, no mountain of paperwork.
HealthKeepers Plus ABA Coverage FAQs
Yes. We are in-network with Anthem HealthKeepers Plus, a Virginia Medicaid (Cardinal Care) managed care plan. For eligible children with an autism diagnosis, ABA therapy is covered, usually at no cost to the family.
Call us. Virginia Medicaid runs through several managed care plans, and families can often change plans during open enrollment or with a qualifying reason. We will help you read the card and figure out the fastest path to covered therapy.
Yes. Covered ABA services can be delivered in the home when the treatment plan calls for it, which is exactly how we work. Your child gets BCBA-led therapy where they are most comfortable.
We verify eligibility and benefits right after you reach out, and submit the authorization as soon as the assessment is done. Most families start without a long waitlist.
Then we'll use yours. Through our interpreter service we can communicate with parents in 334 languages, including every conversation about insurance and benefits.
Have a Different Plan?
Don't see yours? We work with almost every plan, in or out of network. See how insurance works with us or call (571) 250-9442 and we will check your coverage for you.