Does Optum Cover ABA Therapy?

Reviewed by:

March 16, 2022

Yes, Optum covers ABA therapy by improving overall health outcomes while lowering healthcare costs.

When it comes to providing behavioral health to their client’s, Optum’s health plans confront specific problems such as cost management, operational efficiency, and enhancing access to care. Optum, as the nation's biggest managed behavioral health organization, is breaking new ground by improving results while lowering overall healthcare costs.

With the outbreak of COVID-19, Optum is taking steps to ensure their behavioral health and EAP members can obtain the help they need. Optum allows commercial, Medicare, and Medicaid members to use popular video chat or telephone care applications to address the current scenario. 

This also applies to health care providers who are qualified and licensed to conduct Applied Behavior Analysis (ABA) services in line with applicable rules.

Benefits of Optum's behavioral therapy coverage plans

Here are a few benefits of Optum's plans for ABA therapy:

  • With a median return on investment of more than 2:1, Optum provides a complete therapy network with significant long-term impact. 
  • Optum will collaborate with you to assess your entire therapy spending and provide personalized solutions to help you save money. 
  • Clients often receive a contractual discount of 35–45 percent. 
  • Optum examines claims data and discusses best practices to identify when and where clinical support and guidance should be provided. 
  • They offer provider relations and reporting, claims management, and contact centers for providers and members.
  • By cultivating solid provider connections, Optum has built a nationwide network.

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