CalOptima Health
Acclaim Autism is proud to be an in-network provider with CalOptima Health in Orange County, offering Applied Behavior Analysis (ABA) therapy for children and adolescents under Medi-Cal.
We work directly with CalOptima to help families access covered ABA therapy easily — so your child can focus on growth and progress, not paperwork.
CalOptima Health provides Behavioral Health Treatment (BHT) services, including ABA therapy, for Medi-Cal members in Orange County under age 21.
These services are part of California’s Early and Periodic Screening, Diagnostic and Treatment (EPSDT) program, which ensures that children and youth receive medically necessary behavioral health care. Learn more about CalOptima’s behavioral health services in California.
We help families access screenings or diagnostic evaluations when autism or developmental concerns are identified.
Our intake team handles the entire authorization process directly with CalOptima, including eligibility verification and treatment plan submission.
If you’re transferring from another provider, we coordinate the transition to ensure your child’s care continues without interruption.
Submit your insurance information through our secure online form.
Our intake specialists confirm your CalOptima ABA therapy coverage, explain benefits, and outline next steps.
We work with CalOptima to complete and submit all necessary forms and treatment documentation to ensure prompt approval.
Once authorized, your family is paired with a BCBA and therapy team to begin services in your preferred setting — home, daycare, or community.
CalOptima Health
Yes. CalOptima covers ABA therapy for children and adolescents under 21 as part of Medi-Cal’s Behavioral Health Treatment program.
No. If autism or developmental concerns are suspected, families can begin with a screening and diagnostic evaluation.
Yes. Families can transfer providers at any time. Acclaim Autism coordinates directly with CalOptima to make the process seamless.
A treatment plan and documentation of medical necessity, such as a clinical evaluation or referral from a licensed clinician, are typically required
Diagnostic evaluations are currently in-network only with Aetna and Cigna.
If your plan does not cover diagnostic assessments with Acclaim Autism, you may still receive an evaluation through our private-pay option. Many families choose this route to begin ABA services sooner.
Navigating Medi-Cal benefits can feel complicated — but we’re here to simplify it. Our team verifies coverage in California, manages authorizations, and ensures your child begins CalOptima ABA therapy without delay.
(800) 689-8675
info@acclaimautism.com
