Autism Division

  • Description
  • Funding History
  • Proposals

The Autism Division funds the Autism Home and Community‐Based Medicaid Waiver. This program provides intensive in-home and community-based services for a small share of MassHealth eligible children under age 9 diagnosed with autism spectrum disorder (ASD).

Children participating in the Autism Waiver program are eligible for one‐to‐one behavioral, social and communication based interventions developed and monitored by a trained clinician. These services are usually provided in the child’s home or in the community. Services could include behavioral approaches such as Applied Behavioral Analysis (ABA), Developmental and Relational Models such as Floor Time and communication models. Participants can also use the waiver program for support services such as community integration activities and respite.

Each family who receives services under the program is eligible for up to $25,000 worth of services per year for a three year period. After the first three years, a family is eligible for supplemental services until the child reaches the age of nine.

In order to participate in the program, the child must be 8 years old or younger and have a confirmed diagnosis of Autism Spectrum Disorder. The child must meet the level of care required for services in an Intermediate Care Facility for persons with Intellectual Disability, as assessed by the Department of Developmental Services, and must be able to be safely served in the community. As this is a Medicaid Waiver program, the child must eligible for MassHealth Standard coverage, with an income below 150% of the federal poverty level.

The program currently serves between 200 and 300 children, with a long waiting list. Families apply for the program during a specified open enrollment period, and then are selected by lottery.

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