Contact
Call now: 888-360-6664

Trillium Health Resources ABA Therapy Coverage in North Carolina

One Less Thing To Deal With

Your child needs support. You need a team that shows up consistently and knows what they’re doing. And you need someone who’ll make sure doesn’t become another obstacle between your family and real progress.

What Kennedy ABA does with your plan:
  • Verify benefits before your first appointment
  • Submit authorizations and handle follow-ups
  • Manage claims, reauthorizations, and appeals
Check My Trillium Health Resources Coverage Now

How we work with Trillium Health Resources

Kennedy ABA manages the insurance process so you don’t spend hours learning billing codes and authorization requirements just to access the care your child needs.

Here’s What We Do:
We verify first
Give us your Trillium Health Resources information, and we'll confirm exactly what's covered before you commit to treatment. No mid-therapy surprises about what Trillium will or won't pay for.
We submit authorization requests
Trillium Health Resources won't approve ABA therapy without prior authorization. We know exactly what documentation they need, how they want it formatted, and who to follow up with when they go silent.
We break down your costs
Before your child's first therapy session, you'll know what Trillium Health Resources pays and what comes out of your pocket. Real numbers based on your actual plan—not ballpark estimates that turn into billing problems later.
We handle the administrative chaos
Submitting claims to Trillium Health Resources, following up when on the paperwork, resubmitting when they request more information, appealing when they deny coverage they should approve—we manage it all.
Get Started Today

Insurance Management

Our in Network of Insurance Providers in North Carolina

We work with all major insurance providers across North Carolina:

Don’t see yours? We might work with them, too. Just ask

Check Your Coverage
We tackle challenges and transform
lives through

What Trillium Health Resources covers for ABA therapy

When insurance approves ABA therapy, here’s what’s usually covered:

In-Home ABA Therapy

Direct one-on-one sessions with a trained RBT in your home. Where your child works on communication during actual conversations, practices behavior regulation during real transitions, and builds skills in the environment where they need them most.

School-Based ABA Support

Therapy during your child’s school day—in their classroom, during lunch, at recess. We help them succeed in the moments that matter: participating in group work, managing frustration when assignments get hard, and navigating social situations with peers.

Telehealth ABA Sessions

Virtual therapy appointments that maintain consistency when in-person isn’t possible. Your family gets flexibility without sacrificing progress.

Parent Training & Coaching

Direct instruction on the same strategies our therapists use. You’ll know how to reinforce appropriate requests during dinner, how to handle escalation at bedtime, how to support your child’s progress between sessions and after therapy ends.

Coverage varies by plan, but we’ll walk you through exactly what yours includes.

Contact Us to Learn More

What Makes Trillium Health Resources Different

Eastern North Carolina Tailored Plan

  • Serves 26 counties in eastern NC including Wayne, Duplin, Pitt, Nash, Wilson
  • Manages behavioral health and I/DD services for Medicaid members
  • Authorization goes through Trillium, not NC Medicaid Direct

No Annual Cap on Coverage

  • Covers ABA therapy for children under 21 with no dollar limit
  • Services continue as long as medically necessary
  • Part of EPSDT benefit for comprehensive child health coverage

Care Coordination Services

  • Assigns Care Coordinator to support families receiving intensive services
  • Coordinates between ABA provider, school, medical providers, and other therapists
  • Helps navigate the system and advocate for your child's needs

Six-Month Reauthorizations

  • Reauthorization required every 6 months
  • Reviews progress data and treatment plan updates
  • May adjust hours based on progress or change in needs
  • Authorization processing: 10-14 business days

No Out-of-Pocket Costs

  • Zero copays or deductibles for ABA therapy services
  • Medicaid members pay nothing for authorized services
Get In Touch

How to get started with Trillium Health Resources

  • Step: 01
    Contact Kennedy ABA: Call us or fill out our contact form. We'll need your Trillium Health Resources member ID and your child's autism diagnosis documentation.
  • Step: 02
    We contact Trillium Health Resources: We verify your benefits directly with Trillium Health Resources. You'll get clear answers about what's covered.
  • Step: 03
    We submit authorization: We prepare and submit the prior authorization request with all required clinical documentation. Then we follow up with Trillium Health Resources until they process it.
  • Step: 04
    Your child starts therapy: Once Trillium Health Resources approves coverage, we schedule your child's first session, in your home or at school, based on your family's needs and schedule.
Start the Process Today

Getting the most from your Trillium Health Resources plan

Before starting:

  • Keep your Trillium Health Resources card accessible (you'll need both sides)
  • Have your child's autism diagnosis documentation ready
  • Ask us what additional paperwork your specific Trillium Health Resources plan requires

During therapy:

  • We monitor your Trillium Health Resources authorization periods and benefits utilization
  • We submit reauthorization requests to Trillium Health Resources before current approvals expire
  • We update you regularly on coverage status and any Trillium Health Resources communications

If Trillium Health Resources coverage is limited:

  • We'll appeal denials with strong clinical documentation from our BCBA team
  • We'll explore payment arrangements for out-of-pocket costs
  • Most families find workable solutions—very few end up unable to access services
Get In Touch
About Us

Why families with Trillium Health Resources trust Kennedy ABA

We've processed hundreds of Trillium Health Resources authorizations. We understand their documentation requirements, typical processing timelines, and how to appeal when they issue questionable denials.
We know how Trillium works.
You don't need to become fluent in insurance terminology and medical billing codes. We handle everything Trillium-related from initial verification through final claims.
We manage the entire process.
We verify your Trillium Health Resources benefits before therapy begins. You get clear cost information—not vague estimates that turn into surprise billing statements months later.
You know the costs upfront.
In your home during real routines and transitions. At school, during actual lessons and peer interactions. Not in a clinic practicing skills that don't transfer to the environments where your child actually needs them.
Therapy happens where it matters
When Trillium Health Resources denies coverage, we explain the actual reason—which often differs from their official denial letter—and appeal with documentation that addresses their real concerns.
We're direct
More About Kennedy ABA
FAQ

Trillium Health Resources Coverage FAQs

Depends entirely on your specific plan details. Some families pay only their monthly premium with no additional costs. Others have copays ($10-50 per session typically), deductibles, or coinsurance percentages. We verify your exact financial responsibility before your child’s first session.
Some plans do, others don’t. We’ll check your specific plan requirements and help you obtain any necessary referrals.
Typically, an official autism diagnosis, a comprehensive treatment plan from our BCBA, and completed prior authorization forms. Sometimes requests additional records from your child’s physician or educational team. We handle all submissions and follow-up communications.
Usually 7-14 business days. Sometimes faster when has everything they need immediately. Occasionally, longer if they request supplementary documentation or flag the case for additional review. We push for expedited approvals and keep you informed throughout.
Most plans in North Carolina approve 10-40 weekly hours, depending on clinical necessity and plan limitations. We request what your BCBA determines your child needs. If approves fewer hours, we appeal with clinical justification.
We help you appeal using additional clinical documentation from our BCBA team and your child’s medical providers. Most denials get overturned when you provide the right supporting information.
Yes. ABA therapy qualifies as a medical expense, so HSA or FSA accounts can cover copays, deductibles, and any out-of-pocket costs.

We work with most major insurance providers in North Carolina. If you have different coverage, we likely work with them. Without insurance, we can discuss self-pay options and payment plans.

Some plans extend ABA coverage to ADHD or other developmental conditions. Many don’t. We’ll verify what your specific plan covers.
typically covers ABA therapy as long as it remains medically necessary. We monitor your benefits throughout treatment and keep you informed about coverage status.
We work with throughout North Carolina. During benefits verification, we’ll confirm whether we’re in-network with your specific plan—which typically means lower costs for your family.
usually authorizes ABA therapy in 3-6 month periods. We track expiration dates and submit renewal requests 30 days early to prevent service interruptions while processes new authorizations.
Still Have Questions?
Contact Us

Let’s get You Covered

Our team has navigated every variety of plan, answered every type of coverage question, and handled every insurance complication imaginable.

This is what we do best, so your child can get the help they need. Fast.

Check My Trillium Health Resources Coverage Now