Early Intervention and ABA in Louisiana
Skip the insurance wait. Part C early intervention is the fastest first step for Louisiana kids under 3.
Start with Part C, not insurance
If your child is under 3 and you suspect autism, Louisiana's Part C early intervention program is the fastest door. It is federally required in every state, and you do not need an autism diagnosis to ask for an evaluation. That makes it the quickest first step, even if you plan to use ABA later.
Part C and insurance-funded ABA are separate systems. You can use them in sequence or at the same time. Part C gets you evaluated and into services now, while you sort out insurance coverage for ABA on the side.
Request an evaluation in writing
Call or write to Louisiana's Part C program, often called EarlySteps. Ask for a written request for an evaluation. You can do this yourself, no doctor referral needed.
Put your request in writing and keep a copy. Include your child's name, birth date, and why you are concerned. The program has a timeline to respond, usually within 45 days from referral to completing the evaluation and holding the first meeting. Ask what the timeline is when you call.
What an IFSP is and how it works
If your child qualifies, you will get an Individualized Family Service Plan, or IFSP. This is a written plan that lists your child's developmental needs and the services they will get. It also names your family's goals, because Part C is about supporting the whole family, not just the child.
Services are delivered where your child naturally spends time: at home, at a daycare, or in a community setting like a park or library. A provider comes to you. That is a big difference from clinic-based ABA, and it means you do not have to drive anywhere.
- Developmental evaluations and assessments
- Speech and language therapy
- Occupational therapy
- Physical therapy
- Family training and counseling
- Service coordination
Cost and how to pay
Part C is free or low-cost, depending on your income. The state uses a sliding scale, so some families pay nothing and others pay a modest fee. You cannot be denied services because you cannot pay.
Ask your service coordinator about the sliding scale and what documentation you need. There is no cost for the evaluation itself, and the state cannot charge you for services that are not covered by your insurance or Medicaid.
Transition to school services at age 3
Part C ends on your child's third birthday. Before that, the program must help you transition to school-district services. This is a different system, run by your local school district, and it uses an IEP, not an IFSP.
The transition starts around your child's second birthday. Your service coordinator will help you plan, and the school district will evaluate your child for preschool special education. Some children qualify for services under the IDEA, and some do not. If your child does not qualify, you still have options, including private ABA.
Start the transition early. Ask your service coordinator for a timeline and who to contact at the school district. You can also contact the school district yourself to request an evaluation.
ABA in Louisiana and insurance
Louisiana has an autism insurance mandate, but it only applies to fully insured employer plans. If your plan is self-funded, which is common with large employers, the state mandate does not apply. Your plan is governed by ERISA, a federal law, and it may still cover ABA, but it is not required to.
Medicaid covers medically necessary ABA for children under 21 through EPSDT. If your child is on Medicaid, ask your Medicaid plan about ABA coverage and how to get prior authorization.
We list ABA agencies across Louisiana. The largest concentrations are in Calcasieu Parish, Jefferson Parish, and East Baton Rouge Parish.
Ask your insurer these exact questions
Limits on ABA coverage vary by plan. Do not rely on a number you read online, because it may be outdated or not apply to your plan. Call the number on your insurance card and ask these questions:
Write down the answers, including the date, the representative's name, and any reference number. If they say something is covered, ask for it in writing or a recording.
- Does my plan cover applied behavior analysis for autism?
- What is the annual dollar cap or hour cap for ABA?
- Is there a lifetime cap?
- Do I need a prior authorization? How do I get one?
- What is the out-of-pocket cost for ABA sessions?
- Are there in-network ABA providers I must use?
Louisiana listings right now
196 ABA agencies across 34 Louisiana counties.