Early Intervention and ABA in Washington DC
Get your child under 3 evaluated fast through DC's Part C program, then layer in ABA if needed.
Part C is your fastest first step
If your child is under 3 and you suspect autism, you don't need a diagnosis to get help. Every state, including Washington DC, runs a federally required early intervention program called Part C. In DC, it's the DC Early Intervention Program. This is the fastest door because it's free or low cost and doesn't wait for an autism evaluation.
Part C and insurance-funded ABA are separate systems. You can use them in sequence or at the same time. Many families start with Part C while they pursue a formal autism diagnosis and then add ABA through insurance. Part C can also help you figure out what your child needs before you commit to a therapy schedule.
How to request an evaluation
You request an evaluation in writing. Send a letter or email to the DC Early Intervention Program asking for a Part C evaluation. You don't need a referral from a doctor, and you don't need a diagnosis. Just say you're concerned about your child's development and want an evaluation.
The program must respond within a set timeline, usually 45 days from referral to evaluation and, if eligible, to writing an Individualized Family Service Plan (IFSP). You can also call the program's intake line to start the process, but put your request in writing to have a record. Ask for a written confirmation that they received it.
What an IFSP includes
If your child qualifies, a team writes an IFSP with you. The IFSP lists your child's strengths and needs, your family's concerns, and the specific services your child will get. It also says where services happen and how often.
Services under Part C are delivered in your home or in community settings like a daycare or park. That's a big difference from clinic-based ABA. The IFSP is reviewed every six months and updated at least once a year. You're part of the team and you approve the plan before it starts.
Cost and who pays
Part C is free or sliding scale depending on your income. In DC, you won't be turned away if you can't pay. Some services may be covered by your insurance, but the program can't require you to use insurance if it would cost you money or use up your benefits.
The IFSP should tell you what, if anything, you'll pay. Ask the service coordinator directly: 'What will this cost me?' If they mention a fee, ask for the sliding scale based on your income. Many families pay nothing.
ABA through insurance after a diagnosis
Once your child has an autism diagnosis, you can seek ABA through your health insurance. DC has an autism insurance mandate, but it only applies to fully insured plans. If your employer self-funds its plan, ERISA exempts it from the mandate, though many self-funded plans still cover ABA. Your plan documents will tell you.
Ask your insurer this exact question: 'Does my plan cover applied behavior analysis for autism, and what are the session limits, prior authorization requirements, and provider network rules?' Limits vary by plan, so don't rely on a general number. Your member card lists your plan name and a customer service number.
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 find a provider. The plan name is on your member card.
Transition to school services at age 3
Part C stops on your child's third birthday. At least six months before that, your service coordinator must help you transition to the DC Public Schools system. The school district evaluates your child for special education preschool services under IDEA Part B.
That evaluation is separate from Part C. If your child qualifies, they get an Individualized Education Program (IEP) that can include speech, occupational therapy, and other supports. ABA is not automatically part of an IEP, but you can request it if it's needed for your child to benefit from education. The transition meeting happens before age 3, so start the conversation early.
Washington DC listings right now
27 ABA agencies across 1 Washington DC counties.