First Name
Last Name
Email Address
Phone number
Zip code
State
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
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Indiana
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Louisiana
Maine
Maryland
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Michigan
Minnesota
Mississippi
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New York
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Ohio
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Pennsylvania
Rhode Island
South Carolina
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Age of Child
Does your child have an ASD diagnosis?
Select
Yes
No
No, evaluation scheduled
No, on a waitlist
No, have non-ASD diagnosis
Does your child have health insurance?
Select
Yes
No
Name of insurance provider
Select
Aetna
Aetna Better Health
Aetna Better Health Illinois
Aetna Better Health of California
AHCCCS
Alabama Medicaid
Alliance Health
Alliant Health Plans
Amerigroup
AmeriHealth Caritas
Anthem
Anthem Blue Cross Partnership Plan
Anthem Health Keepers Plus
Apple Health
Arkansas Medicaid
ARKids First
Banner University Family Care
Baylor Scott & White Health Plan
BCBS
BCBS FEP
BCBS IL
BCBS TX
Beacon
Blue Care
Blue Shield of California
Buckeye CommunityHP
Cal Viva Health
CalOptima
Cardinal Care
Carefirst
Carelon
Caresource
CDPHP
Cenpatico Behavioral Health
Centennial Care
ChampVa
Children's Medical Services Health Plan
Colorado Access
Community Care Plan
Community First
Community Health Group
Community Health Plan of Washington
ComPsych
Cook Children's Health Plan
Coordinated Care
DeanHealth Plan
DenaliCare
DMMA - Medical Assistance Services
Driscoll
Eastpointe
Emblem
Empire (BCBS)
Evernorth(Cigna)
First Care
First Health Aetna
Florida Blue
Florida Medicaid
ForwardHealth
Frontpath
Geisinger Health
Georgia Families
Georgia Medicaid
Green Mountain care
Health Alliance
Health Connection
Health First Colorado
Health Net
Health Plan of Nevada
Health Plan of San Joaquin
Health Share of Oregon
HealthChoice Illinois
HealthSmart
Healthy Blue
Healthy Connections
Healthy Louisiana Health Plan
Highmark
HMC Healthworks
Home State Health
Hoosier Care Connect
Horizon NJ Health
HSCSN
Humana
Humana Healthy Horizons FL
Humana Healthy Horizons KY
Husky Health
Idaho Medicaid
Independence Blue Cross
Independent Health
Inland Empire Health Plan (IEHP)
Iowa Total care
Kaiser Permanente
KanCare
Kentucky Medicaid
Kern Family Health Care
KyHealth Choices
L. A. Care Health Plan
Lifetime Healthcare
Magellan
MaineCare
Maryland Physicians Care
Mass Health
MDWise
Medica Choice Passport
Meridian
Meritain
MetLife
mhs Hoosier Healthwise
Michigan Medicaid
miHealth
Minnesota Health Care Programs
MississippiCAN
Molina Healthcare
Mountain Co-OP
MVP Health Care
NC Medicaid Direct
Nebraska State Medicaid
Nevada Medicaid
NH Healthy Families
Ohio Department of Medicaid
Ohio Medicaid
Oklahoma Health Care Authority
Optima Health
Optum
Oregon Health Plan
Oscar
Pacific Source
Parkland Community Health Plan
Partners Health Management
Partnership HealthPlan of California
Peach State Health Plan
PeachCare for Kids
PHP
Premera BC
Presbyterian
Priority Partners
QUEST
Regence
Rhode Island Medical Assistance
Rocky Mountain Health Plans
SAMBA
Sandhills
Select Health of South Carolina
SelectHealth
Simply Healthcare
South Dakota Medicaid
Steward Health Choice
Sunflower Health Plan
Sunshine Health
Superior Plan (STAR)
TennCare
Texas Children's Health Plan
Texas Star
The Health Plan
The Ohio State University Health Plan
Total Health Care
Tricare
Tricare East
Tricare West
Trillium Health Resources
UCARE
UHC Community Plan (STAR)
UMR
UPMC Health Plan
Unicare
United Healthcare
United Healthcare Community Plan
Utah Medicaid
VA Healthcare
Vaya Health
Wellcare
Wellpoint
WellSense Health Plan
Western Sky Community Care
Wisconsin Medical Assistance Program
WV Medicaid
Wyoming Medicaid
*Other, Not Listed
Do you have a medicaid plan?
Select
Yes
No
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