Maximizing ABA Therapy Coverage with Ohio Medicaid

Optimize ABA Therapy coverage with Ohio Medicaid. Learn how to navigate benefits, ensure access to care, and maximize support for effective therapy solutions.

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Sunday, March 9, 2025

Introduction to ABA Therapy and Its Importance

Applied Behavior Analysis (ABA) therapy is a scientifically supported intervention designed to improve significant behaviors in individuals, particularly those diagnosed with Autism Spectrum Disorder (ASD). ABA therapy focuses on understanding how behavior works, how it is influenced by the environment, and how learning occurs. By using techniques rooted in behavioral principles, ABA therapy helps build critical skills, enhance communication abilities, and encourage positive social behaviors, making it a cornerstone in autism interventions.

Parents frequently ask, “What is ABA therapy?” and “What is the best age to start ABA therapy?” Typically, the earlier the intervention, the better the outcomes. Evidence points to beginning ABA therapy between the ages of 2-5, though it remains beneficial at older ages. ABA therapy can be intensely customized based on individual needs, with a recommendation of 20-40 hours per week to achieve meaningful outcomes. By targeting unique challenges, ABA supports children in meeting developmental milestones and reaching their fullest potential.

Understanding whether ABA therapy is covered by Medicaid in Ohio is crucial for families seeking access to these services. Ohio’s Medicaid program provides options for covering ABA therapy, often helping remove financial barriers. Additionally, navigating Ohio’s Autism Scholarship and Jon Peterson Special Needs Scholarship programs can further assist families in accessing necessary resources. Learning centers specializing in autism ABA therapy can guide families through this process, offering assistance with paperwork, eligibility criteria, and understanding state-mandated benefits.

Several studies affirm the effectiveness of ABA therapy, prompting the question, “Does ABA therapy really work? Let’s explore the evidence.” Data shows that ABA therapy leads to measurable improvements in core skill areas, fostering independence and better quality of life. Notable benefits include improved focus, enhanced language skills, better academic performance, and fewer problem behaviors. By examining the 7 benefits of ABA therapy for children with Autism Spectrum Disorder, parents strengthen their understanding of its transformative potential.

For families searching for the right resources, learning centers often encourage them to reach out to knowledgeable professionals. These centers specialize in tailoring services to individual needs and help answer questions such as “How many ABA therapy hours are needed to see success?” Combining Medicaid’s coverage options with other state scholarships ensures families have greater access to indispensable services and support systems.

Understanding Ohio Medicaid: An Overview

Ohio Medicaid is a critical resource for many families, especially those seeking therapy services, such as Applied Behavior Analysis (ABA), for children with autism spectrum disorder. As parents explore whether ABA therapy is covered by Medicaid in Ohio, they find that the program provides access to a range of essential services designed to support children with developmental and behavioral needs. ABA therapy, widely recognized for its effectiveness, is often included under Ohio Medicaid plans. This ensures that families, including those navigating Ohio’s Autism Scholarship and Jon Peterson Special Needs Scholarship programs, can access the specialized care their children require.

ABA therapy focuses on helping children develop essential life skills by breaking tasks into manageable steps, reinforcing positive behaviors, and addressing challenging ones. Research supports its efficacy, particularly when started at an early age, with many experts agreeing that the best age to start ABA therapy is as soon as autism is diagnosed. Ohio Medicaid helps families by covering these evidence-based therapies, reducing financial barriers to early intervention.

Families often wonder, “Does ABA therapy really work?” Programs administered under Medicaid are grounded in research that highlights positive outcomes. Benefits of ABA therapy include improvements in communication, social interactions, adaptive skills, and overall behavior. Success typically depends on factors such as the number of therapy hours per week and the individualized approach offered at a learning center. On average, children may require up to 20–40 hours of ABA therapy weekly to achieve measurable progress.

Ohio Medicaid acts as a cornerstone for families who wish to reach out for readily available resources. By understanding these options, parents can better advocate for their child’s needs while maximizing coverage through Medicaid plans.

Eligibility Criteria for ABA Therapy Coverage with Ohio Medicaid

Ohio Medicaid provides coverage for Applied Behavior Analysis (ABA) therapy, an evidence-based intervention proven to benefit children with Autism Spectrum Disorder (ASD). However, specific eligibility requirements must be met to qualify for coverage. Understanding these criteria is essential for families seeking to leverage Medicaid support, navigate Ohio’s Autism Scholarship, the Jon Peterson Special Needs Scholarship, or access services through a learning center.

To qualify for ABA therapy coverage under Ohio Medicaid, the recipient must first meet Medicaid’s general eligibility requirements, which include residency in Ohio, proof of U.S. citizenship or legal residency, and income thresholds based on household size. These financial criteria determine initial access to Medicaid benefits.

The child or individual for whom ABA therapy is sought must also have a formal diagnosis of autism spectrum disorder. This diagnosis must be made by a qualified healthcare professional, such as a developmental pediatrician, licensed psychologist, or neurologist. A diagnostic evaluation, which may include the use of standardized tools such as the ADOS-2 or other validated measures, is typically required.

In addition to the diagnosis, an individualized treatment plan must demonstrate that ABA therapy is a medically necessary intervention for the recipient. This may involve the healthcare provider documenting specific challenges, such as communication deficits, behavioral concerns, or social difficulties, that can be addressed effectively through autism ABA techniques.

Certain age-related considerations may also apply. Research shows early intervention yields optimal results, prompting many families to ask, “What is the best age to start ABA therapy?” While Medicaid typically covers therapy for individuals diagnosed in childhood, policies may vary for adolescent or adult enrollees.

The number of ABA therapy hours needed to see success often depends on individual needs, which are assessed through comprehensive evaluations. Medicaid may also require periodic reviews of the therapy’s effectiveness, ensuring progress toward documented goals.

Parents are encouraged to reach out to Ohio Medicaid representatives or specialist learning centers for detailed guidance. By adhering to the outlined criteria, families can secure access to this transformative therapy and explore its 7 benefits for children with autism.

Key Benefits of Utilizing Ohio Medicaid for ABA Therapy

Ohio Medicaid offers significant advantages for families seeking Applied Behavior Analysis (ABA) therapy for children with autism spectrum disorder (ASD). For parents navigating Ohio’s Autism Scholarship and Jon Peterson Special Needs Scholarship programs, understanding Ohio Medicaid’s role in covering ABA therapy is crucial. By securing Medicaid coverage, families can access essential support for behavioral improvements, social skill development, and long-term growth for children with ASD.

One of the key benefits of Ohio Medicaid is the financial relief provided through coverage of ABA therapy. For families wondering, “Is ABA therapy covered by Medicaid in Ohio?” the answer is yes. ABA therapy can otherwise be costly, especially when trying to provide the recommended hours. Research indicates that success in ABA therapy often requires consistent interventions, with many children benefiting from 20 to 40 hours per week. With Ohio Medicaid, parents can reduce out-of-pocket expenses and focus on finding the right learning center or provider.

Flexibility in accessing a variety of ABA services is another significant advantage. Medicaid enables families to work with trained professionals in different settings, including learning centers, schools, and homes, ensuring that therapy aligns with each child’s needs and environment. For parents concerned about “what is ABA therapy 2,” Medicaid helps demystify the process by connecting families with experienced professionals who employ evidence-based strategies.

Ohio Medicaid also supports early intervention. Studies show that the best age to start ABA therapy is as early as two to five years old. By offering Medicaid coverage for young children, families have the chance to start interventions during a critical developmental window, increasing the chances of measurable progress.

For parents asking, “Does ABA therapy really work? Let’s explore,” the answer lies in its structured approach. ABA therapy breaks down skills into manageable steps, employs positive reinforcement, and tracks measurable outcomes. Medicaid ensures that families can afford proven approaches to help children improve self-regulation, communication, and life skills—key aspects outlined in the “7 benefits of ABA therapy for children with autism spectrum disorder.”

By removing financial barriers, encouraging early intervention, and providing access to experienced providers, Medicaid addresses common concerns faced by families. With its support, families are better positioned to provide the hours needed for success while being able to fully reach out for comprehensive services tailored to their child’s unique needs.

Navigating the application process to secure ABA therapy coverage through Ohio Medicaid requires careful understanding of the guidelines and key steps. Families often inquire, “Is ABA therapy covered by Medicaid in Ohio?” and the answer is yes, though compliance with specific requirements is essential. Parents can also consider accessing additional support by navigating Ohio’s Autism Scholarship and Jon Peterson Special Needs Scholarship programs, which complement Medicaid coverage for children with autism spectrum disorder.

To begin, individuals must confirm their child’s diagnosis of autism through a licensed healthcare professional, such as a developmental pediatrician or clinical psychologist, as proof of medical necessity is a foundational criterion. Once this diagnosis is secured, families are encouraged to reach out to Ohio Medicaid or managed care plans for specific details, including eligibility, documentation expectations, and potential out-of-pocket costs. Partnering with a recognized learning center specializing in autism ABA services can be highly beneficial in expediting this process.

Applicants should prepare a comprehensive document packet, typically including the child’s diagnosis, a recommended ABA therapy plan, and any supporting evaluations. Providers often assist in ensuring that documentation aligns with Ohio Medicaid’s requirements. It is crucial to understand how many ABA therapy hours are needed to see success, as Medicaid often bases coverage on a prescribed treatment plan. Parents navigating Ohio’s Autism Scholarship programs can integrate these funding options for maximum therapy access.

Families should submit applications promptly and maintain ongoing communication with Medicaid case managers or program administrators to track progress. When asking, “Does ABA therapy really work? Let’s explore outcomes,” applicants should highlight the 7 benefits of ABA therapy for children with autism spectrum disorder, emphasizing its success when intervention begins early. Questions such as “What is the best age to start ABA therapy?” also underscore the importance of initiating services as soon as possible.

Common Challenges in Securing ABA Therapy Through Medicaid

Accessing Applied Behavior Analysis (ABA) therapy coverage through Medicaid in Ohio presents several hurdles for families navigating essential services for children with autism spectrum disorder. While families might wonder, “Is ABA therapy covered by Medicaid in Ohio?” the reality often involves navigating eligibility requirements, reimbursement processes, and provider availability.

One significant challenge is understanding Medicaid’s coverage policies. Ohio Medicaid generally supports ABA therapy under specific conditions, but clear communication regarding requirements can be inconsistent. Parents must navigate these provisions while also deciphering other programs such as Ohio’s Autism Scholarship or the Jon Peterson Special Needs Scholarship. These scholarships may offer alternatives, particularly for families seeking private therapy or enrolling their child in a learning center.

The availability of licensed providers represents another obstacle. ABA therapy requires Board Certified Behavior Analysts (BCBAs) and trained therapists, yet such services may be geographically limited or have waitlists. This scarcity particularly affects rural areas, leaving families with fewer options and delayed care at a time when research supports early intervention. Parents often ask, “What is the best age to start ABA therapy?” Experts recommend beginning as early as possible, but delays in navigating Medicaid approvals or provider access can impede this critical timeline.

Administrative and documentation requirements further complicate the process. Families are tasked with providing evaluations confirming medical necessity, ongoing progress reports, and Medicaid compliance paperwork. Factors such as how many ABA therapy hours are needed to see success, as well as whether Medicaid reimburses all prescribed hours, add additional layers of complexity. And while studies addressing “Does ABA therapy really work? Let’s explore” overwhelmingly highlight its benefits, securing consistent funding can remain a frustrating endeavor.

Efforts to address these bottlenecks often involve reaching out to advocacy groups or Medicaid caseworkers to clarify options. Nonetheless, navigating Medicaid for autism ABA services requires persistence and significant time investments for families.

Tips for Maximizing ABA Coverage Under Ohio Medicaid

Understanding how to leverage available resources for Applied Behavior Analysis (ABA) therapy under Ohio Medicaid is essential for ensuring children with autism spectrum disorder receive optimal care. The answer to “Is ABA therapy covered by Medicaid in Ohio?” lies in knowing the specific steps and strategies for maximizing coverage. Families navigating Ohio’s Autism Scholarship and Jon Peterson Special Needs Scholarship may also find additional avenues to supplement Medicaid benefits.

1. Understand Eligibility Criteria

Ohio Medicaid typically covers ABA therapy, but eligibility requirements must be met. Parents or guardians should confirm their child’s diagnosis of autism spectrum disorder through an authorized provider, as an official diagnosis is a prerequisite for coverage. Moreover, understanding what is ABA therapy and its importance in developmental progress is vital for justifying the therapy’s necessity during the approval process.

2. Collaborate With Healthcare Providers

Partnering with licensed healthcare professionals is critical for securing ABA therapy coverage. Specialists can assist in crafting treatment plans aligned with Medicaid standards, including determining how many ABA therapy hours are needed to see success based on the child’s individual needs. Professionals should also outline the 7 benefits of ABA therapy for children with autism spectrum disorder in documentation submitted to Medicaid.

3. Explore Supplemental Resources

Families may benefit by combining Medicaid coverage with Ohio’s Autism Scholarship or Jon Peterson Special Needs Scholarship programs. These scholarships provide families additional funds that can go toward services at centers equipped to deliver autism ABA therapy. Learning centers are an excellent starting point for exploring supplemental options.

4. Plan Financially and Log Services

Medicaid may require detailed treatment logs and planned therapy schedules to ensure continued coverage. Parents should reach out to therapy providers to create structured documents indicating measurable progress. Demonstrating tangible improvements helps Medicaid administrators understand if ABA therapy really works for the specific child.

5. Start Early and Monitor Progress

Experts often remark that younger children benefit most from ABA therapy, with professionals exploring what the best age to start ABA therapy might be. Families should begin treatment as early as possible and monitor progress closely, adjusting therapy hours or techniques to maximize effectiveness within Medicaid coverage limits.

Careful planning, collaboration, and proactive monitoring are foundational for optimizing ABA therapy under Ohio Medicaid.

Collaborating with Providers to Optimize Treatment Plans

To maximize the coverage of ABA therapy through Ohio Medicaid, effective collaboration with qualified providers is essential. Providers play a pivotal role in tailoring treatment plans to meet the unique needs of individuals on the autism spectrum. By working closely with providers, families can address questions like “Is ABA therapy covered by Medicaid in Ohio?” and gain insights into its accessibility under programs like Ohio’s Autism Scholarship and Jon Peterson Special Needs Scholarship.

Parents navigating these options should actively engage with their chosen learning center or therapy clinician to craft a structured and individualized plan for their child. Discussions should incorporate critical aspects such as “What is ABA therapy?” and “how many ABA therapy hours are needed to see success?” Providers utilize evidence-based practices to evaluate each child’s developmental level, behaviors, and learning needs, ensuring the plan is both comprehensive and Medicaid-compliant.

Key factors to address during collaboration include:

  • Comprehensive Assessments: Providers should perform thorough evaluations to determine behavioral challenges and skill deficits.
  • Age Considerations: Since early intervention is widely acknowledged as beneficial (answering “What is the best age to start ABA therapy?”), clinics should help identify the right time to begin therapy.
  • Goal Setting: Families and providers should set measurable goals that align with the 7 benefits of ABA therapy for children with autism spectrum disorder, such as improving communication and social skills.
  • Treatment Intensity: Discussions should cover the purpose of intensive sessions, offering clarity on whether “ABA therapy really works—let’s explore” outcomes.

Open communication is vital. Parents are encouraged to reach out to providers to address gaps in understanding Medicaid requirements and scholarship programs. When coordinated effectively, these collaborations empower families to navigate the complex landscape of therapy funding while ensuring optimal outcomes for their child’s development.

Maintaining Compliance with Ohio Medicaid Requirements

To maximize ABA therapy coverage under Ohio Medicaid, it is critical to meet and maintain compliance with the program’s specific requirements. Parents and guardians often ask, “Is ABA therapy covered by Medicaid in Ohio?” The answer is yes, but only under strict regulatory conditions. Adhering to these conditions ensures continued access to resources for services such as autism ABA therapy through a learning center or home-based care.

Ohio Medicaid mandates that ABA therapy providers hold the appropriate certifications and licenses. For caregivers seeking services, it is essential to verify that therapists are credentialed as Board Certified Behavior Analysts (BCBAs) or supervised Registered Behavior Technicians (RBTs). Additionally, a physician, clinical psychologist, or relevant specialist must recommend ABA therapy as medically necessary, which may involve a comprehensive diagnostic evaluation for autism spectrum disorder.

Regular reporting and meticulous documentation are required to remain compliant. Providers must submit treatment plans, including the number of ABA therapy hours needed to see success, measurable goals, and progress updates. Claims for reimbursement only succeed when supported by proper records. Parents are encouraged to periodically review records to ensure all services align with prescribed plans to avoid processing delays.

Families navigating Ohio’s Autism Scholarship and Jon Peterson Special Needs Scholarship should know these programs align closely with Medicaid in terms of compliance. These scholarships offer supplemental funds but also require rigorous adherence to guidelines.

Reaching out to Medicaid waiver specialists or program coordinators can streamline the process of meeting requirements. By maintaining compliance, families can focus on exploring questions like “What is the best age to start ABA therapy?” or “Does ABA therapy really work?” while ensuring consistent therapy benefits.

Recent Updates and Policy Changes Impacting ABA Coverage

The Ohio Medicaid system has undergone critical adjustments in recent years that affect access to Applied Behavior Analysis (ABA) therapy for individuals diagnosed with autism spectrum disorder. Parents searching for answers to questions like “is ABA therapy covered by Medicaid in Ohio” must be informed of these updates, which directly influence the availability and extent of coverage.

One significant change involves revisions to the eligibility criteria for Medicaid coverage of ABA services. Documentation requirements, such as an official autism diagnosis and comprehensive medical records, remain central to accessing therapy coverage. However, changes aim to simplify the process for qualifying families, particularly those navigating Ohio’s Autism Scholarship and Jon Peterson Special Needs Scholarship programs. These scholarships often work in tandem with Medicaid coverage, granting families additional routes to fund services provided by autism ABA professionals at a learning center or through private providers.

Ohio Medicaid has also revised its guidelines regarding how many ABA therapy hours are needed to see success. While the therapy plans are highly individualized, updated policies have created a more transparent process to evaluate each child’s needs. For example, Medicaid now emphasizes functional goals and progress benchmarks, which align directly with the 7 benefits of ABA therapy for children with autism spectrum disorder, including improved communication and social skills. These policy shifts further highlight Ohio Medicaid’s commitment to ensuring ABA therapy accessibility for those exploring “does ABA therapy really work? Let’s explore.”

Recent initiatives encourage families to reach out for assistance navigating these updates. Resources include specialized case managers and online portals to support understanding of “what is ABA therapy,” helping to answer critical questions such as “what is the best age to start ABA therapy.” These tools also educate families on how therapy is funded and ensure they remain informed on new benefits and restrictions. Enhanced transparency under the revised Medicaid guidelines allows families to optimize their child’s development plan effectively.

Success Stories: Real-Life Examples of Medicaid-Assisted ABA Therapy

Medicaid coverage for Applied Behavior Analysis (ABA) therapy in Ohio has been a critical support for families with children on the autism spectrum. Stories from parents and caregivers highlight how access to ABA therapy through Ohio Medicaid has transformed lives. Diving into these accounts sheds light on how individuals have successfully navigated Ohio’s Autism Scholarship and Jon Peterson Special Needs Scholarship programs to facilitate therapy and learning opportunities.

One family shared how their three-year-old son, diagnosed with autism, made remarkable progress at a local learning center specializing in autism ABA therapy. Initially non-verbal and exhibiting repetitive behaviors, the child began speaking in short sentences and responding to social cues within six months of starting an intensive therapy program. With Ohio Medicaid covering many of the therapy hours required, these parents avoided financial strain while addressing the question, “Does ABA therapy really work? Let’s explore.” For this family, the answer was a resounding yes.

Another example comes from a mother of a seven-year-old who expressed concerns about how many ABA therapy hours are needed to see success. With her son struggling with self-regulation and classroom interactions, the family used Medicaid assistance to schedule 25 weekly hours of therapy. Within a year, the child demonstrated significant improvement in focus, alongside enhanced ability to follow instructions—further validating the seven benefits of ABA therapy for children with autism spectrum disorder.

These families often reach out to trusted professionals for answers to key questions, like “What is ABA therapy?” and “What is the best age to start ABA therapy?” One father took proactive steps to ensure his five-year-old daughter received early intervention and coordinated with Medicaid to access services. By starting early and utilizing the Autism Scholarship, his daughter gained social skills and independence, showcasing the program’s effectiveness.

Through dedication and the effective use of Ohio Medicaid, these real-life stories demonstrate the potential for ABA therapy to deliver life-changing outcomes for children with autism spectrum disorder.

Frequently Asked Questions (FAQs) About ABA Therapy and Ohio Medicaid

Is ABA Therapy Covered by Medicaid in Ohio?

Yes, ABA therapy is covered by Medicaid in Ohio under certain conditions. The therapy must be deemed medically necessary, and a licensed medical professional typically needs to recommend it for individuals with autism spectrum disorder. Families can also explore additional funding options, such as Ohio’s Autism Scholarship Program and the Jon Peterson Special Needs Scholarship, for supplementary support.

What Is ABA Therapy, and How Does It Work?

ABA therapy, or Applied Behavior Analysis, is an evidence-based therapeutic approach designed to improve behavior, communication, and social skills in individuals with autism spectrum disorder. By focusing on positive reinforcement and individualized strategies, this therapy helps children accomplish specific goals. Learning centers and clinics specializing in autism ABA therapy often provide a structured environment where progress can be closely monitored.

What Is the Best Age to Start ABA Therapy?

ABA therapy generally shows the greatest effectiveness when introduced early, often between the ages of 2 and 6. Early intervention is critical, as younger children tend to adapt more quickly, allowing families to see improvements in behavior and communication faster.

How Many ABA Therapy Hours Are Needed to See Success?

The required hours depend on each child’s specific needs. Research suggests 25 to 40 hours per week are often effective, especially for younger children. A licensed ABA therapist can recommend an appropriate schedule tailored to the child’s unique developmental goals.

Does ABA Therapy Really Work? Let’s Explore.

Studies consistently show that ABA therapy is an effective treatment for minimizing autism-related challenges. Seven critical benefits of ABA therapy for children with autism spectrum disorder include improved communication, better social interactions, enhanced focus, skill-building for independence, reduction in problem behaviors, parental guidance, and improved quality of life.

How Can Parents Access ABA Therapy Through Medicaid?

To access ABA therapy with Ohio Medicaid, parents are encouraged to reach out to their Medicaid plan provider for details. A learning center or medical professional familiar with Medicaid guidelines can help guide the process, from obtaining pre-approvals to connecting with licensed ABA providers.

The Future of ABA Therapy Access Through Medicaid in Ohio

The evolving landscape of healthcare policies in Ohio plays a significant role in determining access to Applied Behavior Analysis (ABA) therapy for children with autism spectrum disorder. Medicaid coverage in Ohio currently provides an avenue for families to afford ABA therapy, a widely researched and effective treatment. Parents often seek answers to questions like, “Is ABA therapy covered by Medicaid in Ohio?” While recent advancements have expanded access to Medicaid-funded ABA services, many barriers still exist, including long waitlists and a lack of providers in rural areas. The future may hinge on addressing these challenges to ensure equitable access for all children in need.

One possible area of progress involves leveraging Ohio’s Autism Scholarship and Jon Peterson Special Needs Scholarship. By navigating these programs alongside Medicaid, parents can create a robust support system for their children. As families continue to utilize ABA services, these scholarships may evolve to work more seamlessly with Medicaid, potentially covering more out-of-pocket expenses and uncovering innovative funding solutions for therapy programs in a learning center near them.

The healthcare industry may also respond by implementing streamlined processes for providers to work with Medicaid. Updated reimbursement rates, reduced administrative burdens, and technological advancements, such as telehealth, could foster expanded access to ABA therapy in underserved areas. These developments could particularly benefit younger children, as research demonstrates that the best age to start ABA therapy is early childhood for maximizing therapeutic outcomes.

Given the estimated 20–40 hours of ABA therapy often needed to see success, future policies must address scheduling flexibility and increased provider availability. The demand for Medicaid to sustain funding levels and continually adapt to local needs is crucial so that more families can affirmatively answer the question, “Does ABA therapy really work?” by exploring its lasting benefits.

Are you considering ABA Therapy for your child? Ruby ABA is the heart of ABA therapy in Ohio. Our caring therapists are highly trained, and committed to giving your child the help they deserve. Take the first step and reach out today, to build a brighter future for your child!


Ruby ABA is a leading provider of ABA therapy (Applied Behavior Analysis) in Cincinnati Ohio, as well as the broader Southwestern and Central Ohio. We combine compassionate care with the highest standards of clinical excellence. We offer one-on-one personalized In-Home ABA therapy, In-Center ABA therapy, and In-School ABA therapy support. We have no waitlist for our ABA therapy services, and services are covered by insurance for children ASD (Autism Spectrum Disorder).

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