In-Home ABA Therapy
Alpaca Health matches families with independent BCBAs who deliver ABA therapy in your own home, in every state we serve. Sessions run in the rooms where your child already eats, plays and gets ready for bed, and we accept private insurance and Medicaid. Most families know their coverage and provider options within a few days.
What in-home ABA therapy is
In-home ABA therapy delivers applied behavior analysis programming in the place your child already lives. A Board Certified Behavior Analyst writes the treatment plan, supervises it, and adjusts it as your child progresses. Sessions run in your kitchen, living room and bedroom, so the skills are practiced where your child needs them. Most home programs also include ABA parent training, which is how the strategies carry on between visits.
What happens in an in-home ABA session
Sessions run for the length your plan authorizes and follow the same treatment plan each time. If your child was recently diagnosed, our guide on what to do after an autism diagnosis covers how care usually begins, and your child’s plan sets the number of weekly therapy hours.
The first ten minutes
Your provider checks in, reviews what has happened since the last session, and sets one or two targets for the visit. This is also when you flag anything that changed during the week.
The working block
Your provider runs structured teaching alongside your child's usual activities. The work happens at the kitchen table, on the floor, or wherever the target skill naturally comes up.
Recording data and adjusting
Your provider records what worked against the plan targets. When a target stops moving, the BCBA changes the plan.
What you practice between sessions
You finish with one or two specific things to practice inside routines you already have, such as meals, transitions, or bedtime.
Choose your in-home ABA therapy provider today
Every provider in our network runs their own practice, and every one is a Board Certified Behavior Analyst licensed in the state where your child lives. We will match you with someone who has availability now and delivers sessions in your home, for kids and young adults ages 0 to 21.
What families and providers say about working with Alpaca Health
How in-home ABA therapy works through Alpaca Health
Four steps from your first form to your first session, with no waitlist at any point.
1
Tell us about your child
Start with our short intake form. It asks for your child’s age, your availability, your insurance, and any autism diagnosis you already have. That is all we need to understand where your family is starting from.
2
We verify your insurance
After you submit the form, we verify your insurance and follow up within one business day to confirm the details.
3
Get matched with the right provider
We match you with a licensed provider who has current availability. If you have someone specific in mind, tell us and we will try to make it work. The match is built around your child’s needs and your family’s schedule.
4
Start care the same week
We introduce you directly to your provider, and they take it from there. Most families have their first meeting or assessment within the same week, whether that is in-home ABA therapy or a telehealth session.
What Alpaca Health's data shows about in-home care
These figures come from Alpaca Health platform data covering 1,082 clients across 118 independent provider practices between August 2024 and August 2026.
Home sessions account for 64.9% of all therapy hours delivered across the Alpaca Health network.
77.0% of families have had at least one session delivered in the home, across 833 clients and 78 independent provider practices.
In Texas, 72.1% of therapy hours are delivered in the home, and 85.2% of families have had a home session.
In Colorado, 57.2% of therapy hours are delivered in the home, and 70.4% of families have had a home session.
In the Lindgren trial (Pediatrics, 2016), in-home delivery and two telehealth models all reduced challenging behavior by 91% to 97%, with no significant difference between them.
64.9%
of all Alpaca Health therapy hours are delivered in the home.
77.0%
of Alpaca Health families have had at least one session delivered in the home.
72.1%
of therapy hours in Texas are delivered in the home, the highest share of any state where Alpaca Health reports data. Alpaca Health platform data, 1,082 clients across 118 provider practices, August 2024 to August 2026.
Where Alpaca Health delivers in-home ABA therapy
In-home sessions run in every state we serve. Your provider travels to you, so availability depends on where your family lives.
Texas
Colorado
North Carolina
Hawaii
Michigan
Other settings
Why independent clinics matter
What independent means for your family
The providers we work with aren’t part of a large corporation. They’re small, fully independent clinics, founded and operated by the very clinicians who work with your child.
We do not tell them how to do their job.
Your child’s provider makes care decisions based on what is best for your family. Company policy, quotas and insurance rules do not drive those decisions. Clinical decisions stay between you and your provider.
What we do and what we do not do
We handle the behind-the-scenes work, which covers billing, scheduling and insurance paperwork, so providers can spend their time on care instead of admin.
We do not employ the providers and we do not direct their clinical work.
Our role is to make it easier for independent providers to help your child grow and learn.
Is in-home ABA therapy covered by insurance?
Many major plans cover in-home ABA therapy for eligible programs, including Medicaid and private plans. Our guide to ABA therapy that accepts private insurance explains what to check on your policy. Our care team verifies your benefits before services start, explains any copays, and handles the authorization paperwork for you.
Confirm your coverage and authorized hours before therapy starts.
Manage prior authorizations for ABA codes when your plan requires them.
Give you a clear out of pocket estimate before the first session.
Frequently asked questions about in-home ABA therapy
Is in-home ABA therapy as effective as clinic-based ABA therapy?
In a Pediatrics trial (Lindgren et al., 2016), all three delivery models tested, in-home, clinic telehealth and home telehealth, reduced challenging behavior by 91% to 97%, with no significant difference between them. Home sessions have a practical advantage as well, because the skills are taught in the setting where your child needs to use them. Our guide to what an in-home ABA session looks like walks through a full visit.
Does insurance cover in-home ABA therapy?
Many major plans cover in-home ABA therapy for eligible programs, including private plans and Medicaid. What you get depends on your specific plan and your state, and our guide to Medicaid coverage for ABA therapy explains how the rules differ. Alpaca Health verifies your benefits before services start, explains any copays, and handles the authorization paperwork for you.
What do we need to prepare at home before a session?
You do not need to prepare much. Clear a space where your child usually plays, and have their regular toys and snacks to hand. Your provider brings any specific materials the plan calls for. It also helps to keep pets and siblings settled for the first few visits while your child gets used to the routine.
Who comes to our home, and how long is a session?
A Board Certified Behavior Analyst writes and supervises the treatment plan, and sessions are delivered in your home by the BCBA or by a behavior technician the BCBA oversees. Session length follows the hours your plan authorizes. You can check the credentials of every BCBA in the Alpaca Health provider directory. Your provider builds the schedule around your family, including after-school hours.
Do I need to be home during in-home sessions?
An adult needs to be in the home during every session. ABA parent training sessions are built around coaching you directly, so your attendance matters most there. For direct therapy sessions another familiar adult can cover, and your BCBA sets that expectation with you before care starts.
Which goals work best in the home setting?
Home sessions suit daily-routine goals such as mealtimes, getting dressed, sleep routines and managing transitions, because those skills already happen at home. Goals that depend on classmates or the school day are better served by in-school ABA therapy, and Alpaca Health tells you which of your child’s goals fall into that group during intake.
How much does in-home ABA therapy cost?
In the Lindgren trial, in-home delivery cost about $5,950 per child. What you pay depends on your plan and your state, and our guide to how much ABA therapy costs breaks down the variables. Alpaca Health gives you an out of pocket estimate before the first session.
How quickly can we start in-home ABA therapy?
Most families have their first session within the same week, and Alpaca Health does not keep a waitlist. After you submit the intake form, we verify your insurance and follow up within one business day, then match you with a Board Certified Behavior Analyst who covers your area.
Which states does Alpaca Health offer in-home ABA therapy in?
Alpaca Health delivers in-home ABA therapy in Texas, Colorado, North Carolina, Hawaii and Michigan. Your Board Certified Behavior Analyst needs to be licensed in the state where your child lives. Each state page lists the cities we cover.
Can we combine in-home sessions with school or telehealth sessions?
Most families do combine them. Across Alpaca Health platform data covering 1,082 clients and 118 independent provider practices from August 2024 to August 2026, home sessions accounted for 64.9% of all delivered therapy hours, and 77.0% of families had at least one home session. Families commonly pair home sessions with virtual ABA therapy or school sessions.
Start in-home ABA therapy with Alpaca Health
Tell us about your child and we will confirm your insurance coverage and match you with a licensed BCBA who has availability now. Sessions run in your home, in every state we serve.