State guide

District of Columbia

Programs, dollars, and people that serve autism families in District of Columbia. Federal protections always apply on top of what you see here.

District of Columbia overview

DC's Department on Disability Services (DDS) administers the Home and Community-Based Waiver for adults with developmental disabilities. The District's small geography means services are concentrated, but the system can still be complex to navigate. For early intervention, contact Strong Start DC. COPE (Collaborative for Parent Empowerment) serves as DC's PTI center for special education advocacy. The Arc of DC and the Autism Society of the National Capital Area provide community programs and family support. The Children's National Medical Center is DC's major pediatric autism evaluation and treatment resource.

Verify program names, URLs, and eligibility on official .gov sites — these change.

⏰ Act now — Medicaid waiver waitlist

DC Medicaid HCBS Waiver — Developmental Disabilities (DDS)

Typical wait: varies — waitlists exist; apply the day of diagnosis

Apply through DC Department on Disability Services (DDS) the day of diagnosis — DDS manages HCBS waiver intake and developmental disability services for DC residents.

DC's DD waiver is managed by DDS. Early enrollment is critical — contact DDS as soon as possible after diagnosis.

Apply or learn more →

Statewide resources

These four programs exist in every state and are the fastest entry points for most families.

State Autism Organization

Autism Society of DC

State-level autism advocacy, family support, and community connection.

Insurance Coverage

Whether private insurance must cover ABA therapy in District of Columbia.

No state ABA insurance mandate

No private insurance mandate in DC, but DC Medicaid (Healthy Families/Alliance) covers ABA therapy for children under 21. Families with private insurance should file under mental health parity if ABA is denied.

Medicaid Waiver

Home and community-based services (HCBS) for autism families in District of Columbia.

Home and Community Based Services (HCBS) Waiver for Individuals with Intellectual and Developmental Disabilities

DC Department on Disability Services (DDS)

Varies

Typical wait time

2-5 years

Coverage highlights

  • Respite
  • Supported Living
  • Therapy
  • Employment Supports

DC DDS manages waivers and other services for residents with intellectual and developmental disabilities including autism. The agency provides an intake and eligibility process to determine appropriate supports. Families should contact DDS early to begin the registration and assessment process.

Medicaid Managed Care

How Medicaid pays for ABA therapy in District of Columbia.

DC Medicaid (AmeriHealth Caritas DC)

Covers ABA through under 21

How to find your plan

Visit dhs.dc.gov/medicaid or call 1-800-620-7802. Your plan name is on your Medicaid card.

Major plans in this state

  • AmeriHealth Caritas DC
  • MedStar Family Choice DC

DC Medicaid covers ABA therapy for children under 21 through managed care plans. The District contracts with a small number of MCOs. Prior authorization is required for ABA services, and your provider must be enrolled in DC Medicaid to bill for services.

⚠️ Prior authorization is required before starting ABA services.