ABA Therapy During COVID-19: A Guide to Remote Options

9 min read · Updated June 2026 · Local ABA Therapy editorial team

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In short: During COVID-19, many ABA therapy providers quickly shifted to remote or telehealth sessions to continue supporting children with autism. These virtual sessions typically involve a BCBA guiding parents through strategies via video calls. Insurance, including Medicaid, often covers telehealth ABA, and our free service can match you with vetted providers offering remote options.

Key takeaways

  • Remote ABA therapy (telehealth) became widely available during COVID-19, with sessions led by BCBAs via video calls.
  • Virtual sessions focus on parent coaching, behavior strategies, and structured activities, not direct 1-on-1 therapy.
  • Insurance plans, including Medicaid, often cover telehealth ABA; verify with your provider or our matching service.
  • A stable internet connection and a quiet space are key for effective remote sessions.

How ABA Therapy Adapted During COVID-19

The COVID-19 pandemic forced many families to adjust how they accessed essential services, including ABA therapy for children with autism. In response, providers quickly developed remote or telehealth options to maintain continuity of care. These virtual sessions, often called tele-ABA, allowed BCBAs to continue supporting families while following safety guidelines. At Local ABA Therapy, we help families find vetted, BCBA-led providers that offer both in-person and remote ABA therapy, ensuring you have options that fit your needs.

What Remote ABA Therapy Looks Like

Remote ABA therapy typically involves a BCBA guiding parents or caregivers through behavior strategies via a secure video platform. Sessions may include:

  • Live coaching of parents implementing behavior plans
  • Modeling interventions and providing real-time feedback
  • Reviewing data collected by parents between sessions
  • Conducting functional behavior assessments remotely
  • Teaching communication and social skills through structured activities

Unlike in-person therapy where a technician works directly with the child, remote sessions rely heavily on parent involvement. This can be empowering for families, as they learn to apply strategies in everyday routines.

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Insurance and Cost Considerations for Telehealth ABA

Does Insurance Cover Remote ABA Therapy?

During the pandemic, many insurance companies expanded coverage for telehealth services, including ABA therapy. Most private insurers and state Medicaid programs now cover tele-ABA, though coverage details vary. Key points:

  • Check if your plan specifically includes telehealth ABA benefits
  • Medicaid typically covers ABA therapy, including remote sessions, under Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefits
  • Some plans may require prior authorization or have session limits
  • Our free matching service can help you find providers who accept your insurance and offer remote options

Costs and Savings

Remote sessions may reduce costs associated with travel and in-person staffing. However, out-of-pocket costs depend on your insurance plan's copay, coinsurance, and deductible. Many families find telehealth more affordable due to lower copays for virtual visits. Always verify costs with your provider and insurance before starting.

Setting Up for Success with Remote ABA

To make remote ABA effective, create a supportive environment at home:

Technical Requirements

  • Reliable high-speed internet connection
  • A device with a camera and microphone (laptop, tablet, or smartphone)
  • Secure, private video platform (e.g., Zoom for Healthcare, Doxy.me)
  • Quiet, distraction-free space for sessions

Parent and Caregiver Role

Parents become the primary implementer during remote sessions. You don't need to be a therapist, but you'll need to:

  • Follow the BCBA's guidance during live coaching
  • Collect data on your child's behaviors and progress
  • Practice strategies between sessions
  • Communicate openly about challenges and successes

Many families find that remote ABA strengthens their understanding of their child's needs and builds confidence in managing behaviors.

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🔗 Related reading: Telehealth ABA in Texas: Rules, Coverage & How It Works · Apply for ABA

Common Mistakes to Avoid with Telehealth ABA

  • Skipping preparation: Test your internet and video setup before each session to avoid disruptions.
  • Not involving the child: While remote, try to engage your child in the session; the BCBA can guide you on how.
  • Expecting the same as in-person: Remote sessions are different; they focus on parent coaching rather than direct 1-on-1 therapy.
  • Neglecting data collection: Accurate data is crucial for the BCBA to adjust the behavior plan effectively.
  • Ignoring insurance details: Always confirm telehealth coverage and any requirements before starting.

Finding the Right Remote ABA Provider

Not all ABA providers offer telehealth, and those that do may have different approaches. When searching, consider:

  • Does the provider have experience with remote therapy?
  • Are sessions led by a BCBA or a supervised technician?
  • What platform do they use, and is it secure?
  • Do they accept your insurance?

Our free service, Local ABA Therapy, simplifies this process. We match families with vetted, BCBA-led providers who offer remote options. Just share your location and insurance details, and we'll connect you with providers that fit your needs.

A mother and her young child sharing a happy moment together on a park bench in dappled sunlight

Looking Ahead: The Future of Remote ABA

While COVID-19 accelerated the adoption of telehealth ABA, many families continue to choose remote options for convenience, flexibility, or safety. Research suggests that parent-mediated ABA can be effective, especially when combined with occasional in-person support. As technology improves, remote ABA will likely remain a valuable tool in autism therapy. Whether you prefer in-person, remote, or a hybrid approach, our goal is to help you find the right support for your family.

Getting Started with Remote ABA Today

If you're considering remote ABA therapy, start by:

  • Contacting your insurance to verify telehealth coverage
  • Using our free matching service to find BCBA-led providers with remote options
  • Preparing your home environment for successful sessions
  • Discussing with the provider what to expect and how to prepare

Remote ABA therapy can be a powerful way to support your child's development, especially when in-person options are limited. With the right provider and preparation, your family can thrive.

About this guide. Written and reviewed by the Local ABA Therapy editorial team. This article is general educational information, not medical advice - please consult a qualified professional such as a BCBA or your pediatrician about your child's needs. Last updated June 2026.

Frequently asked questions

Is remote ABA therapy effective compared to in-person sessions?

Yes, research shows that parent-mediated ABA via telehealth can be highly effective, especially for teaching behavior management strategies. While it differs from direct 1-on-1 therapy, many families see significant progress when they actively participate in coaching sessions.

Does insurance cover telehealth ABA therapy?

Most private insurance plans and state Medicaid programs cover telehealth ABA therapy, especially since the pandemic. However, coverage varies, so it's important to verify with your specific plan and provider. Our matching service can help you find providers who accept your insurance.

What do I need for a remote ABA session?

You'll need a stable internet connection, a device with a camera and microphone (like a laptop or tablet), and a quiet, distraction-free space. Your provider will give you details on the secure video platform they use.

Can remote ABA replace in-person therapy entirely?

For some families, remote ABA can be a full replacement, especially if the child's needs are well-suited to parent coaching. Others may benefit from a hybrid approach with occasional in-person visits. Discuss options with your BCBA to determine the best fit.

How do I find a BCBA-led provider offering remote ABA?

Our free service, Local ABA Therapy, matches families with vetted, BCBA-led providers who offer remote options. Simply provide your location and insurance information, and we'll connect you with appropriate providers.

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