Resource Library/Paying for it

How families pay for this

Therapy, equipment, and respite are expensive; Tennessee has several kinds of help families can combine.

Reviewed Aug. 2026

A three-step money map

  1. Start with coverageChoose the source that may pay for therapy or equipment.
  2. Fill the gapsAdd a flexible fund for costs coverage does not touch.
  3. Plan for laterUse a savings tool that protects benefit eligibility.
Two things worth knowing before you start

Two things worth knowing before you start

Your income is not always the gatekeeper. Katie Beckett, the Family Support Program, and ECF CHOICES look at a child’s needs rather than household income. It costs nothing to find out.

Apply early. Enrollment in some programs is limited by funding, so an early application can preserve options.

This is parent-to-parent guidance, not legal or financial advice. Confirm current rules with the program itself.

The money map

Eight places the money comes from

Each one gets its own plain-English guide: what it is, what it pays for, who qualifies, and exactly how to apply.

TennCare & Medicaid for kidsCoverage for eligible Tennessee children

Tennessee’s Medicaid program, and the foundation most other help sits on top of. Children can qualify through household income or through disability-based routes, and coverage includes well visits, medications, and medically necessary therapy — including ABA.

The Katie Beckett ProgramA disability-based route for children under 18

The door for children whose needs are significant and whose family income is too high for regular Medicaid. Part A brings full TennCare plus up to $15,000 a year in home and community services; Part B brings up to $10,000 a year in flexible funds.

DDA Family Support ProgramFlexible help for respite, equipment, and home changes

Up to $6,000 a year from the Department of Disability and Aging for respite, equipment, and home modifications. The priority window runs January 1 to April 15.

ECF CHOICESLong-term employment and community-living supports

TennCare’s long-term services and supports for people with intellectual and developmental disabilities, built around employment and community living instead of facility care. Enrollment is capped by funding and priority group.

ABLE TN accountsDisability savings that protect benefit eligibility

A tax-advantaged savings and investment account a disabled person can own without putting SSI or Medicaid at risk, run by the Tennessee Treasury.

Individualized Education Account (IEA)Education funds for eligible students with an IEP

Tennessee’s education savings account for students with an IEP and a qualifying disability, autism included. Approved uses include private-school tuition, umbrella-school homeschooling, curriculum, tutoring, therapies, and technology.

Private insuranceCoverage terms, costs, bills, and appeals

Tennessee’s autism mandate, common insurance terms in plain English, a worked therapy-cost example, and what to do when a bill lands. An EOB is not a bill.

Grants & scholarshipsNonprofit funds for specific uncovered costs

Nonprofit money for therapy, communication devices, safety equipment, and camps, often paid directly to the provider. Application windows can be short.

How families actually stack these

Private insurance + Katie Beckett

The employer plan pays first for therapy; TennCare through Katie Beckett may pick up copays, deductibles, and hours the plan caps.

TennCare + a grant

Coverage handles therapy; a nonprofit grant may fund a communication device, safety equipment, or camp that coverage does not.

Family Support + other help

Family Support may cover respite and home modifications while another application is pending; it does not stack with waiver enrollment.

ABLE TN in the background

An ABLE account can hold birthday money, tax refunds, and settlements without putting SSI or Medicaid at risk.

If you only do one thing this week

Start one folder with the diagnosis letter, recent evaluations, current IEP or IFSP, insurance cards, proof of income, and provider quotes.