Texas Medicaid & CHIP
Pediatric therapy is a covered benefit under Texas Medicaid with a physician referral. Most managed-care plans in El Paso run through a handful of MCOs.
- Superior Health Plan
- El Paso Health
- Amerigroup/Wellpoint
- Molina
Insurance & payment
Find out what it costs before you come in
“Do you take my insurance?” is the first thing most parents ask. You should not have to call to get an answer, and you should never learn the number at the front desk.
How we handle it
01
You call, or send us your plan details
Name of the plan, the member ID, and your child’s date of birth. That is enough for us to start.
02
We check the benefit, not just the carrier
Whether therapy is covered, how many visits, whether a referral or authorization is needed, and what a visit will actually cost you.
03
We tell you the number before you come in
Including if the answer is that we are not the right fit for your plan. You should not find that out at the front desk.
Plans we work with
Coverage for pediatric therapy varies more by individual plan than by carrier. Rather than guess from a logo, call us and we will read your benefit.
TRICARE
El Paso is a Fort Bliss town. Military families move often, arrive mid-treatment, and have to find a new provider cold — usually in a hurry.
- TRICARE
Commercial plans
Coverage for pediatric therapy varies more by plan than by carrier, so the honest answer is usually "let us check yours".
- Blue Cross Blue Shield (TX)
- Cigna · Yagel Home Health only
- United Healthcare
Private pay
Some families skip insurance entirely to avoid visit caps or authorization delays.
- Call for rates
Texas Education Freedom Accounts (TEFA)
Families with a TEFA account can use it to pay for licensed occupational, physical, and speech therapy.
- Approved vendor
Questions parents ask
- Do I need a referral from my pediatrician?
- For most plans, yes — and for Texas Medicaid, a physician referral is required. You do not need one to call and ask a question, though. We will tell you whether an evaluation is worth pursuing before anyone asks you for paperwork.
- What if my plan does not cover therapy?
- We will say so plainly. Private pay is an option — call us for rates so you can decide.
- How long does approval take?
- Authorization timelines vary by plan; we will give you the realistic range for yours when we check the benefit.
Where therapy happens
Every plan we accept works in both settings, except Cigna, which Yagel Home Health accepts and our clinics do not. Worth confirming for your plan before you choose.