CHIP ABA Therapy for Not Pointing: What Parents Need to Know

In short: If your child is not pointing by 12-18 months, it may be an early sign of autism. CHIP (Children's Health Insurance Program) often covers ABA therapy, which can help develop communication skills like pointing. Our free service connects you with vetted BCBA-led providers who accept CHIP, making the process easier.
Key takeaways
- Not pointing by 18 months can be an early sign of autism, and ABA therapy can help teach this skill.
- CHIP (Children's Health Insurance Program) typically covers ABA therapy for eligible children with an autism diagnosis.
- ABA therapy uses evidence-based techniques like shaping and prompting to teach pointing and other communication skills.
- Our free matching service connects you with BCBA-led providers who accept CHIP, reducing wait times and stress.
Understanding the Link Between Not Pointing and Autism
Pointing is a critical early communication milestone. Typically, children begin pointing between 12 and 18 months to share interest, request something, or get attention. When a child does not point by this age, it can be an early red flag for autism spectrum disorder (ASD). Research shows that lack of pointing is one of the most common early signs of autism, often noticed by parents before a formal diagnosis.
It's important to remember that every child develops at their own pace, and not pointing alone does not mean your child has autism. However, if you have concerns, it's wise to speak with your pediatrician and consider an evaluation. Early identification can open doors to therapies like Applied Behavior Analysis (ABA), which can help your child learn to point and develop other communication skills.

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What Is CHIP and How Does It Cover ABA Therapy?
CHIP (Children's Health Insurance Program) provides low-cost health coverage to children in families that earn too much to qualify for Medicaid but cannot afford private insurance. In many states, CHIP covers ABA therapy for children diagnosed with autism. Coverage varies by state, but typically includes assessment, treatment planning, and direct therapy hours.
To use CHIP for ABA therapy, your child usually needs a formal autism diagnosis from a qualified professional, such as a developmental pediatrician or psychologist. Once diagnosed, you can search for ABA providers who accept CHIP. Our free service, ABA Centers Near Me, can help you find vetted BCBA-led providers in your area who work with CHIP plans.
Steps to Get ABA Therapy Through CHIP
- Get an evaluation: Schedule a developmental screening with your pediatrician. If concerns arise, ask for a referral to a specialist for an autism diagnosis.
- Check your CHIP plan: Contact your state's CHIP program or review your plan documents to confirm ABA coverage and any requirements like prior authorization.
- Find a provider: Use our free matching service to connect with BCBA-led ABA providers who accept CHIP. We simplify the search process.
- Start therapy: Once matched, the provider will conduct an assessment and create a personalized treatment plan targeting skills like pointing.
How ABA Therapy Teaches Pointing
ABA therapy uses evidence-based techniques to teach new skills, including pointing. A Board Certified Behavior Analyst (BCBA) will design a program tailored to your child's needs. Common strategies include:
- Shaping: Reinforcing successive approximations of pointing, such as reaching toward an object first, then extending a finger.
- Prompting: Using physical or verbal cues to guide the child's hand into a pointing gesture, then fading prompts as the child becomes independent.
- Modeling: The therapist demonstrates pointing while saying the name of the object, encouraging imitation.
- Natural environment teaching: Practicing pointing during play or daily routines, like pointing to a favorite toy or snack.
These techniques are paired with positive reinforcement, such as praise or access to a preferred item, to motivate the child. Over time, pointing becomes a functional communication tool.

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What to Expect During ABA Therapy for Not Pointing
When you start ABA therapy, the BCBA will first conduct a functional assessment to understand your child's current skills and challenges. They will then set specific, measurable goals for pointing. Therapy sessions are typically one-on-one and can take place at home, in a clinic, or in a community setting.
Progress is tracked daily, and the BCBA adjusts the plan as needed. Parents are often trained to reinforce pointing at home, which speeds up learning. It's common to see improvements within a few weeks to months, depending on the child's age and consistency of therapy.
Common Mistakes to Avoid
- Waiting too long: Early intervention is crucial. Don't delay seeking an evaluation if you notice your child isn't pointing.
- Assuming it will resolve on its own: While some children catch up, many benefit from targeted therapy. ABA can provide the structured support needed.
- Not checking CHIP coverage details: Some plans require prior authorization or have session limits. Verify coverage before starting therapy.
- Choosing a provider without BCBA oversight: Ensure the provider is led by a BCBA to guarantee quality, evidence-based care.
Costs and Insurance: Making ABA Affordable
ABA therapy can be expensive without insurance, often costing $120-$200 per hour. However, CHIP typically covers these costs for eligible children. Some states also offer Medicaid waivers for autism services, which can supplement CHIP coverage. Our free service helps you navigate these options and find providers who accept your insurance.
If your child is not yet diagnosed, some states cover diagnostic evaluations through CHIP. Once diagnosed, ABA therapy is often covered with minimal copays. We recommend contacting your CHIP plan directly for specific cost-sharing details.

How Our Free Matching Service Helps
Finding a BCBA-led ABA provider who accepts CHIP can be overwhelming. That's where ABA Centers Near Me comes in. We are a free matching service that connects families with vetted providers in their area. Simply fill out a short form with your location and insurance details, and we'll match you with providers who have availability and accept CHIP.
Our service saves you time and stress, ensuring you find quality care for your child. We do not charge families any fees; our funding comes from provider partnerships. Start today to get your child the support they need for pointing and other developmental skills.
Practical Tips for Parents
- Document your concerns: Keep a log of when your child does or doesn't point, along with other behaviors. This helps during evaluations.
- Use everyday moments: Encourage pointing during meals, play, or reading books. Model pointing and celebrate any attempt.
- Stay patient: Learning to point takes time. Celebrate small wins and maintain a positive, supportive environment.
- Connect with other parents: Join local or online support groups for families of children with autism. They can offer advice and encouragement.
Remember, you are not alone. Many families have successfully used CHIP to access ABA therapy and seen their children develop pointing and other communication skills. With early intervention and the right support, your child can make meaningful progress.