Sunny Skies ABA accepts Partners Health Tailored Plan in Gaston and Forsyth counties. Free benefits verification in 24 hours.
Partners Health Management is one of four NC Medicaid Behavioral Health and Intellectual/Developmental Disabilities (I/DD) Tailored Plan operators in North Carolina. Headquartered in Gastonia, Partners serves Medicaid members in 15 counties across western and central NC — combining physical health, behavioral health, pharmacy, I/DD services, and long-term services and supports under one integrated plan for members with the most complex needs.
For families with children diagnosed with autism, Partners Health covers Applied Behavior Analysis therapy as a core behavioral health benefit. Coverage flows from the federal EPSDT benefit, which protects medically necessary services for Medicaid-enrolled children and young adults under 21. There is no hard hour cap or annual dollar limit on ABA — coverage is driven by clinical recommendation and documented progress.
Sunny Skies ABA is in-network with Partners Health Management and serves families in two Partners counties: Gaston (including Gastonia, High Shoals, and Mount Holly) and Forsyth (including Winston-Salem). Our intake team is familiar with Partners' authorization process and works closely with each family's Partners care coordinator.
Once medical necessity is documented and prior authorization is approved, Partners Health typically covers:
Because Partners is a Tailored Plan, your child likely has additional benefits beyond ABA — including potential I/DD waiver services and integrated behavioral health supports — that we coordinate alongside ABA when appropriate.
Your child must be enrolled in Partners Health Management — either through the Tailored Plan, Partners' Medicaid Direct services, or Partners' state-funded services for non-Medicaid eligible members. Enrollment depends on home county. We can confirm enrollment status during verification.
Partners requires a current DSM-5 diagnosis of Autism Spectrum Disorder with ICD-10 code F84.0 from a licensed psychologist, psychiatrist, developmental pediatrician, neurologist, MD, or DO. We refer you to local diagnosticians if your child does not yet have a formal diagnosis.
Most Partners pathways require a referral from your child's primary care provider before ABA begins. The referral is part of the authorization packet we submit on your behalf.
Partners Health Management requires prior authorization before ABA services start. We submit a complete clinical packet — diagnosis, assessments, BCBA-developed treatment plan, and authorization forms. Reauthorization is required approximately every six months.
Free, no-obligation verification in 24 hours.
Complete our online benefits verification form with a photo of your Partners Health member card and your child's information. Call (919) 502-1112 or email info@sunnyskiesaba.com.
Within 24 hours our intake team confirms Partners enrollment, your county's coverage status, and the documentation needed to start your child's authorization.
We email a written summary of your Partners coverage and book a free consultation to discuss next steps and begin the BCBA assessment.
Medicaid managed care for members with significant BH or I/DD needs in 15 NC counties.
For members not yet transitioned to the Tailored Plan but receiving Partners-coordinated services.
For NC residents without Medicaid who still meet clinical eligibility for behavioral health services.
For members with additional I/DD waiver services we coordinate alongside ABA.
Partners Health Management's Tailored Plan covers 15 NC counties. Within these counties, Sunny Skies ABA serves the following cities:
Partners also covers Burke, Cabarrus, Catawba, Cleveland, Davidson, Davie, Iredell, Lincoln, Rutherford, Stanly, Surry, Union, and Yadkin counties. If your home county is served by Partners but not listed above, contact us to check service availability.
Tailored Plan families navigate complex care and deserve a provider who keeps up. That's what Sunny Skies delivers:
Free benefits verification in 24 hours. No commitment.
Verify Your Partners Benefits Now
