Finding the right resources for a child with autism can feel overwhelming, especially when you're navigating a new diagnosis, exploring therapy options, or trying to understand insurance coverage.
At Latitude Therapy, we believe families deserve access to clear, reliable information and meaningful support throughout their journey.
Whether you're just getting started or looking for additional support, we're here to help you find your next step.
Autism evaluations and diagnosis resources
If you have questions about your child's development or suspect they may have autism spectrum disorder (ASD), a developmental evaluation can help identify their individual strengths, needs, and appropriate support options.
Latitude Therapy: autism evaluations
Latitude Therapy offers ADOS-2 autism assessment services by referral. Our team can help families understand the evaluation process and explore available services following an assessment.
Additional evaluation resources
- Washington University Autism Clinical Center: Provides specialized autism evaluations and clinical services.
- Mercy Kids Autism Center: Offers autism-related diagnostic and clinical services.
- Knights of Columbus Developmental Center at SSM Health Cardinal Glennon: Provides developmental evaluation and specialty services.
- Thompson Center for Autism & Neurodevelopment: Offers diagnostic services, education, and autism-related resources in Missouri.
Families can also speak with their pediatrician about developmental screening and appropriate referrals.
Grants and funding: where to start
| Type of funding | What it can help with | Where to start |
|---|---|---|
| Grants | Autism services, therapy, camps and equipment | The East Missouri Autism Project (DMH), Action for Autism or the Arya Foundation. Details are in the next section. |
| County boards | Respite and family support | Your Senate Bill 40 county board: Productive Living Board (St. Louis County), DDRB (St. Charles County) or DD Resources (St. Louis City). |
| Medicaid waivers | Medicaid based on your child's income, and more support at home | The Sarah Jian Lopez (MOCDD) waiver, where only your child's income counts. Other waivers have a wait list for new enrollment since Oct. 15, 2026. |
| MO HealthNet | ABA for children under 21 | MO HealthNet for Kids, through the Family Support Division: 855-373-4636. |
| Private insurance | ABA | Your plan. Missouri law requires most plans to cover it. |
What grants help Missouri autism families?
Three local sources pay for therapy, camps or equipment.
| Grant | What it pays for | Who qualifies | Contact |
|---|---|---|---|
| East Missouri Autism Project (DMH) | Authorized autism services from a provider you choose; you may pay first and be reimbursed | DD-eligible with an autism diagnosis, in the three St. Louis-area counties served by the St. Louis and Tri-County offices, when insurance does not cover the service | Your DMH regional office |
| Action for Autism | Camps, therapy, equipment, assessments | Families within 250 miles of St. Louis. Its form ties aid to its AFA Academy, so call first. | 636-405-2701 |
| Arya Foundation | Adaptive equipment up to $1,000 per child a year; holiday toys up to $250 | Children with special needs in Greater St. Louis, with a professional referrer | info@TheAryaFoundation.org |
Need ABA now? Latitude accepts MO HealthNet, the DMH Missouri Medicaid DD waiver and major insurance at our Bridgeton ABA center and St. Peters ABA center.
What changed in 2026
- New wait list. Since October 15, 2026, new enrollment in the Comprehensive, Community Support and Partnership for Hope waivers goes on a wait list. DMH says there is "no estimated end date."
- The Lopez waiver is not affected. DMH: the MOCDD waiver "will continue to be managed as usual."
- Sarah Jian Lopez (MOCDD)Taking applicationsChildren under 18 living at homeOnly the child's income counts416 children statewide; slots offered quarterly
- Community SupportWait list since Oct. 15, 2026Children and adults living in the communityUp to $42,000 a person each year
- Partnership for HopeWait list since Oct. 15, 2026Children and adults in participating countiesUp to $12,362 a person each year
- ComprehensiveWait list since Oct. 15, 2026The only waiver with residential servicesNo individual cap
Source: Missouri DMH waiver pages and its October 15, 2026 wait list memo.

How do you start with DMH?
Make a referral to the Division of Developmental Disabilities (DDD). Anyone can refer, by phone or the DDD Online Referral platform. Intake calls back within one business day.
- Referral
- Application packet. Return it within two months, or the referral stops.
- Records request: First Steps enrollment, IEP, psychological evaluations, adaptive behavior and genetic or neurological testing.
- Missouri Adaptive Ability Scale (MAAS) assessment
- Eligibility decision. An intellectual disability must begin before age 18, a developmental disability before age 22.
| You live in | DMH office | Phone |
|---|---|---|
| St. Louis County | St. Louis Regional Office, 9900 Page Ave., Ste. 106 | 314-587-4800 |
| St. Charles County, Jefferson County, St. Louis City | St. Louis Regional Tri-County Office, 1390 Timberlake Manor Parkway, Chesterfield | 314-244-8800 |
Who pays for respite and equipment?
- County boards: St. Louis City's DD Resources funds in-home respite. St. Louis County's Productive Living Board funds family support.
- Waivers: the Community Support waiver lists respite and a personal assistant among its waiver services; MOCDD lists assistive technology. Mind the new wait lists.
- Equipment: the Arya Foundation, up to $1,000 per child a year.
Missouri's developmental disabilities waiver programs
DMH runs four Medicaid waiver programs for home and community based services. All list ABA as a service. Each needs MO HealthNet eligibility.
| Waiver | Who it serves | Yearly limit | Open now? |
|---|---|---|---|
| Sarah Jian Lopez (MOCDD) | Children under 18 living at home | 416 children statewide | Eligible children wait for a slot, offered quarterly |
| Community Support | Children and adults living in the community, usually with family | $42,000 a person | Wait list since Oct. 15, 2026 |
| Partnership for Hope | Children and adults in participating counties | $12,362 a person | Wait list since Oct. 15, 2026 |
| Comprehensive waiver | The only waiver with residential services | No individual cap | Wait list since Oct. 15, 2026 |
DMH offers wait-listed slots by priority of need, then date added, as the state budget allows.
The Lopez waiver is the only one just for children, and it is capped at 416 statewide.
Source: Missouri DMH waiver pages, read October 27, 2026.
The Sarah Jian Lopez (MOCDD) waiver
It gives a child Medicaid based on the child's own income, not yours. DMH: "parental income and resources are not counted."
- Who: under 18, living at home, and found by DMH to meet an ICF/ID level of care.
- Income: the child's gross monthly income at or below the HCB standard, $1,690 in the state's January 2025 table.
- Slots: 416 statewide. Children found eligible go on a wait list; slots go quarterly to the most critical unmet needs.
- Apply: call your regional office and ask for Intake Eligibility, or email MOCDDS@dmh.mo.gov. The Family Support Division also reviews medical records to find your child disabled.
- ABA: the waiver brings a MO HealthNet card, and MO HealthNet pays for ABA when a child has an autism diagnosis.

County boards (Senate Bill 40)
Each county has a local tax-funded board. Most fund agencies, so you reach the money through a funded program or case management.
| County | Board | Phone |
|---|---|---|
| St. Louis County | Productive Living Board (PLB). Medicaid not required. Free family navigation. | 314-726-6016 |
| St. Charles County | Developmental Disabilities Resource Board (DDRB). Case management after DMH eligibility. | 636-939-3351 |
| St. Louis City | DD Resources. Funds therapy, including behavioral therapy, and respite. | 314-421-0090 |
| Jefferson County | Ask the Tri-County office for the county board's current contact. | 314-244-8800 |
Does MO HealthNet cover ABA?
Yes, for children under 21, through the Medicaid state plan. A physician or psychologist must diagnose autism spectrum disorder and recommend ABA as medically necessary.
Apply through the Family Support Division (855-373-4636). Income limits are on the state's Benefit Program Income Limits page, and CHIP premiums on a chart updated each July. Dropping private insurance no longer triggers a wait, but a child in the premium group with affordable insurance on offer is not eligible.
Does private insurance cover ABA in Missouri?
Usually, yes. Missouri law requires plans issued or renewed since January 1, 2020 to cover autism treatment, including ABA ordered by a physician or psychologist.
- ABA has a $40,000 yearly limit through age 18, adjusted for inflation. Plans can approve more when it is medically necessary.
- Deductibles and copays cannot be higher than for other physical care.
- Some self-funded employer plans are exempt under federal law.
Free help finding services
- UCP Heartland Services Navigation, one-on-one help: (314) 994-1600
- FACT family support partners who have raised a child with a disability: (636) 949-2425
- United Services for Children, therapy and early intervention in St. Charles: 636-926-2700
- St. Louis Arc, early intervention to age 5 and family services: 314-569-2211
- MPACT, free parent training on special education: 800.743.7634
How Latitude helps you pay
- We check your coverage before services: Aetna, Ambetter, BCBS of Illinois, Carelon, CHAMPVA, Cigna, MO HealthNet, the DMH Missouri Medicaid DD waiver, WellFirst/Medica, Optum/UnitedHealthcare, or private pay.
- Free parent training for families with a DMH ID in Jefferson and St. Charles counties: 17 one-hour sessions with a BCBA. See The Empowered Parent.
- No diagnosis yet? Latitude offers ADOS-2 testing by referral.
Call intake at 314-410-9670.
Sources
Every fact on this page was read on the source's own page. Outside sources are not affiliated with Latitude.
- Missouri DMH: How to Get Services
- Missouri DMH: St. Louis Regional Offices
- Missouri DMH: Waiting List (memo of October 15, 2026)
- Missouri DMH: Medicaid Home and Community-Based Waivers
- Missouri DMH: MOCDD (Sarah Jian Lopez) Waiver
- Missouri DMH: MOCDD Waiver Eligibility Requirements
- Missouri DMH: Community Support Waiver
- Missouri DMH: Comprehensive Waiver
- Missouri DMH: Partnership for Hope Waiver
- Missouri DMH: Medicaid DD Waivers Quick Reference Guide
- Missouri DMH: East Missouri Autism Project
- Missouri DSS: Family Support Division
- Missouri DSS: Benefit Program Income Limits
- Missouri DSS: MO HealthNet for Kids Premium Chart
- Missouri DSS: HCB Income Maximums (Appendix E)
- MO HealthNet: Diagnosis Requirements for ABA Services
- 13 CSR 70-98.030, MO HealthNet applied behavior analysis services
- RSMo 376.1224, autism coverage in health benefit plans
- Productive Living Board for St. Louis County
- Developmental Disabilities Resource Board (St. Charles County)
- St. Louis Office for Developmental Disability Resources
- Action for Autism
- The Arya Foundation
- UCP Heartland: Services Navigation
- FACT: Family Support
- United Services for Children
- St. Louis Arc: Programs
- MPACT (Missouri Parents Act)

