When Money Shapes Autism Care

Private equity firms bought many autism therapy clinics in recent years. A 2026 study in JAMA Pediatrics reports 574 private equity owned centers across 42 states by the end of 2024. Many children use Medicaid to pay for therapy.

Federal audits found billing and record problems in some states. The HHS Office of Inspector General identified improper Medicaid payments in Wisconsin and Indiana. Parents worry about staff training and short sessions. Families can check a clinic's license, ask who will treat their child, and request clear session notes. Choose therapists with proper training and BCBA supervision. Good clinics explain written goals and share progress data with families.