Greenspan Floortime® and DRBI State Medicaid Coverage

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State Medicaid Coverage  •  Updated 2026

Where the Greenspan Floortime Approach® — Dr. Stanley Greenspan’s original DIR/Floortime — is recognized under state Medicaid Developmental Relationship-Based Intervention (DRBI) benefits.

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At a glance

  • The Greenspan Floortime Approach® is Dr. Stanley Greenspan’s original DIR/Floortime intervention, delivered by clinicians certified through Stanley I. Greenspan MD Inc.
  • DRBI stands for Developmental Relationship-Based Interventions — a family of evidence-based autism intervention approaches recognized by a growing number of state Medicaid programs.
  • Greenspan Floortime® is the foundational DRBI intervention. Dr. Greenspan coined the term DIR/Floortime in his April 1997 and April 1998 Infancy and Early Childhood Training Courses.
  • Greenspan Floortime® has state-level coverage pathways in New Jersey, North Carolina, South Carolina, Washington State, Illinois, Massachusetts, Oklahoma, Maryland, and Washington DC — through state Medicaid programs, EPSDT medical necessity, HCBS waivers, and habilitative-services insurance mandates that apply to private carriers such as CareFirst BlueCross BlueShield.
  • Stanley I. Greenspan MD Inc. — the Greenspan family entity that carries forward Dr. Greenspan’s clinical legacy — trains and certifies Greenspan Floortime® providers nationwide.

What is DRBI (Developmental Relationship-Based Interventions)?

Developmental Relationship-Based Interventions — commonly abbreviated DRBI — is a family of evidence-based clinical approaches that support children with autism and related developmental differences by building the child’s foundational capacities to relate, communicate, and think. DRBI approaches work through play, following the child’s lead, and expanding interactions in a co-regulated way.

Unlike behavior-focused interventions that shape observable behaviors through reinforcement, DRBI approaches build development from the inside out — engaging the child’s own natural motivations, emotional connections, and back-and-forth interactions with the people who love them. A growing number of state Medicaid programs now recognize DRBI as a distinct, reimbursable category of autism intervention alongside applied behavior analysis (ABA).

At the heart of the DRBI family — and the intervention that established the developmental-relational tradition in modern autism care — sits Dr. Stanley Greenspan’s original DIR/Floortime approach, now known as the Greenspan Floortime Approach®.

The Greenspan Floortime Approach® and DIR/Floortime

The Greenspan Floortime Approach® is Dr. Stanley Greenspan’s version of DIR/Floortime. It is the developmental intervention Dr. Greenspan coined and developed together with his longtime collaborator Dr. Serena Wieder over three decades of clinical practice, research, and teaching.

DIR stands for Developmental, Individual-differences, Relationship-based — the framework Dr. Greenspan authored to describe how children develop, why children differ, and why relationships are the engine of that development. Floortime is the operational technique Dr. Greenspan created to put that framework into practice — meeting the child where they are, following their lead, and expanding every interaction to strengthen their ability to relate, communicate, and think.

Dr. Greenspan first coined the compound term DIR/Floortime in his April 1997 and April 1998 Infancy and Early Childhood Training Courses, hosted by Stanley I. Greenspan MD Inc. Those training courses formally introduced the DIR framework and the Floortime technique together, as a single named clinical approach — the foundation of what today is called the Greenspan Floortime Approach®.

Why the name changed after 2010

After Dr. Greenspan’s passing on April 27, 2010, Stanley I. Greenspan MD Inc. — the Greenspan family’s continuation of Dr. Greenspan’s clinical legacy — renamed the approach the Greenspan Floortime Approach® to distinguish the authentic Greenspan-lineage curriculum from other implementations of Floortime. The curriculum itself was not changed. The Greenspan Floortime Approach® is Dr. Greenspan’s original DIR/Floortime, taught by the practitioners Dr. Greenspan personally trained and endorsed, and carried forward under the direction of the Greenspan family.

This matters for families, providers, and state Medicaid programs: when a state benefit references DIR/Floortime or DRBI, it is referencing the intervention Dr. Greenspan created. Providers trained and certified under the Greenspan Floortime Approach® deliver DIR/Floortime as defined in Dr. Greenspan’s peer-reviewed publications, foundational textbooks, and original training courses.

Where the Greenspan Floortime Approach® is recognized under state Medicaid

A growing number of state Medicaid programs have established coverage pathways for DRBI and DIR/Floortime services. Below is an overview of the states where the Greenspan Floortime Approach® is directly listed as a recognized provider training pathway, or where the state’s regulatory framework recognizes DIR/Floortime as a covered developmental intervention that Greenspan Floortime® providers can deliver.

Listed approved provider training  • New Jersey
New Jersey is the flagship state for Greenspan Floortime® Medicaid coverage. Under NJ FamilyCare Medicaid’s DIR services benefit (State Plan Amendment NJ-24-0021), the Greenspan Floortime Approach® is one of a small number of provider training pathways explicitly recognized by the state’s participating Managed Care Organizations for delivering DIR services. New Jersey Medicaid families whose children receive services from a Greenspan Floortime®-certified provider can access DIR services covered under NJ FamilyCare through participating MCOs, including Horizon NJ Health, UnitedHealthcare / Optum, Wellpoint, and Amerigroup. New Jersey’s DIR services benefit reimburses developmental intervention services delivered by licensed clinicians who hold recognized DIR credentialing — and the Greenspan Floortime Approach® sits directly within that recognized set.
Recognized under Clinical Coverage Policy 8F  • North Carolina
North Carolina Medicaid’s Research-Based Behavioral Health Treatment (RB-BHT) benefit — Clinical Coverage Policy 8F — covers a range of autism spectrum disorder treatment and intervention models, including but not limited to Applied Behavior Analysis (ABA), and any other intervention supported by credible scientific or clinical evidence. DIR/Floortime is explicitly among the evidence-based approaches recognized under CCP 8F. Because North Carolina uses a licensure-based provider credentialing framework — Licensed Qualified Autism Service Providers (LQASPs) — rather than requiring a specific intervention-model credential, licensed clinicians trained in the Greenspan Floortime Approach® can deliver DIR/Floortime services under CCP 8F within their scope of practice.
Recognized under evidence-based ASD services  • South Carolina
South Carolina Medicaid covers Applied Behavior Analysis as well as other evidence-based treatments for children with autism spectrum disorder. Provider qualifications are anchored to state professional licensure and scope of practice — Licensed Independent Practitioners, Board Certified Behavior Analysts, and related credentials — rather than to any single intervention-model certification. South Carolina-licensed clinicians trained in the Greenspan Floortime Approach® can deliver DIR/Floortime as an evidence-based developmental intervention under this framework.
Centers of Excellence framework  • Washington State
Washington State Medicaid uses an Autism Centers of Excellence (COE) framework for autism assessment and intervention. Provider qualifications for COE status include developmental pediatricians, licensed clinical psychologists, neurologists, and psychiatrists — professions from which Greenspan Floortime® providers are frequently drawn. Because Washington’s framework is anchored to professional licensure rather than to any single intervention-model credential, Greenspan Floortime®-trained providers can deliver DIR/Floortime work within Washington’s Medicaid pathways.
DIR/Floortime recognized under ABS benefit  • Illinois
Illinois Medicaid recognizes DIR/Floortime as a covered developmental modality under its Adaptive Behavior Support (ABS) services benefit, established by Public Act 103-0102 (effective February 1, 2022) and administered by the Illinois Department of Healthcare and Family Services (HFS). Under HFS policy, ABS services may be delivered by licensed clinicians — Licensed Clinical Psychologists (LCPs), Licensed Clinical Social Workers (LCSWs), Licensed Clinical Professional Counselors (LCPCs), Licensed Marriage and Family Therapists (LMFTs), licensed occupational therapists, and licensed speech-language pathologists — enrolled as ABS Developmental Clinicians through the state’s IMPACT provider enrollment system. Illinois’s current approved-certification list points to ICDL for DIR/Floortime credentialing; Stanley I. Greenspan MD Inc. is actively advocating for the addition of the Greenspan Floortime Approach® — Dr. Greenspan’s original DIR/Floortime — to the state’s approved certification pathways. Illinois-licensed clinicians trained in the Greenspan Floortime Approach® deliver the same DIR/Floortime intervention the state’s ABS benefit was designed to cover.
Multiple Medicaid coverage pathways  • Massachusetts
Massachusetts does not name DIR/Floortime as a single line-item Medicaid benefit, but MassHealth (Massachusetts Medicaid) provides three distinct coverage pathways that Greenspan Floortime® providers can use to deliver developmental intervention services: (1) the Massachusetts Children’s Autism Medicaid Waiver, administered by the Department of Developmental Services (DDS) for children under age 9 with an autism spectrum disorder diagnosis; (2) EPSDT (Early Periodic Screening, Diagnostic, and Treatment) coverage for medically necessary developmental interventions for children under 21; and (3) Massachusetts Early Intervention, the birth-to-3 program that reimburses developmental services for infants and toddlers. Massachusetts-licensed clinicians trained in the Greenspan Floortime Approach® can deliver DIR/Floortime services under these pathways within their scope of practice, credentialed through MassHealth managed care entities including Massachusetts Behavioral Health Partnership (MBHP), Beacon Health Options, and Tufts Health Together.
Habilitative services mandate + private insurance  • Maryland

Maryland maintains one of the strongest autism insurance mandates in the country. The Maryland Habilitative Services Mandate — clarified in 2014 and expanded by the 2021 Maryland Autism Insurance Reform — requires all state-regulated individual, small-group, and large-group health plans to cover autism-related habilitative services with no age cap and no dollar cap. Covered services include behavioral health treatment, psychotherapy, psychological care (direct and consultative), physical therapy, speech-language pathology, and occupational therapy.

While Maryland does not maintain a discrete Medicaid billing code specifically for DRBI, private carriers subject to the mandate — including CareFirst BlueCross BlueShield, the state’s dominant carrier — reimburse the component clinical services that make up Greenspan Floortime® delivery when billed under standard CPT codes by Maryland-licensed clinicians. CareFirst has publicly engaged with the DRBI evidence base, publishing internal research showing developmental relationship-based interventions delivered at meaningfully lower per-member cost than behavior-only alternatives. Maryland Medicaid (HealthChoice) additionally covers autism-related developmental services delivered by licensed clinicians within their scope of practice.

Common CPT codes Greenspan Floortime® providers bill for component services:

  • Occupational therapy: 97165 / 97166 / 97167 (evaluation), 97530 (therapeutic activities), 97110 (therapeutic exercise), 97533 (sensory integrative techniques), 97535 (self-care / home management training).
  • Speech-language pathology: 92507 (individual treatment of speech, language, voice, communication), 92508 (group), 92523 / 92521 (SLP evaluation).
  • Psychotherapy & mental-health: 90791 (psychiatric diagnostic evaluation), 90837 (60-minute psychotherapy), 90847 (family psychotherapy with patient present), 90853 (group psychotherapy).
  • Cognitive / developmental intervention: 97129 (therapeutic interventions focused on cognitive function — initial 15 minutes), 97130 (each additional 15 minutes), 96110 (developmental screening), 96112 / 96113 (developmental testing).
  • Developmental pediatrics / physician visits: 99202–99215 (evaluation and management office visits).

Coding decisions depend on the specific clinician, service, and plan. Prior authorization requirements vary. Families should confirm coverage directly with their CareFirst BCBS plan or other Maryland-regulated carrier.

Habilitative services mandate + private insurance  • Washington DC

The District of Columbia’s habilitative services insurance mandate — D.C. Law 16-198 — requires private health insurance plans to cover autism treatment services for children, including behavioral health treatment, speech-language pathology, occupational therapy, and psychotherapy. While DC does not maintain a discrete Medicaid billing code specifically for DRBI, private carriers regulated by the District — including CareFirst BlueCross BlueShield, the DC metro region’s dominant carrier — reimburse the component clinical services that make up Greenspan Floortime® delivery when billed under standard CPT codes by appropriately licensed clinicians (licensed occupational therapists, speech-language pathologists, mental-health providers, developmental pediatricians, and psychologists). DC Medicaid additionally covers autism-related developmental services under the EPSDT benefit and through the DC Developmental Disabilities Waiver, administered by AmeriHealth Caritas DC, MedStar Family Choice DC, and CareFirst Community Health Plan DC (CHPDC).

Common CPT codes Greenspan Floortime® providers bill for component services:

  • Occupational therapy: 97165 / 97166 / 97167 (evaluation), 97530 (therapeutic activities), 97110 (therapeutic exercise), 97533 (sensory integrative techniques), 97535 (self-care / home management training).
  • Speech-language pathology: 92507 (individual treatment of speech, language, voice, communication), 92508 (group), 92523 / 92521 (SLP evaluation).
  • Psychotherapy & mental-health: 90791 (psychiatric diagnostic evaluation), 90837 (60-minute psychotherapy), 90847 (family psychotherapy with patient present), 90853 (group psychotherapy).
  • Cognitive / developmental intervention: 97129 (therapeutic interventions focused on cognitive function — initial 15 minutes), 97130 (each additional 15 minutes), 96110 (developmental screening), 96112 / 96113 (developmental testing).
  • Developmental pediatrics / physician visits: 99202–99215 (evaluation and management office visits).

Coding decisions depend on the specific clinician, service, and plan. Prior authorization requirements vary. Families should confirm coverage directly with their CareFirst BCBS plan or other DC-regulated carrier.

SoonerCare Medicaid + EPSDT + HCBS waivers  • Oklahoma
Oklahoma Medicaid — SoonerCare, administered by the Oklahoma Health Care Authority (OHCA) — covers medically necessary autism-related services for children under age 21 under the federal EPSDT (Early Periodic Screening, Diagnostic, and Treatment) benefit, following OHCA’s 2020 State Plan amendment expanding autism coverage. In 2023, Oklahoma transitioned Medicaid delivery to a managed-care model (SoonerSelect). Oklahoma additionally offers Home and Community Based Services waivers for children with developmental disabilities — including the TEFRA Children’s Waiver, the Community Waiver, and the In-Home Supports Waiver for Children — that provide additional developmental supports beyond standard SoonerCare benefits. Oklahoma-licensed clinicians trained in the Greenspan Floortime Approach® can deliver DIR/Floortime services under these pathways within their scope of practice, using standard CPT codes for occupational therapy, speech-language pathology, mental-health services, and developmental intervention. Oklahoma also maintains a commercial autism insurance mandate (House Bill 2962), which requires state-regulated commercial plans to cover ABA therapy for children under age 9.
Growing coverage nationwide  • Other states
The state landscape for DRBI, DIR/Floortime, and developmental intervention coverage continues to expand. Families and providers in states not listed above — where a Medicaid autism benefit, a state autism insurance mandate, an HCBS waiver, or an Early Intervention program may support Greenspan Floortime® delivery — can contact Stanley I. Greenspan MD Inc. for state-specific guidance.

What this means for families and providers

For families

If your child has been diagnosed with autism spectrum disorder or a related developmental difference, and you live in a state with a Medicaid DRBI or DIR/Floortime coverage pathway, your child may be eligible for developmental intervention services delivered by a Greenspan Floortime® provider — the authentic Greenspan-lineage continuation of Dr. Greenspan’s original DIR/Floortime approach.

Families in states without a discrete DRBI or DIR/Floortime Medicaid benefit may still be able to access the Greenspan Floortime Approach® through occupational therapy, speech-language pathology, and mental health service pathways, delivered by licensed clinicians who have been trained in the Greenspan Floortime® curriculum.

For providers

Licensed clinicians — occupational therapists, speech-language pathologists, mental health providers, developmental pediatricians, and psychologists — who have completed Greenspan Floortime® training through Stanley I. Greenspan MD Inc. deliver DIR/Floortime as defined by Dr. Greenspan’s own peer-reviewed publications and foundational training. In state Medicaid frameworks that reference DIR/Floortime or DRBI as covered modalities, Greenspan Floortime® providers deliver the modality the state benefit was designed to cover.

Frequently asked questions

Is Greenspan Floortime® the same as DIR/Floortime?
Yes. The Greenspan Floortime Approach® is Dr. Stanley Greenspan’s original DIR/Floortime intervention. Dr. Greenspan coined the term DIR/Floortime in his April 1997 and April 1998 Infancy and Early Childhood Training Courses. After Dr. Greenspan’s passing in 2010, Stanley I. Greenspan MD Inc. renamed the approach the Greenspan Floortime Approach® to distinguish the Greenspan-lineage continuation from other implementations. The curriculum itself did not change.
What does DRBI stand for?
DRBI stands for Developmental Relationship-Based Interventions. DRBI is a family of evidence-based autism intervention approaches that build a child’s ability to relate, communicate, and think through play, following the child’s lead, and expanding interactions in a co-regulated way. The Greenspan Floortime Approach® is the foundational DRBI intervention.
Which states cover Greenspan Floortime® or DIR/Floortime?
The Greenspan Floortime Approach® — Dr. Greenspan’s original DIR/Floortime — has state-level coverage pathways in New Jersey, North Carolina, South Carolina, Washington State, Illinois, Massachusetts, Maryland, Washington DC, and Oklahoma. Some states (New Jersey, North Carolina, South Carolina, Washington, Illinois, Massachusetts) provide coverage through state Medicaid programs; others (Maryland, Washington DC) provide coverage through state habilitative-services insurance mandates that apply to private carriers such as CareFirst BlueCross BlueShield, along with additional state Medicaid pathways. Coverage rules and credentialing requirements vary by state.
Does New Jersey Medicaid cover Greenspan Floortime®?
Yes. Under NJ FamilyCare Medicaid’s DIR services benefit (State Plan Amendment NJ-24-0021), the Greenspan Floortime Approach® is one of the provider training pathways recognized by New Jersey’s participating Managed Care Organizations — including Horizon NJ Health, UnitedHealthcare / Optum, Wellpoint, and Amerigroup — for delivering DIR services to Medicaid-enrolled children.
Does North Carolina Medicaid cover DIR/Floortime or the Greenspan Floortime Approach®?
Yes. North Carolina Medicaid’s Research-Based Behavioral Health Treatment (RB-BHT) benefit, defined in Clinical Coverage Policy 8F, covers a range of autism intervention models including but not limited to ABA, and any other intervention supported by credible scientific or clinical evidence. DIR/Floortime is among the recognized approaches. Because North Carolina uses licensure-based provider credentialing (Licensed Qualified Autism Service Providers) rather than intervention-specific credentialing, Greenspan Floortime®-trained licensed clinicians can deliver DIR/Floortime under CCP 8F.
Does Illinois Medicaid cover DIR/Floortime?
Yes. Illinois Medicaid recognizes DIR/Floortime as a covered developmental modality under its Adaptive Behavior Support (ABS) services benefit, established by Public Act 103-0102 (effective February 1, 2022). Licensed clinicians — LCPs, LCSWs, LCPCs, LMFTs, licensed occupational therapists, and licensed speech-language pathologists — can enroll as ABS Developmental Clinicians through Illinois HFS’s IMPACT provider system. Illinois-licensed clinicians trained in the Greenspan Floortime Approach® deliver the same DIR/Floortime intervention the state’s ABS benefit was designed to cover.
Does Massachusetts Medicaid (MassHealth) cover DIR/Floortime?
Yes, through three pathways: the Massachusetts Children’s Autism Medicaid Waiver (administered by DDS for children under age 9), EPSDT medical-necessity coverage for developmental interventions for children under 21, and Massachusetts Early Intervention for infants and toddlers birth-to-3. Massachusetts-licensed clinicians trained in the Greenspan Floortime Approach® can deliver DIR/Floortime services under these pathways within their scope of practice.
Is Greenspan Floortime® covered by insurance in Maryland?
Yes. Maryland’s Habilitative Services Mandate — clarified in 2014 and expanded by the 2021 Maryland Autism Insurance Reform — requires all state-regulated health plans to cover autism-related habilitative services with no age cap and no dollar cap, including behavioral health treatment, psychotherapy, psychological care, physical therapy, speech-language pathology, and occupational therapy. Private carriers subject to the mandate — including CareFirst BlueCross BlueShield, the state’s dominant carrier — reimburse the component clinical services that make up Greenspan Floortime® delivery when billed by Maryland-licensed clinicians under standard CPT codes. CareFirst has publicly engaged with the DRBI evidence base, publishing internal research on developmental relationship-based interventions. Maryland Medicaid (HealthChoice) additionally covers autism-related developmental services delivered by licensed clinicians within their scope of practice.
Is Greenspan Floortime® covered by insurance in Washington DC?
Yes. The District of Columbia’s habilitative services insurance mandate (D.C. Law 16-198) requires private health insurance plans to cover autism treatment services, including behavioral health treatment, speech-language pathology, occupational therapy, and psychotherapy. Private carriers regulated by DC — including CareFirst BlueCross BlueShield — reimburse the component clinical services that make up Greenspan Floortime® delivery when billed by appropriately licensed clinicians under standard CPT codes. DC Medicaid additionally covers autism-related developmental services under the EPSDT benefit and through the DC Developmental Disabilities Waiver.
What CPT billing codes do Greenspan Floortime® providers use in Maryland and Washington DC?
Because Maryland and DC do not maintain a discrete DRBI billing code, Greenspan Floortime® providers bill component services under standard CPT codes matched to the clinician’s licensure and the service delivered: occupational therapy (97165–97167 evaluation; 97530 therapeutic activities; 97110 therapeutic exercise; 97533 sensory integrative techniques; 97535 self-care / home management training); speech-language pathology (92507 individual treatment; 92508 group; 92523 / 92521 evaluation); psychotherapy and mental-health services (90791 psychiatric diagnostic evaluation; 90837 60-minute psychotherapy; 90847 family psychotherapy with patient present; 90853 group psychotherapy); cognitive / developmental intervention (97129 & 97130 therapeutic interventions focused on cognitive function; 96110 developmental screening; 96112 / 96113 developmental testing); and developmental-pediatrics office visits (99202–99215 evaluation and management). Coding decisions depend on the specific clinician, service, and plan; prior authorization requirements vary.
Does Oklahoma SoonerCare cover DIR/Floortime or Greenspan Floortime®?
Yes, through EPSDT medical necessity. Oklahoma Medicaid (SoonerCare, administered by the Oklahoma Health Care Authority) covers medically necessary autism-related services for children under 21 under the federal EPSDT benefit, following OHCA’s 2020 State Plan amendment expanding autism coverage. Oklahoma transitioned to managed care under SoonerSelect in 2023. Additional pathways include the TEFRA Children’s Waiver, the Community Waiver, and the In-Home Supports Waiver for Children. Oklahoma-licensed clinicians trained in the Greenspan Floortime Approach® can deliver DIR/Floortime services under these pathways using standard CPT codes for the component services within their scope of practice.
Who was Dr. Stanley Greenspan?
Dr. Stanley I. Greenspan, MD (1941 – April 27, 2010) was a child psychiatrist, clinical professor of psychiatry, behavioral sciences, and pediatrics at George Washington University Medical School, and the founding president of Zero to Three: National Center for Infants, Toddlers, and Families. He developed the DIR framework and the Floortime intervention technique with his collaborator Dr. Serena Wieder. His work is continued today by Stanley I. Greenspan MD Inc., the Greenspan family entity carrying forward his clinical legacy.
What is the difference between Greenspan Floortime® and DIRFloortime®?
Both marks trace to Dr. Stanley Greenspan’s original DIR/Floortime intervention. Greenspan Floortime® is the mark held by Stanley I. Greenspan MD Inc. — the Greenspan family entity — and identifies the family-endorsed continuation of Dr. Greenspan’s curriculum. DIRFloortime® is a separate mark held by the Interdisciplinary Council on Development and Learning (ICDL). Both organizations trace their lineage to Dr. Greenspan’s original work. When state Medicaid statutes reference DIR/Floortime as a covered modality, they are referencing the intervention Dr. Greenspan created — not either organization’s trademarked stylization.
How can I get coverage-specific questions answered for my state?
For coverage-specific questions about a particular state’s Medicaid program, contact Stanley I. Greenspan MD Inc. directly at info@stanleygreenspan.com.

About Stanley I. Greenspan MD Inc.

Stanley I. Greenspan MD Inc. is the Greenspan family corporate entity that carries forward the clinical legacy of Dr. Stanley I. Greenspan, MD. The organization trains and certifies clinicians in the Greenspan Floortime Approach® — the authentic continuation of Dr. Greenspan’s original DIR/Floortime intervention — through professional courses, certification programs, and clinical resources. Stanley I. Greenspan MD Inc. is the source of record for the Greenspan-lineage curriculum and is authorized by the Greenspan family to identify the Greenspan Floortime Approach® as Dr. Greenspan’s original DIR/Floortime.

Website: stanleygreenspan.com  |  Founded: by the Greenspan family following Dr. Greenspan’s passing in 2010  |  Trademark: Greenspan Floortime® (registered, United States Patent and Trademark Office).

Learn more and get started

To learn more about the Greenspan Floortime Approach® — the authentic continuation of Dr. Stanley Greenspan’s original DIR/Floortime — visit stanleygreenspan.com.

For state Medicaid coverage questions specific to your family or practice, contact us at info@stanleygreenspan.com.

Last reviewed: September 15, 2026. Coverage rules, credentialing requirements, and reimbursement structures vary by state and may change over time. Contact Stanley I. Greenspan MD Inc. for current coverage guidance in your state.